Serious Incident Framework

As of 1 April 2016, Patient Safety is now part of NHS Improvement.

Find out more about how NHS Improvement works.

The revised Serious Incident Framework published in March 2015 builds on previous guidance that introduced a systematic process for responding to serious incidents in NHS-funded care. It replaces, the National Patient Safety Agency (NPSA) National Framework for Reporting and Learning from Serious Incidents Requiring Investigation (2010) and NHS England’s Serious Incident Framework (March 2013).

The framework takes account of the changes within the NHS landscape and acknowledges the increasing importance of taking a whole-system approach, where cooperation, partnership working, thorough investigation and analytical thinking is applied to ensure organisations identify and learn what went wrong, how it went wrong and what can be done to minimise the risk of the incident happening again.

The Serious Incident Framework should be read in conjunction with the Never Events Policy and Framework.

European Convention on Human Rights Article 2: investigations into mental health incidents

The Department of Health have updated their guidance on investigations and the application of Article 2 of the European Convention on Human Rights.  This should be read in conjunction with the NHS England Serious Incident Framework