The Christie NHS FT Annual Report & Accounts 2019-20

The Christie NHS Foundation Trust Annual Report & Accounts 2019-20

outcome of the root cause analysis is then presented to this review group. The same process is followed for complaints and claims and any concerning on-going trend of incidents of any grade. We also review our systems and processes in the light of national reports in order to ensure that similar incidents will not happen at The Christie. The data for the second half of 2019/20 is not formally closed down until the end of May 2020, therefore the data contained within these accounts is subject to further validation. Patient Safety Incidences The Christie is regarded nationally as a high reporting, low harm organisation. The Trust uploads information about its patient safety incidents into the National Reporting and Learning System (NRLS) on a monthly basis. Twice yearly reports are published and made available into the public domain by the NRLS, based on the incidents submitted by the Trust. In addition, monthly updates are published on the NHS Improvement website The Christie has a small number of in-patient beds, compared with other hospitals, and over 95% of its activity is ambulatory care (out patients and day cases).

Patient Safety Incidences

1000 1500 2000 2500 3000 3500 4000

2018/19 2019/20

0 500

No harm Low Moderate Severe Death Total

An increase from 2018-19 is shown with minor (low harm) and no harm incidents, whereas the number of moderate incidents and deaths has reduced and major incidents remains the same. The increase in low level and no harm is attributable to the following reasons • Increased reporting culture – supports learning from incidents to prevent them happening again • Continued increase in number of reactions to chemotherapy treatment (reportable in line with NRLS guidance). Treatment given as intended, no error has occurred • Change in incident reportable radiotherapy guidelines.

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