The National Reporting and Learning System (NRLS) has been in operation since 2003 and supports NHS England to fulfil statutory duties relating to the collation of and learning from patient safety incident reports.<\/p>
<\/p>
NRLS is principally a secondary use service and collects patient safety incident records that are recorded on healthcare providers\u2019 Local Risk Management Systems (LRMS). The primary use of patient safety incident records is by the provider organisation that collects the data on its own LRMS and uses the information to support local safety improvement efforts. NRLS was created to support the national collation of patient safety incident records from LRMS and some of the existing LRMS predate the introduction of the NRLS.<\/p>
<\/p>
Given its age, NRLS is being replaced with the new Learn From Patient Safety Events (LFPSE) service. More information is available at the following link:<\/p>
<\/p>
https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/<\/a><\/p> <\/p> NRLS, and its replacement LFPSE, support the collation of patient safety incident records from members of the public as well as from LRMS. NRLS does this through the Patient and Public eForm, which is available at the following link:<\/p> <\/p> https://www.england.nhs.uk/patient-safety/report-patient-safety-incident/#public<\/a><\/p> <\/p> As part of the development of the LFPSE service, work is underway to determine how best to support the future collection of patient safety incidents information from patients and the public. A report on the first stage of this work, published in October 2023, is available at the following link:<\/p> <\/p> https://www.england.nhs.uk/publication/the-learn-from-patient-safety-events-lfpse-service-patient-and-family-discovery-report/<\/a><\/p> <\/p> Information on how patient safety incident records are collated and used by NHS England is available at the following link:<\/p> <\/p> https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/<\/a><\/p> <\/p> No data is held on patient safety incident recording prior to the introduction of the NRLS in 2003. Data on the number of patient safety incidents collected by NRLS is available at the following link:<\/p> <\/p> https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/<\/a><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4492", "label" : {"_value" : "Biography information for Maria Caulfield"}
}
, "answeringMemberConstituency" : {"_value" : "Lewes"}
, "answeringMemberPrinted" : {"_value" : "Maria Caulfield"}
, "dateOfAnswer" : {"_value" : "2023-10-23", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "201357"}
, {"_value" : "201358"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2023-10-23T11:52:59.83Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2023-10-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Patients: Safety"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment he has made of the level of public awareness of the National Reporting and Learning System; and whether he is taking steps to raise awareness of the system.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4491", "label" : {"_value" : "Biography information for Vicky Foxcroft"}
}
, "tablingMemberConstituency" : {"_value" : "Lewisham, Deptford"}
, "tablingMemberPrinted" : [{"_value" : "Vicky Foxcroft"}
], "uin" : "201356"}
, {"_about" : "http://data.parliament.uk/resources/1657261", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1657261/answer", "answerText" : {"_value" : " Last year, NHS England rolled out a strengthened Freedom to Speak Up policy, which covers the importance of listening to concerns and responding to concerns that are raised. All organisations providing services within the National Health Service are expected to adopt the updated national policy by 31 January 2024 at the latest. The National Guardian\u2019s Office has also produced a training package aimed at all workers, including managers and senior leaders, which underlines the importance of responding to and acting on staff concerns.<\/p> There is also a network of Freedom to Speak Up Guardians, covering every trust, whose role includes ensuring the person who raises a concern is responded to and receives feedback on the actions taken.<\/p> Following the outcome of the trial of Lucy Letby, NHS England wrote to all NHS trusts to further emphasise the importance of NHS leaders listening to the concerns of patients, families and staff and following whistleblowing procedures.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4492", "label" : {"_value" : "Biography information for Maria Caulfield"}
}
, "answeringMemberConstituency" : {"_value" : "Lewes"}
, "answeringMemberPrinted" : {"_value" : "Maria Caulfield"}
, "dateOfAnswer" : {"_value" : "2023-09-25", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2023-09-25T14:03:11.193Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2023-09-01", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Patients: Safety"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that the NHS responds to concerns raised by staff about potential harm to patients (a) appropriately and (b) swiftly.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4410", "label" : {"_value" : "Biography information for Julian Knight"}
}
, "tablingMemberConstituency" : {"_value" : "Solihull"}
, "tablingMemberPrinted" : [{"_value" : "Julian Knight"}
], "uin" : "196896"}
, {"_about" : "http://data.parliament.uk/resources/1657271", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1657271/answer", "answerText" : {"_value" : " 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> https://www.england.nhs.uk/patient-safety/serious-incident-framework/<\/a><\/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> https://www.england.nhs.uk/patient-safety/incident-response-framework/<\/a><\/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> https://www.england.nhs.uk/wp-content/uploads/2022/08/B1465-4.-Oversight-roles-and-responsibilities-specification-v1-FINAL.pdf<\/a><\/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\u2019s own procedures for addressing and managing patient safety.<\/p> <\/p> NHS England will refresh \u2018Maintaining High Professional Standards in the Modern NHS\u2019, in line with current best practice and learning from incidents and reviews.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4492", "label" : {"_value" : "Biography information for Maria Caulfield"}
}
, "answeringMemberConstituency" : {"_value" : "Lewes"}
, "answeringMemberPrinted" : {"_value" : "Maria Caulfield"}
, "dateOfAnswer" : {"_value" : "2023-09-14", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : {"_value" : "196902"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2023-09-14T14:44:23.447Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2023-09-01", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Patients: Safety"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4410", "label" : {"_value" : "Biography information for Julian Knight"}
}
, "tablingMemberConstituency" : {"_value" : "Solihull"}
, "tablingMemberPrinted" : [{"_value" : "Julian Knight"}
], "uin" : "196906"}
, {"_about" : "http://data.parliament.uk/resources/1657277", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1657277/answer", "answerText" : {"_value" : " NHS England\u2019s Serious Incident Framework sets out the key principles of serious incident management and defines the roles and responsibilities of those involved in the management of serious incidents, including the police and those providing National Health Service healthcare services.<\/p> The Department\u2019s \u2018Memorandum of understanding: investigating patient safety incidents involving unexpected death or serious untoward harm\u2019, published in 2006, also provides a source for reference where a serious incident occurs in a healthcare setting and an investigation is also required by the police, the Health and Safety Executive and/or the coroner. The NHS, the Association of Chief Police Officers (now the National Police Chiefs' Council) and the Health and Safety Executive are party to this agreement.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4492", "label" : {"_value" : "Biography information for Maria Caulfield"}
}
, "answeringMemberConstituency" : {"_value" : "Lewes"}
, "answeringMemberPrinted" : {"_value" : "Maria Caulfield"}
, "dateOfAnswer" : {"_value" : "2023-09-12", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2023-09-12T10:06:51.013Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2023-09-01", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Patients: Safety"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, what guidance his Department provides hospitals on involving the police in investigations related to patient harm.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4410", "label" : {"_value" : "Biography information for Julian Knight"}
}
, "tablingMemberConstituency" : {"_value" : "Solihull"}
, "tablingMemberPrinted" : [{"_value" : "Julian Knight"}
], "uin" : "196912"}
, {"_about" : "http://data.parliament.uk/resources/1581586", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1581586/answer", "answerText" : {"_value" : " Information on patient safety incidents is not held in the format requested.<\/p>