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1132763

	registered interest
	date	18/06/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to ensure NHS patient safety.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	911420
	answer	answer is ministerial correction date of answer 18/06/2019 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> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:03:47 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4109 label Biography information for Jeremy Lefroy

228161

	registered interest
	date	18/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	228119
	answer	answer is ministerial correction date of answer 23/03/2015 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> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 228067 228068 question first answered 23/03/2015 17:55:34 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1506 label Biography information for Andrew Gwynne

178541

	registered interest
	date	09/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to Patient Safety Alert: Improving medication error incident reporting and learning, published by NHS England on 20 March 2014, which NHS trusts have (a) indentified a board-level director with responsibility for overseeing medication error incident reporting and learning, (b) e-mailed the contact details of a Medication Safety Officer to the Central Alerting System and (c) identified a multi-professional group to regularly review medication error incident reports.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	223770
	answer	answer is ministerial correction date of answer 24/02/2015 answer text <p>Data was extracted on 10 February 2015 from the Central Alerting System (CAS) and the table attached shows that 244 trusts* have recorded that they have completed the actions required by the Alert including the information requested above.</p><p> </p><p> </p><p> </p><p><em>*Note:</em> This figure is based on the names that trusts are registered under in CAS.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 24/02/2015 14:27:11 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Table of actions.docx title CAS- Trusts with contact details&completed actions
	tabling member	4125 label Biography information for Catherine McKinnell

178543

	registered interest
	date	09/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to Patient Safety Alert: Improving medication error incident reporting and learning, published by NHS England on 20 March 2014, what progress he has made in developing the National Medication Safety Network; and what channels are available for patient groups to make representations to the National Medication Safety Network.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	223771
	answer	answer is ministerial correction date of answer 24/02/2015 answer text <p>NHS England, in collaboration with the Medicines and Healthcare products Regulatory Agency (MHRA), has carried out the following activities in relation to developing the National Medication Safety Network:</p><p> </p><p> </p><p> </p><p>- Undertaken nine web events with presentations and recordings posted to the <a href="http://www.patientsafetyfirst.nhs.uk/" target="_blank">www.patientsafetyfirst.nhs.uk</a> web forum accessed by Medication Safety Officers (MSOs). A total of 699 MSOs have participated in these formal web meetings.</p><p> </p><p>- Run a conference for MSOs on 19 January 2015 with keynote speakers from NHS England, MHRA and the National Reporting and Learning System with 150 MSOs in attendance.</p><p> </p><p>- Run dedicated web events for the 18 Community Pharmacy MSOs.</p><p> </p><p>- Are arranging one-day regional meetings on 10 March 2015 (London), 15 July 2015 (Midlands) 12 May (South), 14 October (North) inviting 70-100 MSOs. A key aim of these events is to provide the opportunity for MSOs to feedback in person to NHS England and the MHRA on development of the MSO role.</p><p> </p><p>- We have dedicated (0.4 full-time equivalent) support for development of the MSO role from the Specialist Pharmacy Service. The remit includes monitoring of engagement by MSOs in the network.</p><p> </p><p> </p><p> </p><p>Although the NHS England Medication Safety team have not yet received any formal representations from national patient groups, MSOs have been encouraged to liaise with their local organisation ‘patient and public voice’ leads to help recruit patients onto their medication safety committees.</p><p> </p><p> </p><p> </p><p>Members of the public and patient groups can also make enquiries directly to NHS England.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 24/02/2015 14:08:53 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4125 label Biography information for Catherine McKinnell

143394

	registered interest
	date	07/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the Sign up to Safety campaign is on course to achieve its three-year objective to (a) reduce avoidable harm by 50 per cent and (b) save 6,000 lives.
	tabling member constituency	Bromley and Chislehurst
	tabling member printed	Robert Neill
	uin	213872
	answer	answer is ministerial correction date of answer 19/11/2014 answer text <p>The Sign up to Safety campaign was launched on 24 June 2014. Each organisation that has joined the campaign has committed to improving patient safety through the implementation of a Safety Improvement Plan. The Safety Improvement Plan builds on the pledges the organisation set out when joining. The pledges are expanded in more detail in the plan, which sets out what the organisation wants to achieve and by when. Each organisation is expected to demonstrate how they will measure the local impact of their aims over the next three years via a measurement section within their plans. They will then implement their aims over the next three years.</p><p> </p><p> </p><p> </p><p>The Sign up to Safety campaign is being promoted by means of:</p><p> </p><p>- a national campaign website;</p><p> </p><p>- regional and national presentations at events across the country delivered by the Campaign Director, the Secretary of State and others;</p><p> </p><p>- Twitter with over 1,500 followers;</p><p> </p><p>- a blog by the Campaign Director;</p><p> </p><p>- an online seminar programme (webinars);</p><p> </p><p>- through partner organisations including NHS England, Care Quality Commission, Monitor, NHS Trust Development Authority, NHS Litigation Authority, Health Education England, and NHS Improving Quality;</p><p> </p><p>- mini poster campaigns, such as the Safe Care Costs Less, and individual events, such as the launch of the Patient Briefing Video; and</p><p> </p><p>- through participant websites and local events.</p><p> </p><p> </p><p> </p><p>As at the end of October 2014, a total number of 136 organisations have agreed to participate in the Sign up to Safety campaign. Each participant organisation is expected to set out how they will contribute to the campaign’s three year objective via their Safety Improvement Plan – they are expected to quantify the expected impact of their actions on a reduction of avoidable harm and saving lives. The measurement and evaluation of the impact at a regional and national level will be led by NHS England working with NHS Improving Quality as part of the integrated measurement strategy for both the campaign and the Patient Safety Collaborative programme. This will include the National Reporting and Learning System, harms via the Safety Thermometer and mortality rates, case studies of individual organisations and patient record reviews.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213870 213871 question first answered 19/11/2014 15:47:48 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1601 label Biography information for Sir Robert Neill

100186

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether missed or inadequate hydrocortisone administration is included in the NHS list of Never Events.
	tabling member constituency	Oxford East
	tabling member printed	Mr Andrew Smith
	uin	211233
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Missed or inadequate hydrocortisone administration is not currently included in the list of ‘never events’.</p><p> </p><p> </p><p> </p><p>We can confirm that the current list of Never Events is under review and there is a consultation underway which opened online on the 6 October 2014 and closes on 31 October 2014.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 28/10/2014 15:28:25 question first ministerially corrected 28/10/2014 16:30:53 answering member 4020 label Biography information for George Freeman previous answer version 24770 answering member constituency Battersea answering member printed Jane Ellison answering member 3918
	tabling member	95 label Biography information for Mr Andrew Smith

228872

	registered interest
	date	20/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228605
	answer	answer is ministerial correction date of answer 25/03/2015 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> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/03/2015 12:42:02 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4036 label Biography information for Luciana Berger

164380

	registered interest
	date	24/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the rates of (a) pulmonary embolism, (b) blood-stream infection and (c) foreign body left in after procedure has been in England in each year since 2000.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	215682
	answer	answer is ministerial correction date of answer 01/12/2014 answer text <p><strong> </strong></p><p> </p><p>The Health and Social Care Information Centre (HSCIC) has provided data on (a) a count of finished admission episodes (FAEs) where there was a primary diagnosis of pulmonary embolism and the number of FAEs as a rate per 100,000 of the total number of FAEs and (b) a count of finished consultant episodes (FCEs) with a primary or secondary diagnosis of pulmonary embolism and the number of FCEs as a rate per 100,000 of the total number FCEs, for the years 2000-01 to 2012-13.</p><p> </p><p>This is summarised in the following table:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FAEs with primary diagnosis of &quot;pulmonary embolism&quot;</p></td><td><p>Rate per 100,000 of total FAEs</p></td><td><p>FCEs with primary or secondary diagnosis of &quot;pulmonary embolism&quot;</p></td><td><p>Rate per 100,000 of total FCEs</p></td></tr><tr><td><p>2000-01</p></td><td><p>15,179</p></td><td><p>136.5</p></td><td><p>32,937</p></td><td><p>268.6</p></td></tr><tr><td><p>2001-02</p></td><td><p>14,735</p></td><td><p>133.0</p></td><td><p>33,537</p></td><td><p>271.8</p></td></tr><tr><td><p>2002-03</p></td><td><p>15,536</p></td><td><p>136.6</p></td><td><p>37,093</p></td><td><p>291.8</p></td></tr><tr><td><p>2003-04</p></td><td><p>16,095</p></td><td><p>136.3</p></td><td><p>39,196</p></td><td><p>294.8</p></td></tr><tr><td><p>2004-05</p></td><td><p>15,621</p></td><td><p>129.1</p></td><td><p>40,059</p></td><td><p>292.3</p></td></tr><tr><td><p>2005-06</p></td><td><p>16,347</p></td><td><p>128.9</p></td><td><p>43,360</p></td><td><p>300.6</p></td></tr><tr><td><p>2006-07</p></td><td><p>16,629</p></td><td><p>128.1</p></td><td><p>46,685</p></td><td><p>315.8</p></td></tr><tr><td><p>2007-08</p></td><td><p>16,948</p></td><td><p>125.7</p></td><td><p>49,114</p></td><td><p>319.8</p></td></tr><tr><td><p>2008-09</p></td><td><p>18,214</p></td><td><p>128.7</p></td><td><p>56,029</p></td><td><p>345.2</p></td></tr><tr><td><p>2009-10</p></td><td><p>19,763</p></td><td><p>135.9</p></td><td><p>62,367</p></td><td><p>371.1</p></td></tr><tr><td><p>2010-11</p></td><td><p>20,908</p></td><td><p>140.4</p></td><td><p>67,477</p></td><td><p>390.7</p></td></tr><tr><td><p>2011-12</p></td><td><p>21,525</p></td><td><p>143.3</p></td><td><p>70,466</p></td><td><p>403.5</p></td></tr><tr><td><p>2012-13</p></td><td><p>23,578</p></td><td><p>155.7</p></td><td><p>79,058</p></td><td><p>446.3</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p>Public Health England (PHE) collects data on blood stream infections caused by bacteria (bacteraemia) relating to specific organisms as part of its mandatory Healthcare Associated Infection surveillance programmes.</p><p> </p><p>Microbiology laboratories in England, Wales and Northern Ireland also voluntarily submit data to PHE relating to episodes of bacteraemia and blood stream infections caused by fungi (fungaemia).</p><p> </p><p>The data summarised in Tables 1-3, taken from PHE’s mandatory surveillance programmes, represent bacteraemia cases reported in England resulting from: Methicillin-resistant Staphylococcus aureus (MRSA); Methicillin-susceptible Staphylococcus aureus (MSSA) and E.coli where comparable data is available. Rates of all reported cases per 100,000 population are included, where available.</p><p> </p><table><tbody><tr><td colspan="8"><p>Table 1a: All reported cases of MRSA bacteraemia (April 2007-March 2014)</p><p> </p></td></tr><tr><td><p>Financial year</p></td><td><p>April 2007 to March 2008</p></td><td><p>April 2008 to March 2009</p></td><td><p>April 2009 to March 2010</p></td><td><p>April 2010 to March 2011</p></td><td><p>April 2011 to March 2012</p></td><td><p>April 2012 to March 2013</p></td><td><p>April 2013 to March 2014</p></td></tr><tr><td><p>Count</p></td><td><p>4,451</p></td><td><p>2,935</p></td><td><p>1,898</p></td><td><p>1,481</p></td><td><p>1,116</p></td><td><p>924</p></td><td><p>862</p></td></tr><tr><td><p>Rate per 100,000 population</p></td><td><p> </p></td><td><p> </p></td><td><p>3.6</p></td><td><p>2.8</p></td><td><p>2.1</p></td><td><p>1.7</p></td><td><p>1.6</p></td></tr></tbody></table><p> </p><p><em>Note: </em>Data is available at: <a href="https://www.gov.uk/government/statistics/mrsa-bacteraemia-annual-data" target="_blank">https://www.gov.uk/government/statistics/mrsa-bacteraemia-annual-data</a></p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="4"><p>Table 2: All reported cases of MSSA bacteraemia (April 2011 - March 2014)</p><p> </p></td></tr><tr><td><p>Financial year</p></td><td><p>April 2011 to March 2012</p></td><td><p>April 2012 to March 2013</p></td><td><p>April 2013 to March 2014</p></td></tr><tr><td><p>Count</p></td><td><p>8,767</p></td><td><p>8,812</p></td><td><p>9,290</p></td></tr><tr><td><p>Rate per 100,000 population</p></td><td><p>16.5</p></td><td><p>16.5</p></td><td><p>17.4</p></td></tr></tbody></table><p> </p><p><em>Note: </em>Data is available at: <a href="https://www.gov.uk/government/statistics/mssa-bacteraemia-annual-data" target="_blank">https://www.gov.uk/government/statistics/mssa-bacteraemia-annual-data</a></p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="3"><p>Table 3: All reported cases of <em>E. coli </em>bacteraemia (April 2012-March 2014)</p><p> </p></td></tr><tr><td><p>Financial year</p></td><td><p>April 2012 to March 2013</p></td><td><p>April 2013 to March 2014</p></td></tr><tr><td><p>Count</p></td><td><p>32,309</p></td><td><p>34,275</p></td></tr><tr><td><p>Rate per 100,000 population</p></td><td><p>60.4</p></td><td><p>64.1</p></td></tr></tbody></table><p> </p><p><em>Note: </em>Data is available at: <a href="https://www.gov.uk/government/statistics/escherichia-coli-e-coli-bacteraemia-annual-data" target="_blank">https://www.gov.uk/government/statistics/escherichia-coli-e-coli-bacteraemia-annual-data</a></p><p> </p><p>The data summarised in Table 4, taken from PHE’s voluntary surveillance database, represents all voluntarily reported patient episodes involving either bacteraemia and/or fungaemia for the period of January 2008 to December 2012 in England, Wales and Northern Ireland.</p><p> </p><table><tbody><tr><td colspan="6"><p>Table 4: Patient episodes involving either bacteraemia and/or fungaemia 2008-2012, England, Wales and Northern Ireland</p><p> </p></td></tr><tr><td><p>Calendar Year</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td></tr><tr><td><p>Count</p></td><td><p>95,931</p></td><td><p>94,190</p></td><td><p>92,867</p></td><td><p>94,166</p></td><td><p>95,647</p></td></tr></tbody></table><p> </p><p><em>Note: </em>Data extracted from the Public Health England (PHE) voluntary surveillance database, LabBase2, on 3 December 2013.</p><p> </p><p> </p><p> </p><p>Before 2009, information was not collated on foreign bodies retained after procedures (which is classed as a ‘never event’) and so we are unable to provide data for the period prior to 2009.</p><p> </p><p> </p><p> </p><p>In 2009-10, there were nine retained foreign objects post procedure reported during this period.</p><p> </p><p>In 2010-11, there were 67 retained foreign object never events reported to Strategic Executive Information System (STEIS) and 22 reported to the National Reporting and Learning Service (NRLS).</p><p> </p><p>In 2011-12, there were 161 retained foreign object never events reported to STEIS and 86 reported to the NRLS in 2011-12.</p><p> </p><p>In 2012-13, there were 130 retained foreign object never events reported to STEIS and 124 reported to the NRLS in 2012-13 (please note incidents are potentially reported to both systems but the exact degree of overlap of reported incidents during the period 2010-11 and 2011-12 is unclear).</p><p> </p><p> </p><p> </p><p>Since April 2013 reports made to the NRLS and STEIS have been directly reconciled to provide a single total and provisional data published by NHS England shows 123 retained object never events were reported in 2013-14 and 44 in the six months to September 2014:</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>Methods for identifying and collating the data from two systems (NRLS and STEIS) have changed over the years, with specific reporting fields for Never events replacing keyword searches, and year-end attempts to reconcile events reported in both systems replaced with direct communication as and when incidents were reported. This is a further reason why events from the earlier years are not directly comparable. The numbers of Never Events reported for 2010-11 and 2011-12 were reported in Annex A of the ‘<em>The never events policy framework: An update to the never events policy</em>’</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213046/never-events-policy-framework-update-to-policy.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213046/never-events-policy-framework-update-to-policy.pdf</a></p><p> </p><p> </p><p> </p><p>It should be noted that the updated policy expanded the list of never events from 8 to 25 in 2012 and the detail of definitions of retained foreign objects was also clarified in The never events list; 2013/14 update:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/12/nev-ev-list-1314-clar.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2013/12/nev-ev-list-1314-clar.pdf</a>.</p><p> </p><p> </p><p> </p><p>Note numbers in different years are not directly comparable due to these definitional changes.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/12/2014 17:19:54 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4078 label Biography information for Paul Uppal

795959

	registered interest
	date	28/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	116273
	answer	answer is ministerial correction date of answer 01/12/2017 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> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 01/12/2017 12:44:37 answering member 1542 label Biography information for Philip Dunne
	tabling member	4036 label Biography information for Luciana Berger

143393

	registered interest
	date	07/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to promote the Sign up to Safety campaign; and if he will make a statement.
	tabling member constituency	Bromley and Chislehurst
	tabling member printed	Robert Neill
	uin	213871
	answer	answer is ministerial correction date of answer 19/11/2014 answer text <p>The Sign up to Safety campaign was launched on 24 June 2014. Each organisation that has joined the campaign has committed to improving patient safety through the implementation of a Safety Improvement Plan. The Safety Improvement Plan builds on the pledges the organisation set out when joining. The pledges are expanded in more detail in the plan, which sets out what the organisation wants to achieve and by when. Each organisation is expected to demonstrate how they will measure the local impact of their aims over the next three years via a measurement section within their plans. They will then implement their aims over the next three years.</p><p> </p><p> </p><p> </p><p>The Sign up to Safety campaign is being promoted by means of:</p><p> </p><p>- a national campaign website;</p><p> </p><p>- regional and national presentations at events across the country delivered by the Campaign Director, the Secretary of State and others;</p><p> </p><p>- Twitter with over 1,500 followers;</p><p> </p><p>- a blog by the Campaign Director;</p><p> </p><p>- an online seminar programme (webinars);</p><p> </p><p>- through partner organisations including NHS England, Care Quality Commission, Monitor, NHS Trust Development Authority, NHS Litigation Authority, Health Education England, and NHS Improving Quality;</p><p> </p><p>- mini poster campaigns, such as the Safe Care Costs Less, and individual events, such as the launch of the Patient Briefing Video; and</p><p> </p><p>- through participant websites and local events.</p><p> </p><p> </p><p> </p><p>As at the end of October 2014, a total number of 136 organisations have agreed to participate in the Sign up to Safety campaign. Each participant organisation is expected to set out how they will contribute to the campaign’s three year objective via their Safety Improvement Plan – they are expected to quantify the expected impact of their actions on a reduction of avoidable harm and saving lives. The measurement and evaluation of the impact at a regional and national level will be led by NHS England working with NHS Improving Quality as part of the integrated measurement strategy for both the campaign and the Patient Safety Collaborative programme. This will include the National Reporting and Learning System, harms via the Safety Thermometer and mortality rates, case studies of individual organisations and patient record reviews.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213870 213872 question first answered 19/11/2014 15:47:48 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1601 label Biography information for Sir Robert Neill