Incident Management Policy Including Serious Incidents Requiring ...

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Consequence score (severity levels) and examples of descriptorsDomains Negligible (1) Minor (2) Moderate (3) Major (4) Catastrophic (5)Financeincludingclaims Small loss Risk ofclaim remoteService/businessinterruptionEnvironmentalimpact Loss/interruption ofup to 1 hour Minimal or no impacton the environment Loss of 0.1–0.25 percent of budget Claim less than£10,000 Loss/interruption of upto 8 hours Minor impact onenvironment Loss of 0.25–0.5 percent of budget Claim(s) between£10,000 and £100,000 Loss/interruption of upto1 day Moderate impact onenvironment Uncertain delivery ofkey objective/Loss of0.5–1.0 per cent ofbudget Claim(s) between£100,000 and £1million Purchasers failing topay on time Loss/interruption of upto1 week Major impact onenvironment Non-delivery of keyobjective/ Loss of >1per cent of budget Failure to meetspecification/ slippage Loss of contract /payment by results Claim(s) over £1million Permanent loss ofservice or facility Catastrophic impact onenvironmentincident management policy 2011 with SUI v3 FINAL 40/51
Appendix C Process for Reporting and Learning from Serious UntowardIncidents Requiring InvestigationGuidance for Providers of Services Commissionedby NHS Cornwall & Isles of ScillyIn March 2010 the National Patient Safety Agency published the National Framework forReporting and Learning from Serious Incidents Requiring Investigation. This frameworkdetails how organisations should report, investigate and monitor serious incidents.NHS Cornwall & Isles of Scilly (NHS CIOS) in conjunction with NHS South West hasadopted the framework in full and as such the following guidance should be read alongsidethe National Framework and NHS South West’s Process for Reporting and Learning fromSerious Incidents Requiring Investigation.The National Framework provides clear guidance on a number of milestones to be followedfrom the point at which a Serious Incident Requiring Investigation (SIRI) is identified toclosure of the incident. Details of the key milestones and proposed procedures are includedbelow:1. In all cases incidents should be reported on the Strategic Executive InformationSystem (STEIS) within two working days of identification of the event.2. Guidance on the types of incidents that should be reported can be found in theNational Patient Safety Agency document ‘Information Resource to Support theReporting of Serious Incidents’ available from the National Patient Safety Agencywebsite. Please note this guidance is not exhaustive.3. Incidents should be graded as 0, 1 or 2 in accordance with grading definitions statedwithin the National Framework (Page17). Incident grades should be agreed with theCommissioning Primary Care Trust (PCT) for grade 1 incidents and theCommissioning Primary Care Trust and Strategic Health Authority (SHA) for grade 2incidents. The grading of the incident should be entered on the ‘furtherinformation’ section of STEIS;4. The ongoing monitoring of grade 1 incidents will be monitored by the commissioningPCT. Grade 2 incidents will be monitored by the Commissioning PCT in conjunctionwith the SHA.5. Timescales for investigation will be dependent on the grade of the serious incident.The following timescales will apply:Grade 0 Notification only (it is unclear if a serious incident has occurred). Theprovider organisation must update the PCT/SHA with further information within threeworking days. If not a serious incident, it can be downgraded with agreement ofPCT/SHA. If a serious incident it will be re graded accordinglyGrade 1 45 working days from the date the incident is notified.Grade2 (Those incidents not requiring independent investigation)60 working days from the date the incident is notified.incident management policy 2011 with SUI v3 FINAL 41/51
Page 1 and 2: Peninsula Community HealthIncident
Page 3 and 4: 17 Performance Management and Data
Page 5 and 6: the case of those in receipt of men
Page 8 and 9: Director of Finance will Retain ove
Page 10 and 11: No harm/minimal harmAny immediate a
Page 12 and 13: 7 External Stakeholder Notification
Page 14 and 15: 8.3 NHS Litigation AuthorityThe Nat
Page 16 and 17: If a staff member is contacted by t
Page 18 and 19: impending court hearing or out of c
Page 20 and 21: Category 0 1 2 3 4 5Impact No signi
Page 22 and 23: Peninsula Community HealthSERIOUS I
Page 24 and 25: Action requiredMonitoring requiredE
Page 26 and 27: 17 Performance Management and Data
Page 28 and 29: 23 Referenceso Data Protection Act
Page 30 and 31: ContentsExecutive Summary 33MAIN RE
Page 32 and 33: MAIN REPORT:Incident description an
Page 34 and 35: FINDINGS:Chronology of eventsChrono
Page 36 and 37: Appendix B - Organisational Risk Ma
Page 40 and 41: Grade 2 (requiring independent inve
Page 42 and 43: - immediate actions taken;- details
Page 44 and 45: will continue to monitor the action
Page 46 and 47: Where an incident meets the require
Page 48 and 49: Wrong routeadministration ofchemoth
Page 50 and 51: Initial Equality and Human Rights I
Page 52 and 53: 3. How does it impact on people’s

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