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Addressing the challenges

This updated Operating Model continues to address six contemporary challenges. Challenge 1: Keeping general practice and patients safe Challenge 2: Supporting general practice deliver their contracted services Challenge 3: Enabling service improvement, transformation and digital innovation Challenge 4: Supporting new models of care and contracts Challenge 5: Supporting general practice meet patients’ digital expectations Challenge […]

Inadvertent oral administration of potassium permanganate

A joint National Patient Safety Alert has been issued by the NHS England and NHS Improvement National Patient Safety Team and the British Association of Dermatologists on the risk of inadvertent oral administration of potassium permanganate. National Patient Safety Alert – Inadvertent oral administration of potassium permanganate About this alert Potassium permanganate is routinely used […]

Medication safety

This page is part of the wider ‘enduring standards that remain valid from previous patient safety alerts‘ set of webpages. Medication-related incidents remain one of the most frequently reported categories of patient safety incidents, accounting for about 10% of reported incidents. National organisations such as the Royal Pharmaceutical Society (RPS), Specialist Pharmacy Service (SPS), Medicines […]

Enduring standards that remain valid from previous patient safety alerts

These webpages identify content and actions from previous patient safety alerts issued up to November 2019 by the NHS England and NHS Improvement National Patient Safety Team (or its predecessor organisation, the NPSA), that have been identified following clinical review as an ongoing enduring standard. These are standards that remain valid to a specific speciality […]

The National Patient Safety Committee

The National Patient Safety Committee was established in 2021, bringing key national healthcare organisations together to address complex patient safety issues that require cross-organisation effort and input to make care safer within the NHS. The committee has since been combined with NHS England’s NHS Patient Safety Strategy Oversight Committee and so also provides oversight of […]

Distinguishing between haemofilters and plasma filters to reduce mis-selection

Through its core work to review patients safety events recorded on national systems such as the National Reporting and Learning System (NRLS), the new Learn from Patient Safety Events service (LFPSE), and other sources, the National Patient Safety Team identified  issues around distinguishing between haemofilters and plasma filters to reduce mis-selection. Following review of a […]

Reviewing patient safety events and developing advice and guidance

The patient safety review and response and advice and guidance teams perform a core function within the National Patient Safety team,  working to review and analyse sources of information on patient safety events to identify new or under recognised risks. These teams then lead on the development of advice and guidance to support the NHS […]

Using patient safety events data to keep patients safe

A core part of the work of the National Patient Safety Team is to identify patient safety risks that occur in the delivery of healthcare. We then develop advice and guidance to support the NHS to take action to address those risks and keep patients safe. To do this we: review patient safety events recorded […]

Infection risk when using FFP3 respirators with valves or Powered Air Purifying Respirators (PAPRs) during surgical and invasive procedures

A National Patient Safety Alert has been issued on the infection risk when using FFP3 respirators with valves or Powered Air Purifying Respirators (PARPs) during surgical and invasive procedures. National Patient Safety Alert – Infection risk when using FFP3 respirators with valves or Powered Air Purifying Respirators (PAPRs) during surgical and invasive procedures About this […]