Incident Management Policy and Procedure 652.0 KB - Oxleas NHS ...

Directorate investigations reports and action plans will be discussed at the Directorate Patient SafetyGroups. Investigation reports, action plans and progress for level 4 incidents will be reported to thePatient Safety Group.Locally commissioned investigation reports will be discussed at the most appropriate local group, egdirectorate patient safety groups. They will agree local actions and timeframe for implementation.They may delegate responsibility for monitoring the progress of local plans to their critical incidentgroups. Investigation reports, action plans and progress for level 4 incidents will be reported to thePatient Safety Group.6 Dissemination, and Learning Lessons from IncidentsThe Patient safety group will review and monitor progress for all serious incidents to ensure thatactions are taken that prevent re-occurrence and that learning is shared across the Trust.Learning will be promoted by trend analysis, and the finding of National Confidential Enquiries andother national guidance.Lessons learnt from investigations will be disseminated by local governance groups to service teams.Local representatives at the Patient safety group are required to inform local governance groups of therecommendations of National Confidential Enquiries and other national guidance.Learning will also take place through the following Committees:• Safeguarding Children Committee• Safeguarding Adults Group• Infection Prevention and Control Committee• Health and Safety Committee7 TrainingTraining on incident reporting awareness is included as part of the Local Induction. Initial training onDatixWeb is provided by the Patient Safety Team prior to the “go live” date. This is targeted atmanagers responsible for approving incidents, who will then disseminate training to front line staff.Further DatixWeb training will be provided by the Patient Safety Team on an as needed basis and willbe tailored to suit the needs of the team being trained.Arrangements for the delivery of investigation skills training are described in the Mandatory andEssential Skills Training Policy.24