Summary
Incident reporting is a crucial tool for improving patient safety, alongside an open culture that supports this. In the NHS the new Learn from Patient Safety Events (LFPSE) service is now being rolled out to replace the current National Reporting and Learning System (NRLS) and Strategic Executive Information System (StEIS). This article details correspondence between Patient Safety Learning and NHS England in relation to concerns raised by staff about the development and implementation of the LFPSE service
Content
LFPSE is a new central national service for recording and analysing patient safety events that occur in healthcare. Some NHS organisations are now using this system, instead of the NRLS, and all organisations will be expected to transition to this by 30 September 2023.
Concerns about the development and implementation of LFPSE
Patient Safety Learning welcomes much of the ambition behind the development of the new LFPSE service and its aim of creating a system from all parts of health and social care. However, in recent months staff have raised with us concerns about the development and implementation of this. Many have said they didn’t feel they were being listened to through formal channels and we have supported them in highlighting their concerns with NHS England.
Correspondence with NHS England
Attached to this article is the following correspondence between Patient Safety Learning and NHS England in relation to these concerns:
- 27 July 2022 - Email from Patient Safety Learning to NHS England
- 27 July 2022 – A briefing note attached to the above email
- 18 August 2022 - Email from NHS England to Patient Safety Learning
- 18 August 2022 - Response to briefing note questions attached to the above email
- 7 September 2022 - Email from Patient Safety Learning to NHS England
- 7 September 2022 - Letter from Helen Hughes to Aidan Fowler attached to the above email
- 27 September 2022 - Letter from Aidan Fowler to Helen Hughes
During this period there have been some positive developments in regard to the concerns raised, such as a decision to increase flexibility for Trusts so that they can now ask their local risk management system vendors to disable ‘outcome’ and ‘risk’ from the Event Types while you are exploring their use, and to help identify the best way forward.
Following the correspondence attached here, on the 18 October 2022 it was announced that NHS Trusts had been given an optional six-month extension to the LFPSE service. This is also a step that we welcomed, with one of the key concerns raised with us by staff concerning their organisations implementation readiness for the initial deadline of the 31 March 2023.
To improve patient safety, it is vital that we have an effective, easy to use and transparent system for reporting and learning from patient safety incidents, trusted by both patients and staff. A considerable number of the points we have raised with NHS England in the attached correspondence remain yet unresolved. Patient Safety Learning will continue to support staff in raising any further concerns about the implementation of the LFPSE service where this is helpful.
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