22190 - Serious Incidents

1) The number of serious incidents  reported by the Trust that are patient, clinical and care related for each of 2015, 2016, 2017, 2018, 2019. (If you record them by financial year ie 2015/16 then please could you break each year down by month, if it does not exceed the costs/time set out by the FOIA)

2) Reasons for each serious incident categorised at a high level (redacting any patient identifiable or personal information such as names of staff etc in order for it to be released publicly) including deaths

  • Reference:
    22190
  • Response:

    1) The number of serious incidents  reported by the Trust that are patient, clinical and care related for each of 2015, 2016, 2017, 2018, 2019. (If you record them by financial year ie 2015/16 then please could you break each year down by month, if it does not exceed the costs/time set out by the FOIA)

    2) Reasons for each serious incident categorised at a high level (redacting any patient identifiable or personal information such as names of staff etc in order for it to be released publicly) including deaths

    This table includes the number of SIs relating to patients’ clinical care, by calendar year, from 1 January 2015 to 12 August 2019. There have been no deaths attributable to any of the SIs in this date range.

      Clinical treatment ECAT Equipment failure Medicines management Non-conveyance* Patient injury Total
    2015 38 0 0 3 0 0 41
    2016 54 0 2 1 0 8 65
    2017 27 2 2 1 6 6 44
    2018 29 9 3 1 6 1 49
    2019 18 0 0 0 0 4 22
    Totals: 166 11 7 6 12 19 221

    *It should be noted that non-conveyance figures prior to 2017 were included in the ‘clinical treatment’ category.

    3) The actions taken as a result of each incident, i.e. disciplinary procedure, lessons learnt or new protocol put in place.

    To provide the actions taken for each incident could potentially identify individuals, as such we will not be providing this information under s.40 of the Freedom of Information Act.

    Section 40 (2)

    Any information to which a request for information relates is also exempt information if-
    (a) it constitutes personal data which does not fall within subsection (1), and
    (b) either the first, second or third condition below is satisfied

    The first condition includes if disclosure of the information to a member of the public otherwise than under FOIA would contravene any of the data protection principles (s.40(3A)(a)).The Trust considers that disclosure of this information would not be fair and therefore the information is exempt from disclosure.

    Section 40(2) together with s.40(3A)(a) provide an absolute exemption and therefore is not subject to the public interest test.

    In reviewing the information we could provide you, to review the 221 action plans and provide you with a broad overview of actions taken place would take over the 18hours as defined in the FOIA, as such we are unable to provide you with this information across the 5 years requested.


    Under s.16 of the Act, the Trust is required to provide advice and assistance; we are able to provide the broad themes from the SI action plans over the last two years. Please see the below table showing these themes.

    Theme Total
    Policy Change / Review 34
    Wider Learning/ Training 60
    Clinical Assessment / Treatment 15
    Individual Learning / Training/ Reflection 49
    Service Improvement / Delivery 15
    Staffing / Recruitment 2
    Staff Management 16
    Health & Wellbeing 2
    Staff Action 4
    Medicine /  Equipment Security & Maintenance 22
    SI NOT YET COMPLETE 10

     

  • Area:
    Trust wide
  • Category:
    • Health & Safety
    • Risk and Governance
  • Month:
  • Year: