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1132763
star this property registered interest false more like this
star this property date less than 2019-06-18more like thismore than 2019-06-18
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text What steps he is taking to ensure NHS patient safety. more like this
star this property tabling member constituency Stafford more like this
star this property tabling member printed
Jeremy Lefroy more like this
star this property uin 911420 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-06-18more like thismore than 2019-06-18
unstar this property answer text <p>Patient safety remains a key priority for the National Health Service. NHS Improvement and NHS England are developing a new National Patient Safety Strategy that will sit alongside the NHS Long Term Plan.</p><p>The strategy will be published this summer and will build on existing work to provide a coherent framework that the whole NHS can recognise and support</p> more like this
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2019-06-18T15:03:47.607Zmore like thismore than 2019-06-18T15:03:47.607Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
4109
unstar this property label Biography information for Jeremy Lefroy more like this
1131259
star this property registered interest false more like this
star this property date less than 2019-06-11more like thismore than 2019-06-11
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what steps he is taking to support global patient safety. more like this
star this property tabling member constituency North Antrim more like this
star this property tabling member printed
Ian Paisley more like this
star this property uin 263152 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-06-19more like thismore than 2019-06-19
unstar this property answer text <p>Patient safety in the National Health Service is a key priority for the Government. We also remain committed to building on the momentum we have established to address patient safety challenges globally.</p><p>The United Kingdom-led World Health Assembly Resolution, ‘Global Action on Patient Safety’, was adopted on 28 May 2019. It urges all countries to prioritise safety in the delivery of universal health coverage and establishes an annual World Patient Safety Day on 17 September.</p><p>The Government is committed to maintaining its leadership role on global patient safety.</p> more like this
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2019-06-19T16:18:53.53Zmore like thismore than 2019-06-19T16:18:53.53Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
4129
unstar this property label Biography information for Ian Paisley more like this
1046792
star this property registered interest false more like this
star this property date less than 2019-01-23more like thismore than 2019-01-23
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many incidents recorded in the National Patient Safety Agency's National Reporting and Learning System were classified as never events in each year since 2008. more like this
star this property tabling member constituency Leicester South more like this
star this property tabling member printed
Jonathan Ashworth more like this
star this property uin 211764 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-01-31more like thismore than 2019-01-31
unstar this property answer text <p>The following table shows data collected on Never Events from 2010/11, the first year when data was available. Never Events are serious incidents or errors that should never occur if proper safety procedures are followed.</p><p><em> </em></p><p>Never Events Data was collected by the National Reporting and Learning System (NRLS) and the Strategic Executive Information System (StEIS) until 2013. Since April 2013 data has been collected from StEIS only. The data from these two systems are not directly comparable due to differences in the way incidents are identified and reported. The number of events, and definitions of events contained in the Never Event List, are modified regularly, so direct year-on-year comparisons are not appropriate.</p><p> </p><p>The data for 2017/18 is provisional and still to be confirmed in the annual data summary.</p><p> </p><p>Number of Never Events</p><table><tbody><tr><td><p>Year</p></td><td><p>Data Source</p></td><td><p>Total</p></td></tr><tr><td rowspan="2"><p>2010/11</p></td><td><p>NRLS</p></td><td><p>56</p></td></tr><tr><td><p>StEIS</p></td><td><p>166</p></td></tr><tr><td rowspan="2"><p>2011/12</p></td><td><p>NRLS</p></td><td><p>163</p></td></tr><tr><td><p>StEIS</p></td><td><p>326</p></td></tr><tr><td rowspan="2"><p>2012/13</p></td><td><p>NRLS</p></td><td><p>237</p></td></tr><tr><td><p>StEIS</p></td><td><p>329</p></td></tr><tr><td><p>2013/14</p></td><td><p>StEIS</p></td><td><p>338</p></td></tr><tr><td><p>2014/15</p></td><td><p>StEIS</p></td><td><p>306</p></td></tr><tr><td><p>2015/16</p></td><td><p>StEIS</p></td><td><p>345</p></td></tr><tr><td><p>2016/17</p></td><td><p>StEIS</p></td><td><p>445</p></td></tr><tr><td><p>2017/18 (provisional)</p></td><td><p>StEIS</p></td><td><p>393 (April 2017-January 2018) 76 (February-March 2018)*</p></td></tr></tbody></table><p> </p><p>Note:</p><p>*Revised framework and list of Never Events from 1 February 2018</p>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2019-01-31T17:20:06.173Zmore like thismore than 2019-01-31T17:20:06.173Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
4244
unstar this property label Biography information for Jonathan Ashworth more like this
1019458
star this property registered interest false more like this
star this property date less than 2018-12-03more like thismore than 2018-12-03
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 17 October to Question 177600 on Patients, how many patient safety incidents were recorded as absconder or missing patient by hospitals in England and Wales in the National Reporting and Learning System in each NHS trust in the latest period for which information is available. more like this
star this property tabling member constituency Stockport more like this
star this property tabling member printed
Ann Coffey more like this
star this property uin 198237 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-12-11more like thismore than 2018-12-11
unstar this property answer text <p>During the period 1 October 2017 to 31 March 2018, the National Reporting and Learning System (NRLS) recorded 12,405 cases of ‘missing or absconded patient’ from a National Health Service trust hospital in England and Wales, including incidents involving a mental health patient. This category on the NRLS also includes patients who left without signing a ‘discharge against medical advice’ form and those who failed to return from agreed leave, on time.</p><p> </p><p>The attached tables show a breakdown of these cases by NHS trust for both England and Wales respectively. If a NHS trust does not appear in these tables, this is because the number of incidents is ‘0’.</p><p> </p><p>During the same period, the NRLS recorded 6,186 cases of ‘missing or absconded patient’ involving a mental health patient in England and Wales. This breaks down as 5,946 in England and 240 in Wales. This category on the NRLS also includes patients who left without signing a ‘discharge against medical advice’ form and those who failed to return from agreed leave on time.</p>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN 198238 more like this
star this property question first answered
less than 2018-12-11T13:31:32.407Zmore like thismore than 2018-12-11T13:31:32.407Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property attachment
1
star this property file name PQ198237,198238.docx more like this
star this property title PQ198237,198238 attached table more like this
star this property tabling member
458
unstar this property label Biography information for Ann Coffey more like this
984845
star this property registered interest false more like this
star this property date less than 2018-10-10more like thismore than 2018-10-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many patient safety incidents were recorded as absconder or missing patient by hospitals in England and Wales in the National Reporting and Learning System in each care setting in the latest period for which information is available. more like this
star this property tabling member constituency Stockport more like this
star this property tabling member printed
Ann Coffey more like this
star this property uin 177600 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-10-17more like thismore than 2018-10-17
unstar this property answer text <p>During the period 1 October 2017 to 31 March 2018 National Reporting and Learning System (NRLS) recorded 12,398 cases of “missing or absconded patient” across England and Wales. This category on the NRLS includes patients who left without signing a ‘discharge against medical advice’ form and those who failed to return from agreed leave on time, rather than solely reports of patients who absconded or were reported missing.</p><p> </p><p>A breakdown by care settings for both England and Wales is provided in the following table.</p><p> </p><p>Incidents reported as “Missing or absconded patient”, by care setting for England and Wales</p><table><tbody><tr><td><p>Care Setting</p></td><td><p>England</p></td><td><p>Wales</p></td><td><p>Total</p></td></tr><tr><td><p>Acute / general hospital</p></td><td><p>5,781</p></td><td><p>146</p></td><td><p>5,927</p></td></tr><tr><td><p>Ambulance service</p></td><td><p>15</p></td><td><p>0</p></td><td><p>15</p></td></tr><tr><td><p>Community and general dental service</p></td><td><p>1</p></td><td><p>0</p></td><td><p>1</p></td></tr><tr><td><p>Community Nursing, medical and therapy service (incl. community hospital)</p></td><td><p>312</p></td><td><p>57</p></td><td><p>369</p></td></tr><tr><td><p>Community optometry / optician services</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>Community pharmacy</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>General practice</p></td><td><p>4</p></td><td><p>0</p></td><td><p>4</p></td></tr><tr><td><p>Learning disabilities service</p></td><td><p>87</p></td><td><p>2</p></td><td><p>89</p></td></tr><tr><td><p>Mental health service</p></td><td><p>5,754</p></td><td><p>239</p></td><td><p>5,993</p></td></tr><tr><td><p>Total</p></td><td><p>11,954</p></td><td><p>444</p></td><td><p>12,398</p></td></tr></tbody></table><p><strong> </strong></p>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-10-17T13:48:41.117Zmore like thismore than 2018-10-17T13:48:41.117Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
458
unstar this property label Biography information for Ann Coffey more like this
934259
star this property registered interest false more like this
star this property date less than 2018-07-03more like thismore than 2018-07-03
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 June 2018 to Question 152793 on Patients: Safety, whether any steps have been taken to determine the reason for the increase in never events. more like this
star this property tabling member constituency Ellesmere Port and Neston more like this
star this property tabling member printed
Justin Madders more like this
star this property uin 160274 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-07-09more like thismore than 2018-07-09
unstar this property answer text <p>The Government is committed to eradicating Never Events and ensuring best practice is shared throughout the health care system.</p><p>That is why in December 2017, the Secretary of State commissioned the Care Quality Commission (CQC) to undertake a safety thematic review of Never Events, under Section 48 of the Health and Social Care Act 2008.</p><p>The CQC’s review, which is expected to report in autumn 2018, will examine the underlying issues in National Health Service trusts in England that contribute to the occurrence of Never Events and identify the learning that can be applied to wider safety issues.</p><p>The ‘Never Events Policy and Framework’ was revised in March 2015 and the definition of Never Events changed to provide further clarity over their purpose, and; to ensure incidents are easily identifiable when they occur and are not dependent on the severity of outcome of the incident.</p><p>The list of Never Events was reviewed at the same time to ensure that they were all compliant with the revised definition and to consider any new issues that were appropriate to be introduced as Never Events into the NHS in England.</p><p>Further revisions to the Never Events policy and framework and an updated Never Events list were published in January 2018. Therefore it is not possible to compare the number of Never Events reported on an annual basis.</p><p>As mentioned in my earlier reply to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-06-12/152793/" target="_blank">152793</a>, NHS providers are encouraged to report all Never Events, and the CQC regards failure to report a Never Event, a breach of a provider’s registration requirement.</p><p>The number of Never Events reported by independent providers is also increasing as they report more incidents to our National Reporting and Learning System.</p>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-07-09T16:40:10Zmore like thismore than 2018-07-09T16:40:10Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
4418
unstar this property label Biography information for Justin Madders more like this
926528
star this property registered interest false more like this
star this property date less than 2018-06-18more like thismore than 2018-06-18
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of introducing into NHS England a scheme analogous to the Scottish National Patient Safety Programme. more like this
star this property tabling member constituency South West Bedfordshire more like this
star this property tabling member printed
Andrew Selous more like this
star this property uin 154631 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-06-21more like thismore than 2018-06-21
unstar this property answer text <p>We note the Scottish National Patient Safety Programme aims to improve the safety and reliability of health and social care, and reduce harm.</p><p> </p><p>Like Scotland, our aim is to improve patient safety and for the National Health Service to be one of the safest healthcare systems in the world.</p><p> </p><p>Following the tragic events at Mid Staffordshire NHS Foundation Trust, the Government has introduced a number of significant programmes to promote and encourage better regulation, greater transparency and candour, and a culture of learning in the NHS in England, drawing from other safety critical industries.</p><p> </p><p>To further drive a culture of learning, the NHS trusts are required to review and investigate deaths of their patients and publish the learning and steps they are taking to improve patient safety. An independent Healthcare Safety Investigation Branch (HSIB) was set up in April 2016 and is now conducting major safety investigations into the most serious risks for patients, with a specific focus on system-wide learning and improvement. The HSIB’s remit was extended in April 2018 to include the investigations of early neonatal deaths, term stillbirths and cases of severe brain injury in babies as well as all cases of maternal death. Work is underway to further improve medicines safety including the accelerated rollout of electronic prescribing in hospitals, monitoring higher risk prescribing practice linked to hospital admissions, and addressing so called ‘human factors’ that contribute to errors.</p><p> </p><p>In June 2018, the Government announced a further package of measures to improve patient safety including a new National Clinical Improvement Programme that will provide NHS consultants with confidential data on their clinical results and help improve patient outcomes, the introduction of a system of medical examiners and the intention to extend the Learning from Deaths programme to general practice and ambulance trusts to promote learning and enable health organisations and healthcare professionals to learn from one another.</p>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-06-21T16:56:59.25Zmore like thismore than 2018-06-21T16:56:59.25Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1453
unstar this property label Biography information for Andrew Selous more like this
922422
star this property registered interest false more like this
star this property date less than 2018-06-12more like thismore than 2018-06-12
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many never events were recorded by NHS trusts in each of the last five years. more like this
star this property tabling member constituency Ellesmere Port and Neston more like this
star this property tabling member printed
Justin Madders more like this
star this property uin 152793 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-06-19more like thismore than 2018-06-19
unstar this property answer text <p>Never Events are serious incidents that are entirely preventable because guidance or safety recommendations providing strong systemic protective barriers are available at a national level, and should have been implemented by all healthcare providers.</p><p> </p><p>National Health Service providers are encouraged to report all Never Events through the National Reporting and Learning System. The Care Quality Commission views failure to report a Never Event as a breach of a provider’s registration requirement and which may attract sanctions.</p><p> </p><p>Below are the total numbers of Never Events for the last five years which are published online by NHS Improvement and can be accessed at the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/resources/never-events-data/" target="_blank">https://improvement.nhs.uk/resources/never-events-data/</a></p><p> </p><p>The last column contains the total of Never Events reported by NHS trusts.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total number of Never Events</p></td><td><p>Total number of Never Events from NHS trusts</p></td></tr><tr><td><p>2013/14</p></td><td><p>338</p></td><td><p>322</p></td></tr><tr><td><p>2014/15</p></td><td><p>306</p></td><td><p>288</p></td></tr><tr><td><p>2015/16</p></td><td><p>442</p></td><td><p>412</p></td></tr><tr><td><p>2016/17</p></td><td><p>445</p></td><td><p>414</p></td></tr><tr><td><p>2017/18 (provisional data subject to change as local investigations take place)</p></td><td><p>469</p></td><td><p>434</p></td></tr></tbody></table>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-06-19T10:18:13.657Zmore like thismore than 2018-06-19T10:18:13.657Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
4418
unstar this property label Biography information for Justin Madders more like this
857717
star this property registered interest false more like this
star this property date less than 2018-03-08more like thismore than 2018-03-08
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many independent serious incident reviews were (a) commissioned and (b) completed (c) not completed by NHS England in each month between May 2015 and June 2017; and what the reasons were for the reviews not being completed by 28 February 2018. more like this
star this property tabling member constituency Preston more like this
star this property tabling member printed
Sir Mark Hendrick more like this
star this property uin 131618 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-03-13more like thismore than 2018-03-13
unstar this property answer text <p>We do not hold all of the information requested centrally.</p><p> </p><p>NHS England has provided the attached information for the period between September 2016 and June 2017, which includes a monthly status of reported serious incidents with the following investigative status: planned, underway, completed, awaiting clearance or not yet allocated for investigation ‘blank’.</p><p> </p><p>The following points should be noted:</p><p> </p><p>- This information has been collected since August 2016, when NHS England put in place a national system for sub-regional and regional teams to escalate serious incidents via a Serious Incident Desk;</p><p>- NHS England does not hold information at a national level as to why investigations have not yet been completed. Most investigations should be completed within six months of being commissioned, however some may take longer due to the complexity of the incident; and</p><p>- NHS England does not hold information on serious investigations only led by clinical commissioning groups or trusts. The latter has not been included within this response.</p><p> </p>
star this property answering member constituency Gosport more like this
unstar this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2018-03-13T12:44:57.81Zmore like thismore than 2018-03-13T12:44:57.81Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property attachment
1
star this property file name PQ131618 attached table.docx more like this
star this property title PQ131618 attached table more like this
star this property tabling member
473
unstar this property label Biography information for Sir Mark Hendrick more like this
795959
star this property registered interest false more like this
star this property date less than 2017-11-28more like thismore than 2017-11-28
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps he is taking to reduce the number of never events in NHS trusts. more like this
star this property tabling member constituency Liverpool, Wavertree more like this
star this property tabling member printed
Luciana Berger more like this
star this property uin 116273 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2017-12-01more like thismore than 2017-12-01
unstar this property answer text <p>My Rt. hon. Friend the Secretary of State has commissioned the Care Quality Commission to carry out a Thematic Review into Never Events and this work will be supported by NHS Improvement.</p><p> </p><p>The thematic review will examine what can be done to reduce Never Events, and explore what further support and guidance the National Health Service needs to overcome the barriers that prevent the correct implementation of existing guidance. The review will also identify good practice happening throughout the NHS around Never Events and look to embed this throughout the NHS.</p> more like this
star this property answering member constituency Ludlow more like this
unstar this property answering member printed Mr Philip Dunne more like this
star this property question first answered
less than 2017-12-01T12:44:37.037Zmore like thismore than 2017-12-01T12:44:37.037Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4036
unstar this property label Biography information for Luciana Berger more like this
773000
star this property registered interest false more like this
star this property date less than 2017-10-18more like thismore than 2017-10-18
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government when they expect to bring forward the Patient Safety Bill announced in the Queen's Speech in June. more like this
star this property tabling member printed
Lord Hunt of Kings Heath more like this
star this property uin HL2201 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2017-10-31more like thismore than 2017-10-31
unstar this property answer text <p>Patient safety has been a key priority for this Government and we have made huge strides to ensure patients have access to high quality healthcare.</p><p> </p><p>Following the Queen’s Speech in June, the Government committed to publishing a bill to establish a new independent body to investigate serious patient safety incidents in the National Health Service, with a focus on learning.</p><p> </p><p>The Health Service Safety Investigations Bill was laid in draft in Parliament on 14 September 2017 and will undergo a period of pre-legislative scrutiny. Following pre-legislative scrutiny, introduction of the Bill will depend on parliamentary time being available.</p> more like this
unstar this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2017-10-31T15:05:55.337Zmore like thismore than 2017-10-31T15:05:55.337Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
2024
unstar this property label Biography information for Lord Hunt of Kings Heath more like this
758760
star this property registered interest false more like this
star this property date less than 2017-09-07more like thismore than 2017-09-07
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many never events have occurred involving (a) audiologists, (b) cardiac physiologists, (c) gastro-intestinal physiologists, (d) neurophysiologists, (e) respiratory physiologists and (f) sleep physiologists in the last five years. more like this
star this property tabling member constituency Ellesmere Port and Neston more like this
star this property tabling member printed
Justin Madders more like this
star this property uin 9435 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2017-09-15more like thismore than 2017-09-15
unstar this property answer text <p>This data is not collected centrally. Never events are reported through a tool called the Strategic Executive Information System which does not routinely collect information on the specialty of staff involved in never events.</p> more like this
star this property answering member constituency Ludlow more like this
unstar this property answering member printed Mr Philip Dunne more like this
star this property question first answered
less than 2017-09-15T12:10:34.65Zmore like thismore than 2017-09-15T12:10:34.65Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4418
unstar this property label Biography information for Justin Madders more like this
749475
star this property registered interest false more like this
star this property date less than 2017-07-06more like thismore than 2017-07-06
star this property answering body
Leader of the House more like this
star this property answering dept id 34 more like this
unstar this property answering dept short name Leader of the House more like this
star this property answering dept sort name Leader of the House more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Leader of the House, when and in which House the Government plans to introduce the Patient Safety Bill. more like this
star this property tabling member constituency Kingston upon Hull North more like this
star this property tabling member printed
Diana Johnson more like this
star this property uin 3492 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2017-07-11more like thismore than 2017-07-11
unstar this property answer text <p>The Government has set out an ambitious programme of 27 bills and drafts bills and noted that additional bills will be announced as the session progresses. The timescales for forthcoming bills and draft bills will be announced in the usual manner in due course.</p><p> </p> more like this
star this property answering member constituency South Northamptonshire more like this
unstar this property answering member printed Andrea Leadsom more like this
star this property question first answered
less than 2017-07-11T16:11:25.707Zmore like thismore than 2017-07-11T16:11:25.707Z
star this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
star this property tabling member
1533
unstar this property label Biography information for Diana Johnson more like this
522595
star this property registered interest false more like this
star this property date less than 2016-06-03more like thismore than 2016-06-03
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many never events have been recorded in hospitals in England in the last five years. more like this
star this property tabling member constituency Westmorland and Lonsdale more like this
star this property tabling member printed
Tim Farron more like this
star this property uin 38974 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2016-06-08more like thismore than 2016-06-08
unstar this property answer text <p>In the last five years there have been a total of 1,881 Never Events recorded in hospitals in England. The table below provides the specific annual figures of this total.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Data source</p></td><td><p>Total</p></td></tr><tr><td><p>2011/12</p></td><td><p>National Reporting and Learning System</p></td><td><p>326</p></td></tr><tr><td rowspan="2"><p>2012/13</p></td><td><p>National Reporting and Learning System</p></td><td><p>237</p></td></tr><tr><td><p>Strategic Executive Information System</p></td><td><p>329</p></td></tr><tr><td><p>2013/14</p></td><td><p>Strategic Executive Information System</p></td><td><p>338</p></td></tr><tr><td><p>2014/15</p></td><td><p>Strategic Executive Information System</p></td><td><p>306</p></td></tr><tr><td><p>2015/16 (provisional)</p></td><td><p>Strategic Executive Information System</p></td><td><p>345</p></td></tr></tbody></table><p> </p><p>Never Events cannot be compared year on year as the number of Never Events contained within the Never Events list and definitions of the individual Never Events have been modified each year, so direct comparison is not appropriate.</p><p> </p><p>Data for 2015/16 is still provisional and is yet to be confirmed in the annual data summary.</p>
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2016-06-08T13:54:45.003Zmore like thismore than 2016-06-08T13:54:45.003Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
star this property tabling member
1591
unstar this property label Biography information for Tim Farron more like this
519221
star this property registered interest false more like this
star this property date less than 2016-05-18more like thismore than 2016-05-18
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many never events have been recorded in (a) Furness General Hospital and (b) Westmorland General Hospital in the last five years. more like this
star this property tabling member constituency Westmorland and Lonsdale more like this
star this property tabling member printed
Tim Farron more like this
star this property uin 37216 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2016-05-23more like thismore than 2016-05-23
unstar this property answer text <p>The information is not available in the format requested. In addition, data are not available at hospital level. The 2012-13 publication does not have trust level data.</p><p> </p><p>Published data on never events from 2012-13 to 2015-16 are available on the NHS England website at:</p><p> </p><p><a href="https://www.england.nhs.uk/patientsafety/never-events/ne-data/" target="_blank">https://www.england.nhs.uk/patientsafety/never-events/ne-data/</a></p><p> </p><p>The following table shows the reported never events at the University Hospitals of Morecambe Bay NHS Foundation Trust for 2013-14 and 2015-16. No never events were reported at this Trust in 2014-15. Cumbria Partnership NHS Foundation Trust, which also provides services from the Furness General Hospital and the Westmorland General Hospital, has no reported never events in the published data.</p><p> </p><p> </p><table><tbody><tr><td colspan="6"><p>University Hospitals of Morecambe Bay NHS Foundation Trust</p></td></tr><tr><td colspan="6"><p>2015-16 (monthly provisional)</p></td></tr><tr><td><p>Month</p></td><td><p>Retained foreign object post procedure</p></td><td><p>Wrong implant/ prosthesis</p></td><td><p>Wrong site surgery</p></td><td><p>Other NE (types 4-25)</p></td><td><p>Sub-total Serious Incidents reported as Never Events that can be matched to Never Event list type 1-25</p></td></tr><tr><td><p>July</p></td><td><p> </p></td><td><p> </p></td><td><p>1</p></td><td><p> </p></td><td><p>1</p></td></tr><tr><td><p>May</p></td><td><p> </p></td><td><p> </p></td><td><p>1</p></td><td><p> </p></td><td><p>1</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="6"><p>2013-14</p></td></tr><tr><td><p>Annual</p></td><td><p> </p></td><td><p>2</p></td><td><p>1</p></td><td><p> </p></td><td><p>3</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS England <a href="https://www.england.nhs.uk/patientsafety/never-events/ne-data/" target="_blank">https://www.england.nhs.uk/patientsafety/never-events/ne-data/</a></p><p> </p><p><em>Notes: </em></p><p> </p><ol><li>From April 2014, NHS England published provisional never events data as monthly updates throughout each financial year. Each report updates the previous month’s data as information on never events is reported or amended.</li><li>The provisional monthly never events data summaries for 2015/16 have been drawn from the STEIS system. Each report includes all Serious Incidents reported as occurring within the indicated timeframe, where they are designated by their reporters as never events at the date the data was extracted. Please note these reports are provisional data and subject to change.</li><li>As of 1 April 2016, patient safety is now part of NHS Improvement. Never events data publications for 2016/17 financial year and onwards will be published by NHS Improvement.</li></ol><p> </p>
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2016-05-23T14:31:01.157Zmore like thismore than 2016-05-23T14:31:01.157Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
star this property tabling member
1591
unstar this property label Biography information for Tim Farron more like this
446815
star this property registered interest false more like this
star this property date less than 2016-01-21more like thismore than 2016-01-21
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what guidance his Department issues on safeguards in hospitals for patients who are heavily medicated while they eat. more like this
star this property tabling member constituency Liverpool, Wavertree more like this
star this property tabling member printed
Luciana Berger more like this
star this property uin 23650 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2016-01-28more like thismore than 2016-01-28
unstar this property answer text <p>It is for health and social care providers to develop local nutrition and hydration policies and there are a number of best practice resources and guidelines available to help providers do this.</p><br /><p>Nursing staff understand the importance of proper nutrition and will follow guidelines in assessing patients for their ability to swallow safely. From this they can make judgements about a patient’s capability to eat and drink safely and adequately, which will include taking into account whether they are heavily medicated or not.</p><br /><p>The National Patient Safety Agency and the Royal College of Nursing published a series of factsheets in 2009, setting out the key characteristics of good nutritional care in healthcare environments.</p><br /><p><a href="http://www.nrls.npsa.nhs.uk/resources/?entryid45=59865" target="_blank">http://www.nrls.npsa.nhs.uk/resources/?entryid45=59865</a></p><br /><p>It includes the Council of Europe 10 key characteristics of good nutritional care in hospitals, which recommends that all patients are screened on admission to identify the patients who are malnourished or at risk of becoming malnourished; all patients are re-screened weekly; and all patients have a care plan which identifies their nutritional care needs and how they are to be met.</p><br /><p>The National Institute for Health and Care Excellence (NICE<em>) Quality standard for nutrition support in adults</em></p><br /><p><a href="http://www.nice.org.uk/Guidance/QS24" target="_blank">www.nice.org.uk/Guidance/QS24</a></p><br /><p>defines clinical best practice for adults in hospital and the community who are at risk of malnutrition. And NICE <em>Nutrition support in adults: Oral nutrition support, enteral tube feeding and parenteral nutrition</em></p><br /><p><a href="http://www.nice.org.uk/guidance/cg32" target="_blank">www.nice.org.uk/guidance/cg32</a></p><br /><p>offers best practice advice to help healthcare professionals correctly identify people in hospital and the community who need nutrition support, and enable them to choose and deliver the most appropriate nutrition support at the most appropriate time.</p><p><br> <br></p>
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2016-01-28T16:34:29.857Zmore like thismore than 2016-01-28T16:34:29.857Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
star this property tabling member
4036
unstar this property label Biography information for Luciana Berger more like this
442684
star this property registered interest false more like this
star this property date less than 2016-01-05more like thismore than 2016-01-05
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps are being taken to ensure that all NHS trusts are (a) identifying patient safety incidents, (b) conducting full investigations to identify the causes of such incidents and (c) implementing measures to prevent recurring such incidents. more like this
star this property tabling member constituency Wolverhampton North East more like this
star this property tabling member printed
Emma Reynolds more like this
star this property uin 21014 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2016-01-11more like thismore than 2016-01-11
unstar this property answer text <p>Currently, NHS England has a leadership role for patient safety in the National Health Service and supports providers to identify, understand and manage risks that might affect the safety of patients. The primary source for identifying risks is the National Reporting and Learning System (NRLS). The NRLS operates as a database and holds over 1.4 million locally reported patient safety incidents. These are reviewed to help address the identified issues or risks in the NHS. NHS England alerts NHS trusts of emerging patient safety risks via the National Patient Safety Alerting System – a three-stage alerting process which ensures the timely sharing of relevant safety information. The system also encourages information sharing between organisations so that examples of best practice can be widely adopted.</p><p>NHS trusts are expected to review their own patient safety incidents. The revised Serious Incident Framework published in March 2015 has sought to simplify the incident management process and ensure that serious incidents are identified correctly, investigated thoroughly and, most importantly, learned from to prevent the likelihood of similar incidents happening again.</p><p>The NHS standard contract also stipulates that providers must consider and respond to the recommendations arising from any audit, Serious Incident report or Patient Safety Incident report.</p>
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2016-01-11T09:46:58.877Zmore like thismore than 2016-01-11T09:46:58.877Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
star this property tabling member
4077
unstar this property label Biography information for Emma Reynolds more like this
427713
star this property registered interest false more like this
star this property date less than 2015-11-10more like thismore than 2015-11-10
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps he is taking to ensure that NHS staff can report patient safety incidents quickly and efficiently. more like this
star this property tabling member constituency Halifax more like this
star this property tabling member printed
Holly Lynch more like this
star this property uin 15911 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-11-18more like thismore than 2015-11-18
unstar this property answer text <p>NHS England is responsible for the National Reporting and Learning System which collates information on patient safety incidents reported by staff working in NHS funded care.</p><p>There are plans to develop a new patient safety incident management system and one of the aims will be to make it quicker and easier for staff to report.</p> more like this
star this property answering member constituency Ipswich more like this
unstar this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2015-11-18T10:39:40.957Zmore like thismore than 2015-11-18T10:39:40.957Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
star this property tabling member
4472
unstar this property label Biography information for Holly Lynch more like this
421242
star this property registered interest false more like this
star this property date less than 2015-10-14more like thismore than 2015-10-14
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what research is being undertaken to establish the impact of the safeguarding policy for patients on the behaviour of nurses in attending to the needs of patients. more like this
star this property tabling member printed
Lord Mawson more like this
star this property uin HL2613 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-10-28more like thismore than 2015-10-28
unstar this property answer text <p>No central research has been commissioned to assess the impact of safeguarding policies for patients on the behaviour of nurses in attending to the needs of patients. Research may have been commissioned at a local level; however, this data is not collected centrally.</p><br /><p>The Care Act 2014, which placed adult safeguarding on a statutory footing for the first time, made clear the responsibilities of agencies in relation to adult safeguarding with a greater focus on the prevention of abuse and neglect.</p><br /><p>The Department is clear in statutory guidance supporting the Care Act that workers across a wide range of organisations, and not just those in frontline health and social care roles, need to be vigilant on behalf of those unable to protect themselves.</p><br /><p>Commissioners and providers will have clear policies and procedures that set out the roles of nurses and all other staff in relation to safeguarding and the training and support that is required in order for them to fulfil those roles.</p><br /><p>The Department and NHS England’s Compassion in Practice nursing strategy was published in December 2012 and is based around six core values: Care, Compassion, Competence, Communication, Courage, and Commitment. The vision aims to embed these values, known as the 6C’s, in all nursing, midwifery and care-giving settings throughout the NHS and social care to improve care for patients. A copy of the strategy is attached and can be found at:</p><br /><p><a href="http://www.england.nhs.uk/nursingvision/" target="_blank">http://www.england.nhs.uk/nursingvision/</a></p>
unstar this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-10-28T12:21:43.503Zmore like thismore than 2015-10-28T12:21:43.503Z
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name compassion-in-practice.pdf more like this
star this property title Compassion in Practice more like this
star this property tabling member
3830
unstar this property label Biography information for Lord Mawson more like this
229164
star this property registered interest false more like this
star this property date less than 2015-03-23more like thismore than 2015-03-23
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what assessment he has made of the effect of the abolition of the Patient Safety Agency and the transfer of its responsibility for the National Reporting and Learning System to NHS England on the number of patient safety alerts issued between June 2012 and December 2013. more like this
star this property tabling member constituency Oldham East and Saddleworth more like this
star this property tabling member printed
Debbie Abrahams more like this
star this property uin 228685 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-03-26more like thismore than 2015-03-26
unstar this property answer text <p>Responsibility for issuing patient safety advice to the healthcare system in the form of patient safety alerts transferred from the National Patient Safety Agency to NHS England in June 2012. Between June 2012 – December 2013 one Patient Safety Alert (NHS/PSA/W/2013/001: ‘Placement devices for nasogastric tube insertion DO NOT replace initial position checks’) was issued on 5 December 2013. To date, all providers have reported this alert as either ‘complete’ or ‘action not required’.</p><p> </p><p> </p><p> </p><p>During the period in question NHS England maintained a constant review of patient safety incidents reported to the National Reporting and Learning System involving death and severe harm and, had an urgent patient safety issue needing alerting been identified, an alert would have been issued.</p><p> </p><p> </p><p> </p> more like this
star this property answering member constituency Mid Norfolk more like this
unstar this property answering member printed George Freeman more like this
star this property question first answered
less than 2015-03-26T14:20:27.06Zmore like thismore than 2015-03-26T14:20:27.06Z
star this property answering member
4020
star this property label Biography information for George Freeman more like this
star this property tabling member
4212
unstar this property label Biography information for Debbie Abrahams more like this
228872
star this property registered interest false more like this
star this property date less than 2015-03-20more like thismore than 2015-03-20
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, whether face-down physical restraint is included in the list of never ever events that must be reported to the Strategic Executive Information System. more like this
star this property tabling member constituency Liverpool, Wavertree more like this
star this property tabling member printed
Luciana Berger more like this
star this property uin 228605 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-03-25more like thismore than 2015-03-25
unstar this property answer text <p>Face-down physical restraint is not included in the list of Never Events contained within the Never Events Framework that must be reported to the Strategic Executive Information System.</p><p> </p><p> </p><p> </p><p>Use of face-down restraint is, however, a patient safety incident that should be reported and submitted to the National Reporting and Learning System. Any serious harm resulting from the use of face-down restraint would be reportable to the Strategic Executive Information System as a Serious Incident.</p><p> </p> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
unstar this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-03-25T12:42:02.523Zmore like thismore than 2015-03-25T12:42:02.523Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4036
unstar this property label Biography information for Luciana Berger more like this
228161
star this property registered interest false more like this
star this property date less than 2015-03-18more like thismore than 2015-03-18
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, with reference to his Department's recent report, Culture change in the NHS, Cm 9009, whether he plans to place responsibility for patient safety alerts within (a) NHS England or (b) an arms-length organisation. more like this
star this property tabling member constituency Denton and Reddish more like this
star this property tabling member printed
Andrew Gwynne more like this
star this property uin 228119 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-03-23more like thismore than 2015-03-23
unstar this property answer text <p>Healthcare providers are expected to implement all the actions contained in a patient safety alert that are relevant to them and ensure that all relevant parts of their organisation and staff are aware of the information and/or the required changes. Providers should be scrutinising the implementation of their alerts and satisfying themselves that the alerts are complete by the designated deadline.</p><p> </p><p> </p><p> </p><p>NHS England publishes monthly data about any trusts who have failed to declare compliance with stage one, two, or three of the National Patient Safety Alerting System’s (NaPSAS) alerts by their set due date. Provider compliance should also be an integral part of the commissioners’ responsibilities for improving quality.</p><p> </p><p> </p><p> </p><p>As part of its inspections, the Care Quality Commission (CQC) looks at how providers respond to patient safety alerts as evidence of how effectively they manage and address safety concerns, and how they use this as learning to improve their safety systems and processes. CQC is continuing to develop and embed its approach to the use of data and intelligence across all the sectors it regulates as an integral part of its new approach to inspections, and has given greater prominence to safety alerts in its revised surveillance model. CQC’s Intelligent Monitoring system for the Acute Sector includes a composite indicator around completion of safety alerts and CQC is currently considering whether this can be implemented for the other sectors it regulates. This contributes to providers’ overall risk scores, which inform both the scheduling and prioritisation of inspections and the identification of focus areas for inspections.</p><p> </p><p> </p><p> </p><p>Monitor is responsible for ensuring NHS foundation trusts are well-led so that they can provide quality care on a sustainable basis and would expect to be alerted by their providers of anything that might have a bearing on compliance with their licence including where there are significant issues regarding compliance with patient safety alerts. The NHS Trust Development Authority (TDA), as part of its oversight and escalation process, uses quality surveillance monitoring which it reviews on a monthly basis and which it uses to hold trusts to account for the timely compliance with alerts. This is undertaken via the TDA’s regular integrated delivery meetings with the trusts.</p><p> </p><p> </p><p> </p><p>The Government has agreed to consider with relevant organisations the options for transferring NHS England’s responsibilities for safety to a single national body and this will include responsibility for patent safety alerts. No decision has yet been taken about the specific functions to be transferred and until such time, NHS England will continue to be responsible for these functions.</p><p> </p><p> </p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
unstar this property answering member printed Dr Daniel Poulter more like this
star this property grouped question UIN
228067 more like this
228068 more like this
star this property question first answered
less than 2015-03-23T17:55:34.553Zmore like thismore than 2015-03-23T17:55:34.553Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
1506
unstar this property label Biography information for Andrew Gwynne more like this
228187
star this property registered interest false more like this
star this property date less than 2015-03-18more like thismore than 2015-03-18
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many NHS trusts and foundation trusts have had action taken against them for not implementing guidance from patient safety alerts since May 2010; and what action was taken in each such case. more like this
star this property tabling member constituency Denton and Reddish more like this
star this property tabling member printed
Andrew Gwynne more like this
star this property uin 228067 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-03-23more like thismore than 2015-03-23
unstar this property answer text <p>Healthcare providers are expected to implement all the actions contained in a patient safety alert that are relevant to them and ensure that all relevant parts of their organisation and staff are aware of the information and/or the required changes. Providers should be scrutinising the implementation of their alerts and satisfying themselves that the alerts are complete by the designated deadline.</p><p> </p><p> </p><p> </p><p>NHS England publishes monthly data about any trusts who have failed to declare compliance with stage one, two, or three of the National Patient Safety Alerting System’s (NaPSAS) alerts by their set due date. Provider compliance should also be an integral part of the commissioners’ responsibilities for improving quality.</p><p> </p><p> </p><p> </p><p>As part of its inspections, the Care Quality Commission (CQC) looks at how providers respond to patient safety alerts as evidence of how effectively they manage and address safety concerns, and how they use this as learning to improve their safety systems and processes. CQC is continuing to develop and embed its approach to the use of data and intelligence across all the sectors it regulates as an integral part of its new approach to inspections, and has given greater prominence to safety alerts in its revised surveillance model. CQC’s Intelligent Monitoring system for the Acute Sector includes a composite indicator around completion of safety alerts and CQC is currently considering whether this can be implemented for the other sectors it regulates. This contributes to providers’ overall risk scores, which inform both the scheduling and prioritisation of inspections and the identification of focus areas for inspections.</p><p> </p><p> </p><p> </p><p>Monitor is responsible for ensuring NHS foundation trusts are well-led so that they can provide quality care on a sustainable basis and would expect to be alerted by their providers of anything that might have a bearing on compliance with their licence including where there are significant issues regarding compliance with patient safety alerts. The NHS Trust Development Authority (TDA), as part of its oversight and escalation process, uses quality surveillance monitoring which it reviews on a monthly basis and which it uses to hold trusts to account for the timely compliance with alerts. This is undertaken via the TDA’s regular integrated delivery meetings with the trusts.</p><p> </p><p> </p><p> </p><p>The Government has agreed to consider with relevant organisations the options for transferring NHS England’s responsibilities for safety to a single national body and this will include responsibility for patent safety alerts. No decision has yet been taken about the specific functions to be transferred and until such time, NHS England will continue to be responsible for these functions.</p><p> </p><p> </p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
unstar this property answering member printed Dr Daniel Poulter more like this
star this property grouped question UIN
228068 more like this
228119 more like this
star this property question first answered
less than 2015-03-23T17:55:34.287Zmore like thismore than 2015-03-23T17:55:34.287Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
1506
unstar this property label Biography information for Andrew Gwynne more like this
228188
star this property registered interest false more like this
star this property date less than 2015-03-18more like thismore than 2015-03-18
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what plans (a) his Department, (b) NHS England and (c) the Care Quality Commission have to ensure that patient safety alert guidance is implemented; and how his Department plans to monitor compliance with that guidance. more like this
star this property tabling member constituency Denton and Reddish more like this
star this property tabling member printed
Andrew Gwynne more like this
star this property uin 228068 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-03-23more like thismore than 2015-03-23
unstar this property answer text <p>Healthcare providers are expected to implement all the actions contained in a patient safety alert that are relevant to them and ensure that all relevant parts of their organisation and staff are aware of the information and/or the required changes. Providers should be scrutinising the implementation of their alerts and satisfying themselves that the alerts are complete by the designated deadline.</p><p> </p><p> </p><p> </p><p>NHS England publishes monthly data about any trusts who have failed to declare compliance with stage one, two, or three of the National Patient Safety Alerting System’s (NaPSAS) alerts by their set due date. Provider compliance should also be an integral part of the commissioners’ responsibilities for improving quality.</p><p> </p><p> </p><p> </p><p>As part of its inspections, the Care Quality Commission (CQC) looks at how providers respond to patient safety alerts as evidence of how effectively they manage and address safety concerns, and how they use this as learning to improve their safety systems and processes. CQC is continuing to develop and embed its approach to the use of data and intelligence across all the sectors it regulates as an integral part of its new approach to inspections, and has given greater prominence to safety alerts in its revised surveillance model. CQC’s Intelligent Monitoring system for the Acute Sector includes a composite indicator around completion of safety alerts and CQC is currently considering whether this can be implemented for the other sectors it regulates. This contributes to providers’ overall risk scores, which inform both the scheduling and prioritisation of inspections and the identification of focus areas for inspections.</p><p> </p><p> </p><p> </p><p>Monitor is responsible for ensuring NHS foundation trusts are well-led so that they can provide quality care on a sustainable basis and would expect to be alerted by their providers of anything that might have a bearing on compliance with their licence including where there are significant issues regarding compliance with patient safety alerts. The NHS Trust Development Authority (TDA), as part of its oversight and escalation process, uses quality surveillance monitoring which it reviews on a monthly basis and which it uses to hold trusts to account for the timely compliance with alerts. This is undertaken via the TDA’s regular integrated delivery meetings with the trusts.</p><p> </p><p> </p><p> </p><p>The Government has agreed to consider with relevant organisations the options for transferring NHS England’s responsibilities for safety to a single national body and this will include responsibility for patent safety alerts. No decision has yet been taken about the specific functions to be transferred and until such time, NHS England will continue to be responsible for these functions.</p><p> </p><p> </p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
unstar this property answering member printed Dr Daniel Poulter more like this
star this property grouped question UIN
228067 more like this
228119 more like this
star this property question first answered
less than 2015-03-23T17:55:34.443Zmore like thismore than 2015-03-23T17:55:34.443Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
1506
unstar this property label Biography information for Andrew Gwynne more like this
227871
star this property registered interest false more like this
star this property date less than 2015-03-17more like thismore than 2015-03-17
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Patients: Safety remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many Never events were investigated by NHS England in each year since 2012; how many and what proportion of those events related to mental health patients; what criteria NHS England uses to investigate incidents reported to the Strategic Executive Information System; and what mechanisms exist to ensure that actions and recommendations relating to the investigation of such incidents are implemented locally. more like this
star this property tabling member constituency Liverpool, Wavertree more like this
star this property tabling member printed
Luciana Berger more like this
star this property uin 227903 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2015-03-23more like thismore than 2015-03-23
unstar this property answer text <p>NHS England does not investigate individual ‘never events’ since this is the responsibility of the provider of care within which the serious incident occurred.</p><p> </p><p> </p><p> </p><p>Never events are types of Serious Incidents as defined by the Serious Incident Framework (available online at: <a href="http://www.england.nhs.uk/wp-content/uploads/2013/03/sif-guide.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2013/03/sif-guide.pdf</a>) and must be reported to the Strategic Executive Information System (STEIS) and investigated in accordance with this Framework. There are 25 never events categories defined in the current list within the companion Never Events Policy Framework which is available online at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/publications/healthcare-never-events-policy-framework-update" target="_blank">https://www.gov.uk/government/publications/healthcare-never-events-policy-framework-update</a></p><p> </p><p> </p><p> </p><p>The number of never events reported is published monthly by category on NHS England’s website:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/ourwork/patientsafety/never-events/ne-data/" target="_blank">http://www.england.nhs.uk/ourwork/patientsafety/never-events/ne-data/</a></p><p> </p><p> </p><p> </p><p>Although there are two never event categories directly relevant to mental health (13. ‘Suicide using non-collapsible rails’ and 14. ‘Escape of a transferred prisoner’), never event reports are not classified by care setting.</p><p> </p><p> </p><p> </p><p>There were 338 never events reported to the STEIS in financial year 2013/14, one of which involved the escape of a transferred patient from a mental health facility. In 2012/13 290 never events were reported to STEIS, one of which again involved the escape of a transferred patient from a mental health facility. There were no reports in either year associated with the category ‘suicide using a collapsible rail’. Mental health patients may have experienced never events in other categories.</p><p> </p><p> </p><p> </p><p>As described within the Serious Incident Framework, it is the provider of the care, within which the serious incident occurred, that is responsible for reporting, investigating and responding to the serious incident. Commissioners are accountable for quality-assuring the robustness of their providers’ investigations and the development and implementation of effective actions by the provider, to prevent recurrence of similar incidents. Serious incident investigations should be closed by the relevant commissioner when they are satisfied that the investigation report and action plan meet the required standard. Providers and commissioners are expected to establish mechanisms for monitoring on-going or long-term actions to ensure they are fully implemented.</p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
unstar this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-03-23T17:53:29.287Zmore like thismore than 2015-03-23T17:53:29.287Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4036
unstar this property label Biography information for Luciana Berger more like this