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.

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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 …

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 …

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 …

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 …

Webinar

Duty of Candour virtual forum

On 8 September 2022, the Safety and Learning team hosted a webinar on the Duty of Candour. This was also a great opportunity to promote NHS Resolution’s Duty of Candour animation. Speakers included Dr Denise Chaffer (Director of Safety and Learning and RCN President), Lou …

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 …

Webinar

Collaborate to improve maternity care conference – Recordings between 1:45-3:15

On Monday 28 November, we held a face-to-face national maternity conference, Collaborate to improve maternity care: respond to, learn from and prevent harm, at the Royal College of Physicians. The conference ran from 09:30am-16:30pm. We were joined by representatives from maternity teams from across England. …

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? …

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

Case story: Good practice in managing umbilical cord prolapse

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? …

Case story

Case story: Neonatal hypoglycaemia

This case story is illustrative and is based on combined examples of real events. NHS Resolution is sharing the experiences of those involved to help prevent similar events happening to patients, families and staff in the future.

Leaflet

Heparin and anticoagulants

From 1 April 2015 until 31 March 2020 NHS Resolution received 373 claims relating to heparin and anticoagulant medication errors. Out of these 373 claims, 104 were settled with damages paid, 114 without merit and 155 remain open. The total cost of closed claims is …

Leaflet

Maternity medication errors

NHS Resolution received 55 claims relating to medication errors in maternity claims between 1st April 2015 and 31st March 2020. Out of these 55 claims, 22 were settled with damages paid, 13 without merit and 20 remain open. The analysis held within this leaflet only …

Case story

Case story: Home Birth

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.

Report

A summary of: The Early Notification scheme progress report

This leaflet has been produced as an overview to highlight the: key findings of the report six recommendations information on our collaborative partners and other resources available on our website including information on supporting staff and families

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