Never events

Document first published:
Page updated:
Publication type:

The Never Events policy and framework sets out the NHS’s policy on Never Events. It explains what they are and how staff providing and commissioning NHS-funded services should identify, investigate and manage the response to them. It is relevant to all NHS-funded care.



This document was last updated in February 2021. Details of changes can be found on the Revised Never Events policy and framework web page.


This document highlights barriers identified in Patient Safety Alerts issued by the former National Patient Safety Agency that NHS organisations still need to routinely consider as part of clinical governance and ensure are embedded in clinical practice to prevent Never Events.