This document describes the process for managing the risks associated with the reporting of all clinical/non-clinical incidents, reportable both internally and externally, involving staff, patients and others.



  • To ensure timely and appropriate follow-up to incidents, concerns, near misses, both clinical and non-clinical, and unexpected clinical outcomes
  • To identify factors contributing to these events and to develop skills in root cause analysis
  • To identify trends, locally and trust wide
  • To provide a means for identifying preventative measures or procedural changes that need to be made in order to eliminate or reduce risk of accident, injury, damage or loss
  • To provide a means for evaluating the effectiveness of control measures designed to improve safety for patients, staff and visitors
  • To help ensure the safety of patients, visitors and staff and to reduce the costs of litigation
  • To meet national, regional, local and legal reporting requirements
  • To ensure that patients or their relatives receive appropriate information about incidents in which they were involved
  • To provide feedback to divisions / departments and appropriate wider audiences so that the information may be used for learning
  • To ensure all individuals receive a full and honest response, which provides an account of what happened, why it happened, and, if appropriate, any action(s) taken to avoid recurrence.


Policy Details

Download: PDF version
Compiled by: Head of Patient Safety and Improvement
Ratified by: Risk and Scrutiny Committee (Chairman’s Action)
Date Ratified: March 2014
Date Issued: March 2014
Review Date: March 2017
Target Audience: All staff
Contact name: Head of Patient Safety and Improvement


See also:

  • Communications Strategy
  • Whistle Blowing Policy
  • Policy for the management, use and disposal of medical devices
  • Policy for Handling Press enquiries
  • Health & Safety Policy
  • Management of non-clinical claims
  • Being Open Policy
  • Handling of Clinical Negligence Claims Policy
  • Management and Reduction of Stress Policy.
  • Risk Assessment Tool
  • Management of Needle Stick Injuries, Human Bites &
  • Contamination Accidents Policy
  • Learning, Education & Development Policy
  • Complaints Policy