New safety standards published for invasive procedures

September 30, 2015

Source:  NHS England

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Date of publicationSeptember 2015

Publication type:  News item

In a nutshell: The National Safety Standards for Invasive Procedures (NatSSIPs) aim to reduce the number of patient safety incidents related to invasive procedures in which surgical Never Events could occur. The new standards set out broad principles of safe practice and advise healthcare professionals on how they can implement best practice. The standards will support NHS providers to work with staff to develop and maintain their own, more detailed, local standards and encourage the sharing of best practice between organisations. The NatSSIPs build on the existing WHO Surgical Checklist and promote the effective performance of the Five Steps to Safer Surgery guidance.

Length of Publication:  1 web page

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Revised Never Events Policy and Framework

April 29, 2015

Source:  NHS England

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Date of publicationMarch 2015

Publication type:  News item

In a nutshell: The revised Never Events Policy and Framework from NHS England, includes changes to the definition of a never event and adjustments to the never events list.

Length of Publication:  1 web page


NHS England publishes Never Events Policy Framework Review consultation online

October 29, 2014

Source:  NHS England

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Date of publication:  October 2014

Publication type:  News item

In a nutshell: NHS England has published the Never Events Policy Framework Review consultation. The consultation will help to show what needs to be done, and by whom, to prevent never events. Part of the review will also consider financial penalties for never events, and how this might be included in the NHS Standard Contract for 2015/16. The review is focusing on five key issues: the purpose, definition, list of, management, and application of learning from never events. The overall aim of the review is to keep patient safety as a focus for action, and to foster a culture which aims to share learning and improve, rather than to blame and penalise.

Length of Publication:  1 web page


New recommendations to further improve surgical safety

March 26, 2014

Source:  NHS England

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Date of publication:  February 2014

Publication type:  News item

In a nutshell:  The Surgical Never Events Taskforce has published a report, which makes recommendations for new standards and systems to improve the safety of surgery in hospitals. NHS England has committed to identifying practical ways to take forward the report’s recommendations to eradicate never events from surgical procedures. In the report the taskforce has recommended much greater consistency between different hospitals in all areas of the country. It focuses on standardisation, education and harmonisation. The development and implementation of national standards on the prevention of surgical never events will be key to the taskforce’s recommendations. The full report and summary report can be found on the NHS England website.

Length of Publication:  1 web page


Detailed data on “never events” will help NHS care become even safer, says NHS England

January 29, 2014

Source:  NHS England

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Date of publication:  December 2013

Publication type:  News item

In a nutshell:  More detailed data than ever before about “never events” has been published by NHS England. Provisional quarterly data on the number of never events happening at each hospital trust in England will be published for the first time, for patients, healthcare professionals, managers, stakeholders and the public to see and understand. The data will be updated in three months’ time and is available on the NHS England website. From April 2014, the data will be updated every month.

Length of Publication:  1 web page


Retained surgical sponges, needles and instruments

May 29, 2013

Source:  Ann R Coll Surg Engl. Vol/iss 95/2 pp. 87-92

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Date of publication:  March 2013

Publication type:  Journal article

In a nutshell:  Retained sponges and instruments (RSI) due to surgery are a recognised medical ‘never event’. The aim of this review was to reveal the extent of the problem of RSI and to detect preventative strategies. Vigilance among operating theatre personnel is paramount if RSI is to be prevented.

Length of Publication:  6 pages

Some important notes:  Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Updated never events policy framework and data published

December 3, 2012

Source: Department of Health

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Date of publication: October 2012

Publication type: Policy document

In a nutshell: To address areas of uncertainty and provide greater clarity about never events and the recommended response to them following feedback from stakeholders, the never events policy framework has been reviewed and updated. It is a useful reference for clinicians, other staff and patients. The update contains data on the number and types of never event reported in the last two years.

Length of publication: 1 web page