Incident Management Policy Including Serious Incidents Requiring ...

impending court hearing or out of court settlement in cases of large scale litigation,including negligence claims (as defined by the NHS Litigation Authority (NHSLA)large scale claims are considered to be those over £250,000);Mortality/Morbidity/Care Incidentsunexpected or unexplained death while in NHS care (including community nursingand health visiting);suspicion of a serious error or errors by a member of staff, primary care contractor orother healthcare contractor;a serious drug error, such as mal-administered spinal injections;the suicide of any person currently in receipt of NHS Mental Health services on or offNHS premises, or who has been discharged from NHS Mental Health Services withinthe last twelve months. Suicide is defined as death:ooowhere there is obvious evidence or strong suspicion of self harm;where the above does not apply initially but emerges later from a clinicalreview of the case, or discussion at the incident monitoring group;where the Coroner’s verdict is suicide (or open verdict);death or injury where foul play is suspected, including abuse or neglect;situations when a patient requires additional intervention(s) as a result of failures inthe diagnosis process;the accidental death of, or serious injury to, a patient, a member of staff, or visitor toNHS or primary care premises, or involving NHS or primary care staff or equipment;significant harm to a vulnerable adult where reported under the Protection ofVulnerable Adults procedures. This could be defined as:oooothe death of a vulnerable adult where abuse or neglect is suspected to be afactor in the death;when a vulnerable adult has suffered significant injuries suspected to be as aresult of abusewhere a vulnerable adult has suffered further harm as a result of a healthcare worker failing to follow procedureswhen a serious case review is to be undertakensignificant harm to a child where reported under the local child protectionprocedures. This could be defined as:ooooa child death where abuse or neglect is suspected to be a factor in the deathwhen a child has suffered significant injuries suspected to be as a result ofchild abusewhere a child has suffered further harm as a result of a health care workerfailing to follow procedureswhen a serious case review is to be undertakenchildren and adults with complex health needs failing to obtain their assessed andagreed packages of health care, thus putting their health at serious riskout of county critical care transfers or any other transfer that could have resulted in aserious incident requiring investigationabuse which has been perpetrated within the remit of the organisation; this may beabuse by a member of staff, visitor or member of the public18 of 28