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<p>There is no formal requirement for NHS England to respond to requests from organisations
to undertake joint investigations. However, NHS England regional teams are able to
provide advice and/or support in order to assist the incident management and investigation
process, particularly in complex situations where multiple organisations (including
NHS providers and commissioning organisations) are involved. In such circumstances
NHS England may, for example, facilitate discussions relating to who is the most appropriate
organisation to take responsibility for co-ordinating the investigation process. Or,
where no one provider or commissioning organisation is best placed to assume this
responsibility, NHS England may agree to lead this process.</p><p> </p><p> </p><p>
</p><p>In relation to the Lancashire Care NHS Foundation Trust, enquires have been
made with the Trust and local clinical commissioning group (CCG) and neither are able
to find any intelligence in relation to a request for a joint investigation.</p><p>
</p><p> </p><p> </p><p>The only incidents that would potentially be investigated by
NHS England are those identified in the Serious Incident Framework i.e. independent
investigations and NHS England’s role in the Serious Incident Framework is that of
a commissioner for directly commissioned services to maintain oversight and surveillance
of serious incident management and assures that CCGs have systems in place to manage
investigations appropriately.</p><p> </p><p> </p><p> </p><p>The revised Serious Incident
Framework (published March 2015) provides details relating to the roles and responsibilities
of NHS England with regards to management serious incidents. The framework is available
online at:</p><p> </p><p><a href="http://www.england.nhs.uk/ourwork/patientsafety/serious-incident/"
target="_blank">http://www.england.nhs.uk/ourwork/patientsafety/serious-incident/</a>
(please refer to Part 2: Section 2 and 3 for supplementary guidance). As stated within
the Serious Incident Framework, NHS England’s involvement would need to be considered
and agreed on a case by case basis, depending on the circumstances of the incident
and with a view to ensuring that learning from serious incidents is maximised to prevent
recurrence of future harm.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>
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