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The framework explains definitions and thresholds, how near misses may be assessed, and approaches for risk management and prioritisation. 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Ops. |  | Commissioning Strategy |  |\n| Finance |  |  |  |  |  |\n\n\n| Publications Gateway Reference: |  |  | 03198 |  |\n| --- | --- | --- | --- | --- |\n| Document Purpose Policy |  |  |  |  |\n| Document Name Serious Incident Framework |  |  |  |  |\n| Author NHS England Patient Safety Domain |  |  |  |  |\n| Publication Date 27 March 2015 |  |  |  |  |\n| Target Audience CCG Clinical Leaders, CCG Accountable Officers, Care Trust CEs,\u003Cbr>Foundation Trust CEs , Medical Directors, Directors of Nursing |  |  |  |  |\n| Additional Circulation\u003Cbr>List |  |  |  |  |\n| Description This revised framework explains the responsibilities and actions for\u003Cbr>dealing with Serious Incidents and the tools available. It outlines the process and procedures to ensure that Serious Incidents are identified correctly, investigated thoroughly and, most importantly, learned from to prevent the likelihood of similar incidents happening again. |  |  |  |  |\n| Cross Reference\u003Cbr>Revised Never Events Policy and Framework |  |  |  |  |\n| Superseded Docs\u003Cbr>(if applicable) | Serious Incident Framework March 2013 |  |  |  |\n| Action Required\u003Cbr>Implement policy within organisations providing NHS funded care |  |  |  |  |\n| Timing / Deadlines\u003Cbr>(if applicable) | To be implemented from 1 April 2015 |  |  |  |\n| Contact Details for further information | Patient Safety Domain NHS England Skipton House\u003Cbr>80 London Road London\u003Cbr>SE1 6LH |  |  |  |\n| Document Status\u003Cbr>This is a controlled document. Whilst this document may be printed, the electronic version posted on the intranet is the controlled copy. Any printed copies of this document are not controlled. As a controlled document, this document should not be saved onto local or network drives but should always be accessed from the intranet. NB: The NHS Commissioning Board (NHS CB) was established on 1 October 2012 as an executive non-departmental public body. Since 1 April 2013, the NHS Commissioning Board has used the name NHS England for operational purposes.” |  |  |  |  |\n\nSerious Incident Framework  \nFirst published: 2010  \nUpdated: March 2015  \nPrepared by: NHS England, Patient Safety Domain  \nContents  \nForeword from Dr Mike Durkin……………………………………………………………...5  \nSerious Incident Management at a glance ................................................................. 7  \nPolicy statement ......................................................................................................... 8  \nAcknowledgements .................................................................................................... 9  \nPurpose ...................................................................................................................... 9  \nIntroduction ............................................................................................................... 11  \nPart One: Definitions and Thresholds .................................................................. 12  \n1. What is a Serious Incident? ............................................................................... 12  \n1.1. Assessing whether an incident is a serious incident.......................................14  \n1.2. Can a ‘near miss’ be a serious incident? ........................................................15  \n1.3. How are serious incidents identified? .............................................................15  \n1.4. Risk management and prioritisation ...............................................................16  \n1.4.1. Prioritising ................................................................................................ 16  \n1.4.2. Opportunities for investing time in learning .............","cbCaifF6TFC6jcot","https://ap.wps.com/l/cbCaifF6TFC6jcot","pdf",1951523,"English","# Serious Incident Management at a glance\n## Policy statement\n## Acknowledgements\n# Purpose\n# Introduction\n## Part One: Definitions and Thresholds\n### What is a Serious Incident?\n#### Assessing whether an incident is a serious incident\n#### Can a 'near miss' be a serious incident?\n#### How are serious incidents identified?\n#### Risk management and prioritisation\n##### Prioritising\n##### Opportunities for investing time in learning\n##### Prevalence\n#### Framework application and interfaces with other sectors\n##### Deaths in Custody where health provision is delivered by the NHS\n##### Serious Case Reviews and Safeguarding Adult Reviews\n##### Domestic Homicide Reviews\n##### Homicide by patients in receipt of mental health care\n##### Serious Incidents in National Screening Programmes\n## Part Two: Underpinning Principles\n### Seven Key Principles\n## Accountability\n### Involvement of multiple commissioners\n### Involvement of multiple providers\n# Roles and Responsibilities for Managing Serious Incident\n## Providers of NHS-funded care\n## Commissioners of NHS-funded care\n## NHS England\n### Care Quality Commission (CQC)\n### Monitor\n### NHS Trust Development Authority (TDA)","[{\"question\":\"What does the Serious Incident Framework focus on?\",\"answer\":\"It describes responsibilities and actions to ensure serious incidents are identified correctly, investigated thoroughly, and used for learning to prevent recurrence.\"},{\"question\":\"How does the framework define and assess a serious incident?\",\"answer\":\"It explains what constitutes a serious incident, how to assess whether an event meets the threshold, and how near misses can be considered.\"},{\"question\":\"Who is responsible for managing serious incidents in NHS-funded care?\",\"answer\":\"The framework sets out roles for providers, commissioners, and NHS England, including key oversight interfaces.\"}]","Serious Incident Framework - Supporting learning to prevent recurrence | PDF",31]