Public Board of Directors papers 29.09.22

1. Safe

1.2 - Serious Incidents and Never Events

Never Events – are defined are serious incidents that are wholly preventable The last Never Event occurred in January 2020 which was the only incident in the last 5 years.

Serious Incidents

0 1 2 3 4 5

Serious incidents There were no serious incidents declared in August.

2018-19 2019-20 2020-21 2021-22 2022-23

Serious incident

Stepped down

38

7