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National framework for reporting and learning from serious incidents requiring investigation

Reference number
0974
Issue date01 March 2010
TypeGuidance

The National Patient Safety Agency (NPSA) has developed a national framework for serious incidents in the NHS.

 

This has been completed following consultation and collaboration with key NHS stakeholders including the Care Quality Commission, the Department of Health, The 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. 

National framework for reporting and learning from serious incidents requiring investigation
National framework for reporting and learning from serious incidents requiring investigation - 5.48 MB National framework for reporting and learning from serious incidents requiring investigation. Ref: 0974. March 2010