Safety and Learning resources

Leaflet

Saying sorry

Saying sorry meaningfully when things go wrong is vital for everyone involved in an incident, including the patient, their family, carers, and the staff that care for them. This leaflet is part of our work on duty of candour.

Report

Five years of cerebral palsy claims

This report provides an in-depth examination of the causes of these rare but tragic incidents and the investigations that follow them. For the purposes of this study we focused on 50 cases of cerebral palsy where the incidents occurred between 2012 and 2016 and a …

Leaflet

Preventing needlestick injuries

We received 1,833 incident claims for needlestick injuries between 2012-2017 (fiscal years). Of these, the 1,213 successful claims cost the NHS £4,077,441. This leaflet looks to shed light on some of the claims data we hold on needlestick injury claims, how they are caused and …

Leaflet

The benefits of supported decision making (consent)

We received 1,223 claims for incidents occurring between 2012 and 2017 that have cost the NHS £233 million so far. Of these cases, 728 claims are under review due to the complexities around consent. Consent can be a common contributing factor in many claims. This …

Case story

Better joint working and specialist help benefits patients, families and the NHS

This case story highlights the importance of effective integrated working for patients with vulnerabilities.

Case story

Ensuring consistent emergency response to convulsions in children

This case story highlights the need for a consistent emergency response to convulsions in children, looking specifically at sudden unexpected death in epilepsy.

Case story

Missed opportunities to prevent cardiac arrest and subsequent severe hypoxic brain injury

This case story highlights the missed opportunities that could have prevented a cardiac arrest and subsequent severe hypoxic brain injury in an intensive care patient.