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

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Type of incident Level 1NegligibleLevel 2MinorLevel 3ModerateLevel 4MajorLevel 5 / neverEventsCatastrophicPhysical Health(including seizures,physical illness andpressure ulcer)include refusingappointmentEnvironmentSelf neglectSafeguardingChildren and youngpeople (includesunborn babythrough to 18 thbirthday)Security incidentsClient presents withunexplained minor injury,e.g. bruisingFailure to shareinformation appropriatelythat a child may be atrisk from harm, or a childbeing at risk of harmeither whilst on trustpremises or from anindividual under the directcare of the Trust, withoutresultant harm beingsuffered by a childVisit by a child to serviceuser terminatedAdmission of a child aged17 to a bed notspecifically single sexand set aside, or withoutsupport from CAHMSstaffPremises or individualareas found unlockedwith no public accessDefacing property towalls with minimum costto the TrustClient presents withphysical illness requiringtreatment on site.Pressure ulcer gradedlevel 2 or below,suspected initialpresentation of pressureulcerDelay in implementingsafeguarding childrenprocedures resulting infailure to provideprotection/intervention atan early stageChild placed art riskduring a visit to a serviceuserChild in contact withperson who is a risk tochildren whilst underTrusts care/on TrustpremisesPremises or individualareas found unlockedwith public accessDefacing property orwalls with a cost to theTrust of up to £500Client in inpatient settingpresents with physicalillness requiring referralto A and E and / orambulancePressure ulcer gradedlevel 3Harm to a child. Eitherfollowing failure to shareinformation to protect thechild, or occurring whilstthe child or perpetratorwas under the direct careof the trustTrespassing on thegrounds of secure unitsDefacing property orwalls with a cost to theTrust of up to £501 -£20,000Patients who have acardiac arrestPressure sores graded, 4and above (where thepressure ulcer developswithin our services)Significant harm to achild. Either followingfailure to shareinformation to protect thechild, or occurring whilstthe child or perpetratorwas under the direct careof the trustAllegations made againststaff of behaviour thathas harmed, or may haveharmed a childAdmission of a child aged16 or under to an adultwardBreak in / robbery ofcommunity / inpatientservices with staffpresentCost to trust of more than£20,000 and securityincident resulting insuspension or majordisruption of servicesSelf harm /unexpected deathSubstance UseTrust staff enteringsecure sites with novisible IDThreat to self harmAttempted self harm withno injuryFailure to provide urinesample on request –Forensic services onlySuspicion of illicit druguse in inpatient servicesPersonal cost /loss tostaff of up to £100Self harm with minorinjuries requiring first aidand or medical attentionon siteUse of alcohol and / orillicit drugs where clientnot intoxicatedDiscovery of alcohol andor illicit drugs in inpatientservicesPersonal cost /loss tostaff of over £101Self harm requiringmedical attention at A&EClient in possession ofdrugs or alcoholEvidence of alcohol and /or illicit drugs use whereclient is intoxicated orposing risk to self orothersSelf harm resulting inserious injuries.Attempted suicide oractual suicide injuriesOverdose of illicit drugsrequiring medicalintervention.Possession of a largeamount of illicit drugs withintent to supplySelf harm resulting indeathLife threatening situationresulting from use ofillicit drugs and/ oralcoholUse / Misuse ofclinical informationFailure to shareinformation with otheragencies or vice versaLoss of all or part of aclinical recordAccidental deletion ofelectronic recordLetters / reportsincorrectly addressedSuspicion of patient withintent to supply illicitdrugs and / or alcoholwithin in patient servicesUnauthorised access to aclinical recordLoss or stolen recordoutside of Trust premisesWillful destruction ofrecordsWritten or verbal breachof confidentialityBreach of informationsecurity impacting onservice delivery requiringfull investigation.Damage to a servicesreputation/Low key local mediacoverage.Serious breach ofconfidentiality e.g. up to100 people affectedMajor breach ofinformation having trustwide imp[act on servicedelivery and or thereputation of the TrustSerious breach witheither particularsensitivity e.g. sexualhealth details, 1000 orover people affected28
Appendix II29
Page 2 and 3: VERSION CONTROLDocument LocationOxl
Page 4 and 5: PART AINTRODUCTION1.1 Oxleas NHS Fo
Page 6 and 7: to the Senior Officer within HR who
Page 8 and 9: Head of Safeguarding Children and L
Page 10 and 11: 2 REPORTING AND IMMEDIATE ACTION2.1
Page 12 and 13: Immediate Within 24 Hours Within 3
Page 14 and 15: HOMICIDEHomicideNHSLondongrade 2Imm
Page 16 and 17: 2.3 Reporting to external agenciesC
Page 18 and 19: 3 INITIAL SERVICE MANAGEMENT REVIEW
Page 20 and 21: - individual factors;- task factors
Page 22 and 23: 4.1 InformationVictims, families an
Page 24 and 25: Directorate investigations reports
Page 26 and 27: Type of incident Level 1NegligibleA
Page 31 and 32: Appendix IIIIncident report form to
Page 33 and 34: Guidance notes for completing adver
Page 35 and 36: SERIOUS INCIDENTAppendix VPRIVATE A
Page 37 and 38: Date of discharge from most recent
Page 39 and 40: • Ensure that TOR’s and timesca
Page 41 and 42: Where the LSCB TOR includes service
Page 43 and 44: Appendix VIIIOXLEAS NHS FOUNDATION
Page 45 and 46: 5. CONTENT OF THE INVESTIGATION5.1
Page 47 and 48: Guidelines on writing witness state
Page 49 and 50: The following ‘‘do’s’’ an
Page 51 and 52: System owners may also be requested
Page 53 and 54: Strictly ConfidentialGreenwich Crit
Page 55 and 56: Strictly ConfidentialBexley Critica
Page 57 and 58: Strictly ConfidentialBromley Critic

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