Show Search Form

Search Results

registered interest	true false
date	exactly: or between: and
answering body
answering dept id
answering dept short name
answering dept sort name
hansard heading
house id
legislature	pref label
question text
tabling member constituency
tabling member printed
uin
answer	is ministerial correction true false date of answer exactly: or between: and answer text answering member constituency answering member printed grouped question UIN question first answered answering member label
tabling member	label

Search

1692731

registered interest
date	29/02/2024
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 her Department records instances of near misses for (a) surgical fires and (b) other patient safety incidences.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	16354
answer	answer is ministerial correction date of answer 08/03/2024 answer text <p>Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This can include surgical fires or burns. We are informed that NHS England does not define the severity of harm related to surgical fires or burns specifically. Grading the severity of harm related to a patient safety incident that is recorded on LFPSE, should be done using NHS England’s guidance on recording patient safety events and levels of harm, which asks that near miss events be graded as no harm. The guidance is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/" target="_blank">https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/</a></p><p> </p><p>If a surgical fire or burn is assessed locally and constitutes a patient safety event, it would fall under the scope of the Care Quality Commission’s (CQC) Regulations 16 or 18, and must be reported to the CQC. This means that the most serious surgical fires or burns which result in serious harm or the death of a service user, are subject to mandatory reporting. NHS trusts can comply with this requirement by recording patient safety events using the LFPSE service, and NHS England shares all such data with the CQC, who are responsible for regulating compliance with CQC regulations. CQC Regulations 16 and 18 are available respectively, at the following links:</p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user</a></p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents</a></p><p> </p><p>Although the recording of wider patient safety events onto LFPSE is a voluntary process, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.</p><p> </p><p>The LFPSE service and its predecessor, the National Reporting and Learning System, do not have specific categories for surgical fires or burns. Determining how many patient safety events related to surgical fires or burns were recorded by National Health Service providers in each of the last five years would require a search of the free text of recorded patient safety events, using key words, and a subsequent expert clinical review of all potential records to determine relevance to the question. This could only be provided at disproportionate cost.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 16353 16355 question first answered 08/03/2024 14:06:43 answering member 4492 label Biography information for Maria Caulfield
tabling member	4131 label Biography information for Jim Shannon

1668521

registered interest
date	08/11/2023
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, what accountability mechanisms are included in the NHS England Learn from Patient Safety Events system to hold (a) commissioners and (b) providers to account on patient safety (i) records and (ii) incidences.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	805
answer	answer is ministerial correction date of answer 15/11/2023 answer text <p>Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This would include incidents caused by surgical fires or burns.</p><p>Providers are encouraged to foster a positive safety culture among their staff, and ensure an appropriate local focus on incident recognition, recording, and response.</p><p>Recording onto LFPSE is a voluntary process, except where reporting to NHS England fulfils duties for other statutory mandatory requirements, such as reporting notifiable incidents to the Care Quality Commission (CQC). NHS England shares all such data with the CQC. Notifiable incidents include events resulting in “serious harm” or the death of a service user, and therefore the most serious surgical fires or burns are subject to mandatory reporting. However, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.</p><p>Published National Safety Standards for Invasive Procedures include a requirement for a risk assessment and management plan to minimise the risk of surgical fires in the perioperative environment. They require that multidisciplinary team training should involve rehearsal and analysis of typical and emergency scenarios, such as a surgical fire, and that prior to surgery, any fire risk and the management plan are discussed and confirmed.</p><p>LFPSE is not designed for performance management. However, it supports certain oversight functions within providers, including the ability to review all records submitted by staff, and to mark them as either meeting certain other requirements, such as notification to the CQC, or not. This supports good governance within the provider, encouraging scrutiny of recorded events, and the fulfilment of other statutory or national policy reporting requirements. LFPSE data is being made available to integrated care boards and regional teams to facilitate their roles in safety oversight and provider improvement support.</p><p>NHS England does not hold or collect information on the number of surgical fires which occur. Although incidents where serious harm and death are captured within LFPSE, and trusts may choose to record lower levels of harm, there is no category for surgical fires within the existing reporting system with which they could be counted and therefore any count would not be definitive.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 804 806 807 808 question first answered 15/11/2023 17:25:08 answering member 4492 label Biography information for Maria Caulfield
tabling member	4131 label Biography information for Jim Shannon

1715080

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	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether the Patient Safety Incident Response Framework has been fully implemented throughout the NHS to support learning and compassionate responses to families following any incidents.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4221
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>Compliance with the Patient Safety Incident Response Framework (PSIRF) is now a contractual requirement for all services commissioned under the NHS Standard Contract. Implementing the PSIRF is an ongoing process and organisations’ approach to patient safety incident response can and should evolve over time. Work is also underway to explore implementation of the PSIRF in wider services within the National Health Service, such as primary care.</p> answering member printed Lord Markham question first answered 08/05/2024 14:50:39 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1701431

registered interest
date	16/04/2024
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, what assessment she has made of the effectiveness of NHS speak up guardians in (a) primary and (b) secondary care settings.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	22064
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>Freedom to Speak Up Guardians are a valued channel through which concerns can be raised, and have handled over 100,000 cases since the National Guardian’s Office first started collecting data in 2017. This represents over 100,000 opportunities for learning and improvement. In 2022/23 alone over 25,000 cases were raised with Freedom to Speak Up Guardians and over four-fifths, or 82.2% of those who gave feedback to their Freedom to Speak Up Guardian, said they would speak up again.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 22/04/2024 10:55:12 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1657271

registered interest
date	01/09/2023
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, whether there are protocols in place for mandatory external reviews after internal concerns on patient safety are raised within the NHS.
tabling member constituency	Solihull
tabling member printed	Julian Knight
uin	196906
answer	answer is ministerial correction date of answer 14/09/2023 answer text <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> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 196902 question first answered 14/09/2023 14:44:23 answering member 4492 label Biography information for Maria Caulfield
tabling member	4410 label Biography information for Julian Knight

1719862

registered interest
date	21/05/2024
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, what steps her Department is taking to ensure that hospitals follow NICE guidelines on (a) suicide and (b) self-harm risk assessment (i) tools and (ii) scales.
tabling member constituency	Blaydon
tabling member printed	Liz Twist
uin	27544
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>Improving risk management and safety planning for suicide and self-harm prevention is a priority in the Government’s suicide prevention strategy. The strategy highlights the importance of compliance with the National Institute for Health and Care Excellence’s (NICE) guidelines on risk assessment. NHS England is taking forward work in this area.</p><p>We would expect health professionals to have regard to guidelines from the NICE, which state that risk assessment tools should not be used to predict future suicide or repetition of self-harm.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 24/05/2024 08:26:14 answering member 4492 label Biography information for Maria Caulfield
tabling member	4618 label Biography information for Liz Twist

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

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

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

1173522

registered interest
date	27/01/2020
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 effect on patient safety of the implementation of the Health and Care (Staffing) (Scotland) Act 2019; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	8301
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>It is a matter for the devolved Government for Scotland to make any assessment of the effects on patient safety of the implementation of their legislation.</p><p>When any such assessment is made available we will review it as we review a range of evidence on the provision of healthcare.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 04/02/2020 15:25:31 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4244 label Biography information for Jonathan Ashworth