5. The trust’s Patient Safety Incident Response Plan: Nationally defined incidents for local PSII (National requirement)
5.1 Nationally defined incidents for local PSII are set within the Patient Safety Incident response Framework and are aligned to National Initiatives. These incidents are outlined in the table below along with the required response & planned improvement route.
Patient safety incident type |
Required response |
Anticipated improvement route |
Lead organisation/body for a response |
incidents meeting the Never Events criteria |
Locally-led PSII |
Create local organisational actions and feed these into the quality improvement strategy |
CHS |
Death thought more likely than not due to problems in care (incident meeting the learning from deaths criteria for patient safety incident investigations (PSIIs) |
Locally-led PSII |
Create local organisational actions and feed these into the quality improvement strategy |
CHS |
Maternity and neonatal incidents meeting Healthcare Safety Investigation Branch (HSIB) criteria or Special Healthcare Authority (SpHA) criteria when in place |
Refer to HSIB or SpHA for independent PSII |
Respond to recommendations as required and feed actions into the quality improvement strategy |
HSIB (or SpHA) |
Deaths of patients detained under the Mental Health Act (1983) or where the Mental Capacity Act (2005) applies, where there is reason to think that the death may be linked to problems in care (incidents meeting the learning from deaths criteria) |
Locally-led PSII |
Respond to recommendations as required and feed actions into the quality improvement strategy |
CHS |
Mental health-related homicides |
Referred to the NHS England Regional Independent Investigation Team (RIIT) for consideration for an independent PSII Locally-led PSII may be required |
Respond to recommendations as required and feed actions into the quality improvement strategy |
As decided by the RIIT |
Child deaths |
Refer for Child Death Overview Panel review Locally-led PSII (or other response) may be required alongside the panel review – organisations should liaise with the panel |
Respond to recommendations as required and feed actions into the quality improvement strategy |
Child Death Overview Panel |
Deaths of persons with learning disabilities |
Refer for Learning Disability Mortality Review (LeDeR) Locally-led PSII (or other response) may be required alongside the LeDeR – organisations should liaise with this |
Respond to recommendations as required and feed actions into the quality improvement strategy |
LeDeR programme |
Safeguarding incidents in which:
|
Refer to local authority safeguarding lead Healthcare organisations must contribute towards domestic independent inquiries, joint targeted area inspections, child safeguarding practice reviews, domestic homicide reviews and any other safeguarding reviews (and inquiries) as required to do so by the local safeguarding partnership (for children) and local safeguarding adults boards |
Demonstrate compliance with statutory duties through the completion of CHS Individual Management Reviews and/or completion of other internal reports/processes/investigations as required. Learning and findings will feed into CHS Quality Improvement Strategy and processes. |
CHS Safeguarding Team in partnership with Trust colleagues and Designated Professionals for child and adult safeguarding |
Incidents in NHS screening programmes |
Refer to local screening quality assurance service for consideration of locally-led learning response
|
Respond to recommendations as required and feed actions into the quality improvement strategy |
CHS |
Deaths in custody (eg police custody, in prison, etc) where health provision is delivered by the NHS |
Any death in prison or police custody will be referred (by the relevant organisation) to the Prison and Probation Ombudsman (PPO) or the Independent Office for Police Conduct (IOPC) to carry out the relevant investigations Healthcare organisations must fully support these investigations where required to do so |
Respond to recommendations as required and feed actions into the quality improvement strategy |
PPO or IOPC |
Domestic homicide |
A domestic homicide is identified by the police usually in partnership with the community safety partnership (CSP) with whom the overall responsibility lies for establishing a review of the case. Where the CSP considers that the criteria for a domestic homicide review (DHR) are met, it uses local contacts and requests the establishment of a DHR panel The Domestic Violence, Crime and Victims Act 2004 sets out the statutory obligations and requirements of organisations and commissioners of health services in relation to DHRs |
Respond to recommendations as required and feed actions into the quality improvement strategy |
Community safety partnership (CSP) |