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<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>
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