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1714943

registered interest
date	30/04/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many never events occurred in each NHS Trust in each year since 2019.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	24246
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>Information on Never Events is published by NHS England. All available data on Never Events, including a breakdown for individual National Health Service trusts, is available at the following link:</p><p><a href="https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.england.nhs.uk%2Fpatient-safety%2Fnever-events-data%2F&amp;data=05%7C02%7Cjonathan.stones%40dhsc.gov.uk%7C01ce069ba0534a13ed8d08dc5d394868%7C61278c3091a84c318c1fef4de8973a1c%7C1%7C0%7C638487747817797496%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=OXO3AEoXR3j0kiT5wETru35oEd3BrgsFWwvxdso0HI4%3D&amp;reserved=0" target="_blank">https://www.england.nhs.uk/patient-safety/never-events-data/</a></p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 07/05/2024 08:40:44 answering member 4492 label Biography information for Maria Caulfield
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1700337

registered interest
date	12/04/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many never events occurred within NHS England in each year since 2019; and how many and what proportion of these incidents involved Physician Associates in each year.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	21054
answer	answer is ministerial correction date of answer 17/04/2024 answer text <p>Information on Never Events is published by NHS England, and all available data on Never Events is available at the following link:</p><p><a href="https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.england.nhs.uk%2Fpatient-safety%2Fnever-events-data%2F&amp;data=05%7C02%7Cjonathan.stones%40dhsc.gov.uk%7C01ce069ba0534a13ed8d08dc5d394868%7C61278c3091a84c318c1fef4de8973a1c%7C1%7C0%7C638487747817797496%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=OXO3AEoXR3j0kiT5wETru35oEd3BrgsFWwvxdso0HI4%3D&amp;reserved=0" target="_blank">https://www.england.nhs.uk/patient-safety/never-events-data/</a></p><p>NHS England does not collect specific data relating to Physician Associate involvement in Never Events, and as such the information is not held.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 17/04/2024 08:58:36 answering member 4492 label Biography information for Maria Caulfield
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1581586

registered interest
date	27/01/2023
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many patient safety incidents were reported as a result of ambulance service delays in each year since 2010.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	134052
answer	answer is ministerial correction date of answer 01/02/2023 answer text <p>Information on patient safety incidents is not held in the format requested.</p><p>Information on patient safety incidents, including those relating to ambulance services, is published by NHS England as part of the National Reporting and Learning System and is available at the following link: <a href="https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/" target="_blank">https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/</a></p> answering member constituency Colchester answering member printed Will Quince question first answered 01/02/2023 12:26:38 answering member 4423 label Biography information for Will Quince
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1352440

registered interest
date	03/09/2021
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, who is responsible for monitoring the implementation of the (a) national patient safety recommendations and (b) maternity safety recommendations made by the Healthcare Safety Investigation Branch.
tabling member constituency	South West Surrey
tabling member printed	Jeremy Hunt
uin	41766
answer	answer is ministerial correction date of answer 16/11/2021 answer text <p>Responsibility for monitoring the implementation of the Healthcare Safety Investigation Branch’s (HSIB) national patient safety recommendations rest with the recipient organisations. The National Patient Safety Committee, coordinated by NHS England and NHS Improvement, has established a pilot to examine how the implementation of all the HSIB’s national recommendations could be monitored, the potential resources required and information that may aid future evaluation. The National Patient Safety Committee’s draft report on the pilot is currently undergoing review and is expected to be finalised this year.</p><p>Responsibility for monitoring the implementation of the maternity safety recommendations made by the HSIB rests with individual National Health Service trusts. The HSIB works closely with trusts on addressing emerging themes from the investigations and has quarterly review meetings where trusts provide feedback on the actions being taken to implement the recommendations. The HSIB will raise any immediate concerns to the Department and NHS England and NHS Improvement via governance and assurance meetings.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 41767 41768 question first answered 16/11/2021 12:36:30 answering member 4492 label Biography information for Maria Caulfield previous answer version 19499 answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1572 label Biography information for Jeremy Hunt

1352441

registered interest
date	03/09/2021
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many of the 39 national patient safety recommendations made by the Healthcare Safety Investigation Branch in 2020-21 his Department has assessed as having been implemented in full.
tabling member constituency	South West Surrey
tabling member printed	Jeremy Hunt
uin	41767
answer	answer is ministerial correction date of answer 16/11/2021 answer text <p>Responsibility for monitoring the implementation of the Healthcare Safety Investigation Branch’s (HSIB) national patient safety recommendations rest with the recipient organisations. The National Patient Safety Committee, coordinated by NHS England and NHS Improvement, has established a pilot to examine how the implementation of all the HSIB’s national recommendations could be monitored, the potential resources required and information that may aid future evaluation. The National Patient Safety Committee’s draft report on the pilot is currently undergoing review and is expected to be finalised this year.</p><p>Responsibility for monitoring the implementation of the maternity safety recommendations made by the HSIB rests with individual National Health Service trusts. The HSIB works closely with trusts on addressing emerging themes from the investigations and has quarterly review meetings where trusts provide feedback on the actions being taken to implement the recommendations. The HSIB will raise any immediate concerns to the Department and NHS England and NHS Improvement via governance and assurance meetings.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 41766 41768 question first answered 16/11/2021 12:36:30 answering member 4492 label Biography information for Maria Caulfield previous answer version 19481 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380
tabling member	1572 label Biography information for Jeremy Hunt

1167456

registered interest
date	30/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that patients play an active role in promoting their own safety.
tabling member constituency	South West Surrey
tabling member printed	Mr Jeremy Hunt
uin	7681
answer	answer is ministerial correction date of answer 04/11/2019 answer text <p>The NHS Patient Safety Strategy, published in July 2019, sets out plans to create patient safety partners – patients, carers, families and lay people involved at all levels in National Health Service organisations - to improve safety. This work includes empowering patients to become active partners in their own safety.</p><p>The National Patient Safety team is working with patient and public voice representatives and wider NHS stakeholders on a framework for involving Patient Safety Partners. This is expected to be published in 2019/20.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 04/11/2019 16:09:56 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1572 label Biography information for Jeremy Hunt

1132763

registered interest
date	18/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to ensure NHS patient safety.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	911420
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Patient safety remains a key priority for the National Health Service. NHS Improvement and NHS England are developing a new National Patient Safety Strategy that will sit alongside the NHS Long Term Plan.</p><p>The strategy will be published this summer and will build on existing work to provide a coherent framework that the whole NHS can recognise and support</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:03:47 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4109 label Biography information for Jeremy Lefroy

926528

registered interest
date	18/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of introducing into NHS England a scheme analogous to the Scottish National Patient Safety Programme.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	154631
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>We note the Scottish National Patient Safety Programme aims to improve the safety and reliability of health and social care, and reduce harm.</p><p> </p><p>Like Scotland, our aim is to improve patient safety and for the National Health Service to be one of the safest healthcare systems in the world.</p><p> </p><p>Following the tragic events at Mid Staffordshire NHS Foundation Trust, the Government has introduced a number of significant programmes to promote and encourage better regulation, greater transparency and candour, and a culture of learning in the NHS in England, drawing from other safety critical industries.</p><p> </p><p>To further drive a culture of learning, the NHS trusts are required to review and investigate deaths of their patients and publish the learning and steps they are taking to improve patient safety. An independent Healthcare Safety Investigation Branch (HSIB) was set up in April 2016 and is now conducting major safety investigations into the most serious risks for patients, with a specific focus on system-wide learning and improvement. The HSIB’s remit was extended in April 2018 to include the investigations of early neonatal deaths, term stillbirths and cases of severe brain injury in babies as well as all cases of maternal death. Work is underway to further improve medicines safety including the accelerated rollout of electronic prescribing in hospitals, monitoring higher risk prescribing practice linked to hospital admissions, and addressing so called ‘human factors’ that contribute to errors.</p><p> </p><p>In June 2018, the Government announced a further package of measures to improve patient safety including a new National Clinical Improvement Programme that will provide NHS consultants with confidential data on their clinical results and help improve patient outcomes, the introduction of a system of medical examiners and the intention to extend the Learning from Deaths programme to general practice and ambulance trusts to promote learning and enable health organisations and healthcare professionals to learn from one another.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/06/2018 16:56:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1453 label Biography information for Andrew Selous

857717

registered interest
date	08/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many independent serious incident reviews were (a) commissioned and (b) completed (c) not completed by NHS England in each month between May 2015 and June 2017; and what the reasons were for the reviews not being completed by 28 February 2018.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	131618
answer	answer is ministerial correction date of answer 13/03/2018 answer text <p>We do not hold all of the information requested centrally.</p><p> </p><p>NHS England has provided the attached information for the period between September 2016 and June 2017, which includes a monthly status of reported serious incidents with the following investigative status: planned, underway, completed, awaiting clearance or not yet allocated for investigation ‘blank’.</p><p> </p><p>The following points should be noted:</p><p> </p><p>- This information has been collected since August 2016, when NHS England put in place a national system for sub-regional and regional teams to escalate serious incidents via a Serious Incident Desk;</p><p>- NHS England does not hold information at a national level as to why investigations have not yet been completed. Most investigations should be completed within six months of being commissioned, however some may take longer due to the complexity of the incident; and</p><p>- NHS England does not hold information on serious investigations only led by clinical commissioning groups or trusts. The latter has not been included within this response.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/03/2018 12:44:57 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name PQ131618 attached table.docx title PQ131618 attached table
tabling member	473 label Biography information for Sir Mark Hendrick

795959

registered interest
date	28/11/2017
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 reduce the number of never events in NHS trusts.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	116273
answer	answer is ministerial correction date of answer 01/12/2017 answer text <p>My Rt. hon. Friend the Secretary of State has commissioned the Care Quality Commission to carry out a Thematic Review into Never Events and this work will be supported by NHS Improvement.</p><p> </p><p>The thematic review will examine what can be done to reduce Never Events, and explore what further support and guidance the National Health Service needs to overcome the barriers that prevent the correct implementation of existing guidance. The review will also identify good practice happening throughout the NHS around Never Events and look to embed this throughout the NHS.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 01/12/2017 12:44:37 answering member 1542 label Biography information for Philip Dunne
tabling member	4036 label Biography information for Luciana Berger