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Serious Incident Reporting and Learning Framework (SIRL)

National Framework for Reporting and Learning from Serious Incidents requiring Investigation

 

The National Patient Safety Agency has developed a national framework for serious incidents in the NHS, titled ‘National Framework for Reporting and Learning from Serious Incidents requiring Investigation’.

 

This has been completed following consultation and collaboration with key NHS stakeholders; including the Care Quality Commission, the Department of Health, Medicines and Healthcare products Regulatory Agency, the NHS Litigation Authority, Monitor and the Independent Advisory Service.

 

The framework is also the first stage in the development of a consolidated Serious Incident Management System that will replace the current Strategic Executive Information System (STEIS) serious untoward incident system in 2010.

  

This publication will replace individual Strategic Health Authority and Commissioning Primary Care Trust, Serious Untoward Incident policies and provides guidance for the whole system from notification, to management and learning from serious incidents. 

 

 

This resource provides information to support the National Framework for Reporting and Learning from Serious Incidents requiring Investigation and includes:-

 

  • an overview of the definitions of serious incidents requiring investigation
  • categories and examples of incidents that should be notified to the relevant authorities/bodies
  • links to national bodies
  • associated guidance where appropriate

 

 

The resource is not exhaustive and other categories of incidents may fall within the definition of a serious incident. This document can be used and adapted locally within your organisation as a resource tool to support the reporting of serious incidents.

 

The Framework will be revised further during 2010 and the NPSA would value your feedback on its content. 

 

For more information please  view the frequently asked questions or contact us at patientsafetydirect@npsa.nhs.uk

 

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Consultation on a National Framework for Reporting and Learning from Serious Incidents Requiring Investigation

 

This consultation is closed.

 

Responses


161 responses were received in total.

 

 

Key themes

  • Safeguarding adults/ child protection
  • Grading
  • Definition
  • Roles and responsibilities
  • Learning