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<p>From 2015, the National Health Service has followed the Serious Incident Framework
to guide its response to serious incidents in the NHS. Details of this framework are
available at the following link:</p><p><a href="https://www.england.nhs.uk/patient-safety/serious-incident-framework/"
target="_blank">https://www.england.nhs.uk/patient-safety/serious-incident-framework/</a></p><p>
</p><p>In response to evidence that this framework was not leading to sufficient patient
safety improvement, the new Patient Safety Incident Response Framework (PSIRF) was
developed, tested, and is now being implemented across the NHS. All NHS organisations
contracted under the NHS standard contract are expected to transition to PSIRF in
autumn 2023. More information is available at the following link:</p><p> </p><p><a
href="https://www.england.nhs.uk/patient-safety/incident-response-framework/" target="_blank">https://www.england.nhs.uk/patient-safety/incident-response-framework/</a></p><p>
</p><p>PSIRF has guidance for oversight bodies, including integrated care boards and
NHS England regional teams, describing when it may be appropriate for those bodies
to consider commissioning an independent patient safety incident investigation. The
guidance is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/08/B1465-4.-Oversight-roles-and-responsibilities-specification-v1-FINAL.pdf"
target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/08/B1465-4.-Oversight-roles-and-responsibilities-specification-v1-FINAL.pdf</a></p><p>
</p><p>Providers can also commission invited reviews from Royal Colleges, including
in response to patient safety concerns. These provide independent and objective advice
to provider boards. The reviews support but do not replace the processes of healthcare
regulatory bodies, including the Care Quality Commission and the General Medical Council,
or the provider’s own procedures for addressing and managing patient safety.</p><p>
</p><p>NHS England will refresh ‘Maintaining High Professional Standards in the Modern
NHS’, in line with current best practice and learning from incidents and reviews.</p>
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