Session 3 - Incident Reporting Policy - Health Partnerships Learning ...

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Nottinghamshire Community Health aims to design and implement services, policies and clinical/non clinical procedures with measures that meet the diverse needs of our service, population and workforce, ensuring that none are placed at a disadvantage over others. All policies and clinical/non clinical procedures should be developed in line with the NHS Notts County Equality and Diversity Policy (2008), and need to take into account the diverse needs of the community that is served. The Equality Impact Assessment tool is designed to help consider the needs and assess the impact of the policy and clinical/non clinical procedure being developed (See Appendix F), and must be completed before approval/ratification can take place. 13. Monitoring Compliance with the Document Nottinghamshire Community Health (through the Risk Management Team) will monitor the effectiveness of this policy through key performance indicators (KPIs) which will include an annual review. The process for involving and communicating with internal and external stakeholders to share safety lessons The process for following up relevant action plans; through reports from DATIX for low level risk and the work of the Q&RSC for higher level risks. NCH regularly uploads to the NPSA National Reporting Learning (NRLS) system Lessons learnt from analysis result in change Process for reducing risk identified through incident reports 75% of incidents have a completed management action section within 2 weeks of the incident occurring Quarterly incident risk management reports contain incident and causal factors trend analysis At least 2 Lessons Learnt reports (Shared Experience Newsletters) are produced and disseminated each year An annual risk management report containing results of the audit and improvement actions is produced for the Q&RSC responsible for overseeing risk management 14. References Health & Safety Executive. (1995). Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR Explained, Version 6), Suffolk: Health and Safety Executive. Available at: http://www.hse.gov.uk/riddor/index.htm. Health and Safety (Consultation with Employees) Regulations 1996. (Statutory Instrument 1996 No. 1513). London: The Stationery Office. Available at: www.opsi.gov.uk Health & Safety Executive. (1996). A guide to the Health and Safety (Consultation with Employees) Regulations 1996 (L95). Suffolk: Health and Safety Executive. Available at: www.hsebooks.com/ Public Interest Disclosure Act 1998, Chapter 23. London: The Stationery Office. Available at: www.opsi.gov.uk Department of Health. (1998). Health Service Circular 1999/198, The Public Interest Disclosure Act 1998: Whistle blowing in the NHS. London: Department of Health. Available at www.dh.gov.uk/ Page 14 of 28
Department of Health. (2000). An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS. London: Department of Health. Available at www.dh.gov.uk/ Department of Health. (2001). Building a Safer NHS for Patients: Implementing an Organisation with a Memory. London: Department of Health. Available at www.dh.gov.uk/ National Patient Safety Agency. (2004). Seven Steps to Patient Safety. London: National Patient Safety Agency. Available at: www.npsa.nhs.uk/ National Patient Safety Agency. (2005). Building a Memory: Preventing Harm, Reducing Risks and Protecting Patient Safety London: National Patient Safety Agency. Available at: www.npsa.nhs.uk. National Patient Safety Agency. (2005). Patient Briefing - Saying Sorry When Things Go Wrong. London: National Patient Safety Agency. Available at: www.npsa.nhs.uk/ National Patient Safety Agency. (2005). Safer Practice Notice - Being Open When Patients are Harmed. London: National Patient Safety Agency. Available at: www.npsa.nhs.uk/ Healthcare Commission. (2008). The annual health check 2008/09 Assessing and rating the NHS. London: Healthcare Commission. Available at: http://www.healthcarecommission.org.uk/publicationslibrary. Department of Health. (2008). High Quality Care For All NHS Next Stage Review Final Report. London: Department of Health. Available at: http://www.dh.gov.uk National Patient Safety Agency (NPSA). (2009). Never Events – Framework for 2009/10: Process and action for Primary Care Trusts 2009/10. London: NPSA. Available at: http://www.npsa.nhs.uk 15. Associated Documentation All Information Governance Policies Safeguarding Children Policy Being Open Policy Health and Safety Policy Incident Reporting Procedure Slips, Trips and Falls Policy Guidance on the Investigation of Claims, Incidents and Complaints Policy for the Management of Violence and Aggression (Zero Tolerance) Risk Management Strategy Risk Assessment Procedure Risk Register Policy Patient Identification Policy Safeguarding Adults Policy Serious Untoward Incident Policy Medical Devices Procedure Raising Concerns “Whistle Blowing' Policy Page 15 of 28
Page 1 and 2: Incident Reporting Policy Reader in
Page 3 and 4: 1 Introduction The effective report
Page 5 and 6: Other incidents: Some incidents may
Page 7 and 8: Ensure that risk assessments are re
Page 9 and 10: Following a reported incident, rega
Page 11 and 12: Incident Reporting Folders (a compl
Page 13: All Action Plans relating to incide
Page 17 and 18: Guidance on completing an Incident
Page 19 and 20: SECTION 10 (S10) PART 2 IS TO BE CO
Page 21 and 22: Risk Matrix - Severity 1 2 3 4 5 De
Page 23 and 24: Appendix D DEFINITIONS OF SERIOUS U
Page 25 and 26: Appendix E SENIOR MANAGER ON-CALL A
Page 27 and 28: Appendix G Plan for Dissemination o

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