All National Patient Safety Alerts are required to meet NaPSAC’s thresholds and standards, which include working with patients, frontline staff and experts to ensure alerts provide clear, effective actions to reduce the risk of death or disability. Our patient safety team was the first national body accredited to issue National Patient Safety Alerts by the National Patient Safety Alerting Committee (NaPSAC). In November 2019 we began issuing alerts as ‘National Patient Safety Alerts’.
These ‘giants’ of patient safety have complex causes and no simple solutions, and are the focus of long-term programmes including a range of national safety improvement programmes, led by us, as outlined in the NHS Patient Safety Strategy. This process does not include the more common patient safety challenges, such as reducing diagnostic error, preventing self-harm, avoiding falls or managing long-term anticoagulation, as they are already well recognised. When we identify these issues, we work with frontline staff, patients, professional bodies and partner organisations to decide if we can influence or support others to act or, if we need to, we will issue a National Patient Safety Alert that sets out actions healthcare organisations must take to reduce the risk. New or under-recognised patient safety issues that require national action are identified through clinical review of incidents reported to our national reporting system and other sources. Providers will not be penalised for prioritising care over alert compliance. Providers are encouraged to continue to work to become compliant with present and future alerts, but they should be pragmatic about what is possible and at all times prioritise the delivery of frontline healthcare. However, alerts will be prioritised to take account of current COVID-19 circumstances and the actions required will reflect what is feasible at this time. These actions will be issued in the form of National Patient Safety Alerts. We are continuing to routinely process and review patient safety incident reports and, where appropriate, use this information to identify actions that organisations can take to reduce risks.
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