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164380
star this property registered interest false more like this
star this property date less than 2014-11-24more like thismore than 2014-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
star this property 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. more like this
star this property tabling member constituency Wolverhampton South West more like this
star this property tabling member printed
Paul Uppal more like this
star this property uin 215682 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 2014-12-01more like thismore than 2014-12-01
star this property 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>
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2014-12-01T17:19:54.637Zmore like thismore than 2014-12-01T17:19:54.637Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4078
unstar this property label Biography information for Paul Uppal more like this
1692731
star this property registered interest false more like this
star this property date less than 2024-02-29more like thismore than 2024-02-29
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
star this property question text To ask the Secretary of State for Health and Social Care, how her Department records instances of near misses for (a) surgical fires and (b) other patient safety incidences. more like this
star this property tabling member constituency Strangford more like this
star this property tabling member printed
Jim Shannon more like this
star this property uin 16354 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 2024-03-08more like thismore than 2024-03-08
star this property answer text <p>Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This can include surgical fires or burns. We are informed that NHS England does not define the severity of harm related to surgical fires or burns specifically. Grading the severity of harm related to a patient safety incident that is recorded on LFPSE, should be done using NHS England’s guidance on recording patient safety events and levels of harm, which asks that near miss events be graded as no harm. The guidance is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/" target="_blank">https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/</a></p><p> </p><p>If a surgical fire or burn is assessed locally and constitutes a patient safety event, it would fall under the scope of the Care Quality Commission’s (CQC) Regulations 16 or 18, and must be reported to the CQC. This means that the most serious surgical fires or burns which result in serious harm or the death of a service user, are subject to mandatory reporting. NHS trusts can comply with this requirement by recording patient safety events using the LFPSE service, and NHS England shares all such data with the CQC, who are responsible for regulating compliance with CQC regulations. CQC Regulations 16 and 18 are available respectively, at the following links:</p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user</a></p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents</a></p><p> </p><p>Although the recording of wider patient safety events onto LFPSE is a voluntary process, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.</p><p> </p><p>The LFPSE service and its predecessor, the National Reporting and Learning System, do not have specific categories for surgical fires or burns. Determining how many patient safety events related to surgical fires or burns were recorded by National Health Service providers in each of the last five years would require a search of the free text of recorded patient safety events, using key words, and a subsequent expert clinical review of all potential records to determine relevance to the question. This could only be provided at disproportionate cost.</p>
star this property answering member constituency Lewes more like this
star this property answering member printed Maria Caulfield more like this
star this property grouped question UIN
16353 more like this
16355 more like this
star this property question first answered
less than 2024-03-08T14:06:43.193Zmore like thismore than 2024-03-08T14:06:43.193Z
star this property answering member
4492
star this property label Biography information for Maria Caulfield more like this
star this property tabling member
4131
unstar this property label Biography information for Jim Shannon more like this
1668521
star this property registered interest false more like this
star this property date less than 2023-11-08more like thismore than 2023-11-08
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
star this property question text To ask the Secretary of State for Health and Social Care, what accountability mechanisms are included in the NHS England Learn from Patient Safety Events system to hold (a) commissioners and (b) providers to account on patient safety (i) records and (ii) incidences. more like this
star this property tabling member constituency Strangford more like this
star this property tabling member printed
Jim Shannon more like this
star this property uin 805 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 2023-11-15more like thismore than 2023-11-15
star this property answer text <p>Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This would include incidents caused by surgical fires or burns.</p><p>Providers are encouraged to foster a positive safety culture among their staff, and ensure an appropriate local focus on incident recognition, recording, and response.</p><p>Recording onto LFPSE is a voluntary process, except where reporting to NHS England fulfils duties for other statutory mandatory requirements, such as reporting notifiable incidents to the Care Quality Commission (CQC). NHS England shares all such data with the CQC. Notifiable incidents include events resulting in “serious harm” or the death of a service user, and therefore the most serious surgical fires or burns are subject to mandatory reporting. However, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.</p><p>Published National Safety Standards for Invasive Procedures include a requirement for a risk assessment and management plan to minimise the risk of surgical fires in the perioperative environment. They require that multidisciplinary team training should involve rehearsal and analysis of typical and emergency scenarios, such as a surgical fire, and that prior to surgery, any fire risk and the management plan are discussed and confirmed.</p><p>LFPSE is not designed for performance management. However, it supports certain oversight functions within providers, including the ability to review all records submitted by staff, and to mark them as either meeting certain other requirements, such as notification to the CQC, or not. This supports good governance within the provider, encouraging scrutiny of recorded events, and the fulfilment of other statutory or national policy reporting requirements. LFPSE data is being made available to integrated care boards and regional teams to facilitate their roles in safety oversight and provider improvement support.</p><p>NHS England does not hold or collect information on the number of surgical fires which occur. Although incidents where serious harm and death are captured within LFPSE, and trusts may choose to record lower levels of harm, there is no category for surgical fires within the existing reporting system with which they could be counted and therefore any count would not be definitive.</p>
star this property answering member constituency Lewes more like this
star this property answering member printed Maria Caulfield more like this
star this property grouped question UIN
804 more like this
806 more like this
807 more like this
808 more like this
star this property question first answered
less than 2023-11-15T17:25:08.497Zmore like thismore than 2023-11-15T17:25:08.497Z
star this property answering member
4492
star this property label Biography information for Maria Caulfield more like this
star this property tabling member
4131
unstar this property label Biography information for Jim Shannon more like this
164381
star this property registered interest false more like this
star this property date less than 2014-11-24more like thismore than 2014-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
star this property question text To ask the Secretary of State for Health, how many hospitals have been rated poor with regards to open and honest reporting of patient safety incidents in each month since May 2010. more like this
star this property tabling member constituency Wolverhampton South West more like this
star this property tabling member printed
Paul Uppal more like this
star this property uin 215683 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 2014-12-01more like thismore than 2014-12-01
star this property answer text <p>As at 28 November 2014, 91 trusts were recorded as poor (red) against the open and honest reporting indicator. Data prior to June 2014 is not available in this form.</p><p> </p> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2014-12-01T17:30:33.04Zmore like thismore than 2014-12-01T17:30:33.04Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4078
unstar this property label Biography information for Paul Uppal more like this
142222
star this property registered interest false more like this
star this property date less than 2014-11-06more like thismore than 2014-11-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
star this property question text To ask the Secretary of State for Health, what recent assessment he has made of the uptake of the Sign up to Safety campaign in each (a) region and (b) clinical commissioning group area. more like this
star this property tabling member constituency Wolverhampton South West more like this
star this property tabling member printed
Paul Uppal more like this
star this property uin 213774 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 2014-11-18more like thismore than 2014-11-18
star this property answer text <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. A breakdown by Academic Health Science Network (AHSN) is as follows:</p><p> </p><table><tbody><tr><td><p><strong> </strong></p><p>By AHSN region</p></td><td> </td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>9</p></td></tr><tr><td><p>West of England</p></td><td><p>7</p></td></tr><tr><td><p>West Midlands</p></td><td><p>8</p></td></tr><tr><td><p>Wessex</p></td><td><p>4</p></td></tr><tr><td><p>London</p></td><td><p>24</p></td></tr><tr><td><p>South West Peninsula</p></td><td><p>5</p></td></tr><tr><td><p>Oxford</p></td><td><p>4</p></td></tr><tr><td><p>North West Coast</p></td><td><p>15</p></td></tr><tr><td><p>North East and North Cumbria</p></td><td><p>8</p></td></tr><tr><td><p>Kent, Surrey and Sussex</p></td><td><p>13</p></td></tr><tr><td><p>Greater Manchester</p></td><td><p>9</p></td></tr><tr><td><p>Eastern</p></td><td><p>11</p></td></tr><tr><td><p>East Midlands</p></td><td><p>16</p></td></tr><tr><td><p>Other</p></td><td><p>3</p></td></tr><tr><td> </td><td><p>136</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>The information has not been split by clinical commissioning group. However 16 clinical commissioning groups have signed up to the campaign to date.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2014-11-18T15:40:10.76Zmore like thismore than 2014-11-18T15:40:10.76Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4078
unstar this property label Biography information for Paul Uppal 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
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
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
star 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
star 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
177532
star this property registered interest false more like this
star this property date less than 2015-02-03more like thismore than 2015-02-03
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
star this property question text To ask the Secretary of State for Health, how many Strategic Executive Information System reports dating from before the Health and Social Care Act 2012 are waiting conclusion. 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 223214 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 2015-02-10more like thismore than 2015-02-10
star this property answer text <p>Data and information safeguarding was strengthened under the Health and Social Care Act 2012. When data was extracted on 4 February the Strategic Executive Information System (STEIS) held reports of 1,255 Serious Incidents whose status was not classified as ‘closed’. It is not possible to determine from the database which of these incidents had been resolved locally.</p><p> </p><p> </p><p> </p><p>The principles for responding to Serious Incidents are set out in the current Serious Incident Framework, published in March 2013, and this includes the roles and responsibilities of providers and commissioners including effective governance and learning from a serious incident.</p><p> </p><p> </p><p> </p><p>NHS England is currently refreshing the Serious Incident Framework to take account of supporting all the guidance produced since March 2013 over 2013-14 and to reflect operational feedback on the implementation of the 2013 Framework.</p><p> </p> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-02-10T18:02:58.097Zmore like thismore than 2015-02-10T18:02:58.097Z
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
178541
star this property registered interest false more like this
star this property date less than 2015-02-09more like thismore than 2015-02-09
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
star this property 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. more like this
star this property tabling member constituency Newcastle upon Tyne North more like this
star this property tabling member printed
Catherine McKinnell more like this
star this property uin 223770 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 2015-02-24more like thismore than 2015-02-24
star this property 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> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2015-02-24T14:27:11.937Zmore like thismore than 2015-02-24T14:27:11.937Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property attachment
1
star this property file name Table of actions.docx more like this
star this property title CAS- Trusts with contact details&completed actions more like this
star this property tabling member
4125
unstar this property label Biography information for Catherine McKinnell 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
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
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
star 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
star 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 Dame Caroline Dinenage more like this
star this property tabling member
458
unstar this property label Biography information for Ann Coffey 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
star 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
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons remove filter
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
star 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
star 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 Dame 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