Date lodged: 15 November 2016
To ask the Scottish Government, further to the answer to question S5W-04441 by Shona Robison on 14 November 2016 and, in light of the information not being held centrally, whether it plans to begin collating this information centrally, given that information on equivalent events in NHS England is readily available.
Answered by: Shona Robison 25 November 2016
Following a detailed review of NHS Ayrshire& Arran’s adverse event management in the spring of 2012, the then Cabinet Secretary for Health, Wellbeing and Cities Strategy instructed Healthcare Improvement Scotland to develop a national framework and a programme of reviews. In September 2013, following extensive consultation, a National Framework for managing adverse events was published and then refreshed in April 2015.
During Autumn of 2015, Healthcare Improvement Scotland held a series of progress meetings with NHS Boards to understand how they are continuing to implement the national framework. Healthcare Improvement Scotland published their report ‘Learning from Adverse Events’ in May 2016. This report outlined the ways mechanisms for identifying local actionable learning are improving and described the steady increases in the number of national learning summaries shared through the Community of Practice website.
The provisions within the Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016 for an organisational duty of candour across organisations providing health and social care in Scotland include the publication of annual reports that will provide details of the number and nature of incidents to which the duty has applied and the changes implemented as a result of incidents to which the duty has applied. This will provide a further mechanism for identifying and acting on themes from local learning that are identified in this way.