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164366

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 progress he has made on implementing the recommendations of the Berwick report into Improving the Safety of Patients in England, published in August 2013.
tabling member constituency	Wolverhampton South West
tabling member printed	Paul Uppal
uin	215725
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>The Government has put in place a number of measures to support National Health Service orgnisations to respond positively to the Berwick Report ‘<em>Improving the Safety of Patients in England</em>’’ including greater transparency, openness and candour; ensuring safe staffing levels; creating a culture of learning and development with the establishment of 15 Patient Safety Collaboratives; and making patient safety a primary goal with a new ambition to halve avoidable harm and save 6,000 lives over the next three years, underpinned by the Sign up to Safety campaign.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/12/2014 17:23:17 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4078 label Biography information for Paul Uppal

164370

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 plans he has to increase the use of patient experience surveys in the NHS to inform patient safety initiatives; and if he will make a statement.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	215718
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>Patient experience surveys are a valuable source of evidence and the results are used in a range of ways, including the assessment of National Health Service performance as well as in regulatory activities such as registration, monitoring ongoing compliance and reviews. The Care Quality Commission has developed a new Intelligent Monitoring tool to give inspectors a clear picture of the areas of care that need to be followed up within an NHS acute trust or a specialist NHS trust. The system is built on a set of indicators that look at a range of information including patient experience, staff experience and performance.</p><p> </p><p> </p><p> </p><p>In addition to the patient experience surveys hospital boards and other providers and commissioners of services can also consider the results of the Friends and Family Test (FFT) to consider the implications for quality and safety. While not a traditional survey, the FFT provides near real-time feedback to identify both good and poor quality patient experience. A NHS England review of the FFT found that it is performing well as a service improvement tool, with 85% of trusts reporting that it is being used to improve patient experience, and 78% saying that FFT has increased the emphasis placed on patient experience in their trusts.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 17:09:16 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

164371

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 assessment he has made of the relationship between cost savings to the NHS and improved patient safety; and if he will make a statement.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	215712
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Department commissioned Frontier Economics to investigate the costs of unsafe care in the National Health Service. The final report, <em>Exploring the cost of unsafe care</em> <em>in the NHS</em> suggests that the costs of preventable, adverse events is likely to be more than £1 billion per year, but could be up to £2.5 billion annually. The report, which was published on 16 October, is available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.frontier-economics.com/publications/exploring-the-costs-of-unsafe-care-in-the-nhs/" target="_blank">http://www.frontier-economics.com/publications/exploring-the-costs-of-unsafe-care-in-the-nhs/</a></p><p> </p><p> </p><p> </p><p>The Sign up to Safety campaign launched in June is now working with healthcare organisations to make the NHS one of the safest healthcare systems in the world and contribute to the goal to halve avoidable harm and save 6,000 lives over the next three years.</p><p> </p><p> </p><p> </p><p>It is difficult to disaggregate direct cash releasing savings from this evidence which must take into account the upfront costs of investing in safer care.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></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 27/11/2014 16:45:29 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4122 label Biography information for Alex Cunningham

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

164381

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, how many hospitals have been rated poor with regards to open and honest reporting of patient safety incidents in each month since May 2010.
tabling member constituency	Wolverhampton South West
tabling member printed	Paul Uppal
uin	215683
answer	answer is ministerial correction date of answer 01/12/2014 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> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/12/2014 17:30:33 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4078 label Biography information for Paul Uppal

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

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

143397

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 progress organisations which have participated in the Sign up to Safety campaign have made on fulfilling the pledges in that campaign; and if he will make a statement.
tabling member constituency	Bromley and Chislehurst
tabling member printed	Robert Neill
uin	213870
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 213871 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

142210

registered interest
date	06/11/2014
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, how many patient safety incidents have been reported to the National Reporting and Learning System in each month since May 2010.
tabling member constituency	Wolverhampton South West
tabling member printed	Paul Uppal
uin	213780
answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>We do not hold information on the number of patient safety incidents that have occurred in England in each year since 2000. Patient Safety Incidents occurring in the National Health Service are reported to the National Reporting and Learning System (NRLS) whose primary purpose is to enable learning from patient safety incidents. The NRLS was established in late 2003 as a largely voluntary scheme for reporting patient safety incidents, and therefore it does not provide the definitive number of patient safety incidents occurring in the NHS. However, from 1 April 2010 it became mandatory for all providers registered with the Care Quality Commission (including all NHS trusts and foundation trusts) in England to report all serious patient safety incidents to the Care Quality Commission. To avoid duplication of reporting, providers of NHS services are encouraged to report all incidents resulting in death or severe harm to the NRLS which then reports them to the Care Quality Commission.</p><p> </p><p> </p><p> </p><p>At present, more than 100,000 patient safety incidents (including those resulting in no harm) are reported to the NRLS each month. However, these data are collated on a quarterly, rather than monthly basis. Detailed breakdowns on incidents reported are published twice-yearly and can be accessed via the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/" target="_blank">http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/</a></p><p> </p><p> </p><p> </p><p>The most recent spreadsheet providing quarterly data for the number of patient safety incidents reported to the NRLS from October 2003 to June 2014 is attached.</p><p> </p><p> </p><p> </p><p>The NRLS is a dynamic reporting system, and the number of incidents recorded as occurring at any point in time may increase as a greater proportion of incidents are reported. Experience in other industries has shown that as an organisation’s reporting culture matures, staff become more likely to report incidents.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213775 question first answered 18/11/2014 16:22:48 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name NRLS Quarterly Data Workbook- Patient Safety Incidents.xls title Patient Safety Incidents- October 2003- June 2014
tabling member	4078 label Biography information for Paul Uppal

142212

registered interest
date	06/11/2014
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, how many patient safety alerts have occurred in each month since May 2010.
tabling member constituency	Wolverhampton South West
tabling member printed	Paul Uppal
uin	213781
answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Patient safety alerts are a crucial part of NHS England’s work to alert the healthcare system rapidly to risks and provide guidance on preventing potential incidents that may lead to harm or death. They are publications providing urgent information to healthcare providers via the Central Alerting System. Prior to the establishment of NHS England, patient safety alerts were issued by the National Patient Safety Agency (NPSA).</p><p> </p><p> </p><p> </p><p>We do not record the number of patient safety alerts issued by month; however, a list of alerts with their issue dates for the period 2013-2014 is attached.</p><p> </p><p> </p><p> </p><p>A full list of alerts issued by NPSA from 2002-2012 can be viewed at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nrls.npsa.nhs.uk/alerts/" target="_blank">http://www.nrls.npsa.nhs.uk/alerts/</a></p><p> </p><p> </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 18/11/2014 16:15:31 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Patient safety alerts.xlsx title List of Patient Safety Alerts 2013-14
tabling member	4078 label Biography information for Paul Uppal