Safety and Learning resources

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We hold one of the largest databases of healthcare related compensation claims in the world, complemented by data on practitioner performance concerns and the causes of contracting disputes in primary care. This is more than 25 years’ worth of data on concerns raised about NHS care.

We have a duty to use this information responsibly to drive positive change for patients and staff.

Our resources section is here to support the early resolution of contracting disputes, improvements in patient safety, a reduction in harm and a reduction in claims.

You can search for resources by topic (such as diabetes, general practice, emergency medicine, spinal infections, maternity), or by the type of resource you would like to view (such as report, video, presentation, animation).

If you would like any further information, please contact us via our contact webpages.

Learning resource

Maternity insights: closing the loop, learning from harm

NHS Resolution is delighted to announce the launch of its first, innovative eLearning module that focuses on learning from the significant avoidable harm that can occur during the antenatal and postnatal care of mothers and their babies and is seen in the cases notified to …

Psychological Safety in Primary Care – webinar recording

On Wednesday 6 September 2023, the Safety and Learning team hosted an interactive virtual webinar on stress claims, findings and recommendations from the Being Fair 2 report on just culture and the benefits of creating psychological safety. We were joined by Sarah Hall from NHS …

Learning resource

Maternity

Learners access the eLearning module through the elearning for health platform.

Faculty of Learning resource

Infographic

Just and learning culture charter

Our Just and learning culture charter has been developed as a resource to support the creation of a person-centred workplace that is compassionate, safe and fair when care in the NHS goes wrong. It evolved out of our first Being fair publication in 2019 and …

Case story

Recognising and avoiding significant maternal and neonatal hyponatraemia

This case story is illustrative based on a range of examples of real events. NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself: • …

Report

Being fair 2

Our new report, Being fair 2 aims to promote the value of a person-centred workplace that is compassionate, safe and fair when care in the NHS goes wrong. It follows on from the original Being fair report published in 2019. With workforce issues like incivility, …

Leaflet

Preventing needlestick injuries

We received 2,600 claims for needlestick injuries for incidents occurring between 2012 – 2022. Needlestick injuries can be costly to investigate and increase the risk blood-borne infections. Fortunately, the harm and cost of most needlestick injuries are largely avoidable. We’ve created two new resources to …

Video

Duty of candour animation

Our duty of candour animation offers guidance on the importance of being open and honest. Being open and honest with patients and those close to them is always the right thing to do and is often referred to as the duty of candour. We have …

Case story

Antenatal computerised CTG monitoring

This case story is illustrative based on a range of examples of real events. NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself: • …

Leaflet

Anti-infective medication errors

NHS Resolution received 172 claims relating to anti-infective medications between 1 April 2015 until 31 March 2020. Anti-infective medications include antibiotics, antivirals and antifungals. The analysis in this leaflet only focuses on closed claims that have been settled with damages paid and concern an element …

Webinar

Learning from Emergency Department (ED) claims virtual forum

On 30 May 2022, NHS Resolution’s Safety and Learning team hosted a virtual forum to share the key themes from our latest reports which led to claims in the Emergency Department in England between 2014 and 2018. Recognising the unique challenges and diversity of clinical …

Report

The second report: The evolution of the Early Notification Scheme

Although the NHS remains one of the safest healthcare systems in the world within which to give birth, avoidable errors within maternity still occur. Maternity costs make up the largest cost to the NHS in value of claims. The Early Notification Scheme provides a faster …

Podcast

NHS Resolution Podcast: Spinal Infections

Between the 1st of January 2009 and the 31st of December 2019, NHS Resolution received 232 claims concerning delay in the diagnosis of spinal infection. Out of these 232 claims, 85 were settled with damages paid, 43 without merit and 104 remain open. The total …

Case story

Management of hyper-stimulation and fetal bradycardia case story

This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself: Could this happen in my organisation? …

Leaflet

Extravasation

Extravasation is the accidental leakage of any liquid from a vein into the surrounding tissues when administering solutions such as medication or fluids, which can cause serious harm to the patient. From 1 April 2011 until 31 March 2021 NHS Resolution received 444 claims relating …

Leaflet

Venous thromboembolism

From 1 April 2012 until 31 March 2022, we documented 687 closed claims relating to Venous Thromboembolism (VTE) injuries. Of these, 411 claims were settled with damages paid, costing the NHS over £23 million. VTE is a significant cause of mortality, long-term disability and long-lasting …

Leaflet

Paediatric medication errors

From 1 April 2010 until 31 March 2020, NHS Resolution identified 193 paediatric medication error claims concerning children under the age of 18. Of these, 91 were settled with damages paid, 61 without merit and 41 remain open, costing the NHS more than £19 million. …

Leaflet

Supporting primary care

NHS Resolution offers support and insights to those working in primary care from across our four services: Claims Management, Practitioner Performance Advice, Primary Care Appeals and Safety and Learning. We have produced a short digital brochure that outlines how each service supports those working in …