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Never Events Policy and Framework Review 2016

NHS Improvement wishes to understand if the current Never Events policy and framework can be further improved to meet its main objective of improving safety culture.

 

NHS Improvement wishes to understand if the current Never Events policy and framework can be further improved to meet its main objective of improving safety culture

The Never Events framework explains that the occurrence of a Never Event may highlight potential weaknesses in how an organisation manages fundamental safety processes.

NHS Improvement wishes to understand if the current Never Events policy and framework can be further improved to meet its main objective of improving safety culture.

They are also seeking to understand if the current list of incidents defined as Never Events (eg wrong side block, dental extractions) is correct or if there is a need to redefine this list in line with the overall principles of the policy and framework.

Have your say

You can inform NHS Improvement as to what you think of the current Never Events framework by completing the online questionnaire.

The consultation closes Friday 28 October.

If you have questions or experience problems accessing the online response form please use this email address: patientsafety.enquiries@nhs.net

The scope of this consultation

NHS Improvement been asked why types of incidents that have previously been proposed as never events have not been adopted into the policy to date.

In all cases this will be because the proposed incident did not meet the criteria to be a never event. Often this is because firm barriers in the form of guidance, tools or other intervention that, if implemented would prevent the incident from occurring, do not exist.

Alternatively the proposals may have related to an outcome, for example ‘suicide’, rather than an incident type, such as ‘use of a non-collapsible rail in attempted self-harm’.

In past consultations people have proposed some issues should be never events because they think new ways need to be found to prevent them or because they think should be a national patient safety priority. Take care to read the material in the consultation: this is not what a Never Events Framework sets out to do.

Please ensure any proposed never events are associated with existing firm barriers that if implemented would prevent them occurring, and describe incident types, not outcomes.

Supporting documents

Consultation questions: Never Events policy and framework review PDF
This document contains the consultation questions which should help with your discussions and preparation of answers. However, you are asked that you submit your feedback via the online response form.

 

Source: NHS Improvement

 

 

Never Events Policy and Framework Review 2016

 
 
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