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

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VERSION CONTROLDocument LocationOxleas NHS Foundation Trust IntranetSee under IncidentsChange HistoryVN Owner Changed by Change summary Date1.0 SMG N/A First issue in this format April 20081.1 SMG Susan Owen Added section 2.1 re: submitting forms electronically Section 2.2 amended in light of section 2.11.2 SMG VenuRajagopal2.0 PSG BryonyRobertson Section 2: guidance on reporting natural deaths added Section 2.3 updated re: Coroners Rule 43, reporting viaSTEIS and reporting to commissioners Section 8: Monitoring Statement updated Appendices III and IV updated with new report form andguidance Appendices VII, IX and X added Safety Management group and AIMG removed and replacedwith Patient Safety Group Head of Adverse incidents management role changed toPatient safety lead. Level 3, 4 and 5 incidents should be sent to the PatientSafety Department directly and not via the approvingmanager. Section 2.2 Never events added Safeguarding children references updated Incidents classification chart reviewed Appendix V Critical incident use box removed NHS London report submission deadline changed from 60working days to 45 working days in line with the NHSLondon Appendix 11 added - Borough Template for CriticalIncident/SUI notification2.1 PSG Susan Owen Page 6 – section on learning from medication errors added Page 9 - Updated to reflect DatixWeb as system forreporting incidents Page 10 – guidance on recording incidents in the carerecord added Page 16 – arrangements for reporting to SHA andcommissioners updated Page 17 - RIDDOR reporting updated to reflect newrequirements from April 2012 Page 17 – guidance on reporting to SIRS added Page 24 – arrangements for providing training added Page 25 - Monitoring arrangements updatedJuly 2008June 2009June 2011May 2012Responsibility for distribution of this documentPatient Safety Lead2
CONTENTSNO DESCRIPTION PAGE NO.Part APolicy aims and scopeIntroduction 4Policy Statement 4Scope of Policy 5Part BProcedures for reporting and investigating1 Roles & Staff Responsibilities 72 Reporting and immediate actions 93 Initial service management review and investigations 184 Support for victims, perpetrators, families, carers and staff 225 Implementation and monitoring of action plans 256 Dissemination, and learning lessons from incidents 25Part CTraining and monitoring7 Training in incident reporting and investigation 268 Monitoring statement 26AppendicesI Classification table 27II Flow charts 30III Adverse Incident form 32IV Guidance notes for completing adverse incident form 34V Service Management Review Report template 36VIGuidance on integrated reporting and review on serious casereviews (Working Together to Safeguard Children 2006)39VII RIDDOR- Information /flow chart 43VIII Guidance for senior managers on conducting and inquiry 44IXGuidelines on writing witness statement or report involvingCoroner or PoliceX Forensic Readiness Guidance added 51XI Borough Template for Critical Incident/SUI notification 53483
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 28 and 29: Type of incident Level 1NegligibleL
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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