Role of supportive agencies
The NHS Litigation Authority, the National Patient Safety Agency (NPSA), whose functions have now been transferred to NHS England, and the Health Protection Agency (HPA) have supportive functions in promoting quality and safety across the NHS.
The inquiry focused on how the roles of these organisations might be enhanced, as well as how they relate to all other parts of health and social care in terms of access to and sharing of safety information.
The NHS Litigation Authority will introduce a new safety and learning service that will replace the current risk management standards and assessments,and provide members with support to learn from claims, to reduce harm and thereby reduce claims in the future.
The government has decided the functions of the NPSA should remain with NHS England, who will be held to account for improvement in patient safety in the NHS.
The Department of Health is also responding to the review led by Professor Don Berwick to ensure that the NHS strives for a continuous reduction in harm through implementing a whole-system approach to patient safety.
Public Health England, which since April 2013 has taken on the functions of the HPA, is working together with the Health and Social Care Information Centre to coordinate the collection, analysis and publication of information in relation to Healthcare Associated Infections.
Work is also underway to implement new arrangements for sharing expertise and escalating concerns with the Care Quality Commission, Monitor, NHS England and the NHS Trust Development Authority
Recommendation 101Peer review inspections for patient safety
Recommendation 102Patient safety data should be open for analysis
Recommendation 103Patient safety information shared with Monitor
Recommendation 104Care Quality Commission use of National Patient Safety Agency data
Recommendation 105Incident reports and standardised mortality ratio
Recommendation 106Healthcare associated infections surveillance
Recommendation 107Public Health England sharing information
Recommendation 108Support to local agencies – infection control