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<p>Responsibility for issuing patient safety advice to the healthcare system in the
form of patient safety alerts transferred from the National Patient Safety Agency
to NHS England in June 2012. Between June 2012 – December 2013 one Patient Safety
Alert (NHS/PSA/W/2013/001: ‘Placement devices for nasogastric tube insertion DO NOT
replace initial position checks’) was issued on 5 December 2013. To date, all providers
have reported this alert as either ‘complete’ or ‘action not required’.</p><p> </p><p>
</p><p> </p><p>During the period in question NHS England maintained a constant review
of patient safety incidents reported to the National Reporting and Learning System
involving death and severe harm and, had an urgent patient safety issue needing alerting
been identified, an alert would have been issued.</p><p> </p><p> </p><p> </p>
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