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FOI 2023 147 - Patient Safety Incident Reporting

 

Information Requested:

I am writing to submit a formal request for information under the Freedom of Information (FOI) Act 2000. My request relates to patient safety incident data required to be reported under the National Policy on Patient Safety Incident Reporting and Management. 

Please can you provide the following information: 

  • The number of patient safety incidents related to ophthalmic harm reported each month as per applicable national policy.

 

  • The number of reported patient safety incidents related to ophthalmic harm for patients who have categorised as health risk factor R1 under the requirements of the Eye Care Measures for NHS Outpatients. 

 

For each of the above points, please provide data disaggregated by Health Board, Trust or Special Health Authority in NHS Wales from the date the policy was brought into effect to present.

 

Information provided for the answer:

Thank you for your recent request dated 6th September 2023.

In relation to points 1 and 3 of the request, the below table summarises National Reportable Incidents (NRI) data for NRIs that have been coded by the reporting organisation as relating to ophthalmic services (variations for spelling have been included where identified) reported to the NHS Wales Delivery Unit (now part of the NHS Wales Executive) from 14 June 2021 to 20 September 2023. The level of harm the reporting organisation associated with the incident at the time the NRI report was made is also included.

 

Aneurin Bevan UHB

11 (total)

 

Apr 2023

1

Catastrophic

Jul 2023

7

Severe

Aug 2023

2

Severe

Sep 2023

1

Severe

Betsi Cadwaladr UHB

12 (total)

 

Nov 2021

2

Severe

Jan 2022

3

Severe

Feb 2022

2

Severe

Jun 2022

1

Severe

Sep 2022

1

Severe

Oct 2022

1

Severe

Nov 2022

1

Severe

Dec 2022

1

Moderate

Cardiff and Vale UHB

1 (total)

 

Jun 2023

1

None

Cwm Taf Morgannwg UHB

18 (total)

 

Feb 2022

4

Severe

May 2022

1

Severe

Jun 2022

2

Severe

Jul 2022

2

Severe

Aug 2022

2

Severe

Dec 2022

1

Low

Jan 2023

2

Severe

Mar 2023

1

Severe

Jul 2023

2

Severe

Aug 2023

1

Severe

Hywel Dda UHB

1 (total)

 

Aug 2022

1

Severe

Swansea Bay UHB

2 (total)

 

Sep 2021

2

Severe

Grand Total

45

 

 

In relation to point 2 of the request, the NHS Wales Executive does not collect data on patients who have categorised as health risk factor R1 as part of the NRI reporting processes so we are unable to respond to this point.

 

Please note the NHS Wales Executive are only able to provide data relating to Nationally Reported Incidents. Individual Health Boards, Trusts and Special Health Authorities in NHS Wales would need to be contacted directly in order to provide any detail in relation to locally reported incidents.

 

I have provided contact details for each Health Board below, you would need to contact them individually for this information.

 

Aneurin Bevan University Health Board

http://www.wales.nhs.uk/sitesplus/866/page/39187

Betsi Cadwaladr University Health Board

http://www.wales.nhs.uk/sitesplus/861/page/39134

Cardiff and Vale University Health Board

http://www.cardiffandvaleuhb.wales.nhs.uk/freedom-of-information-new

Cwm Taf Morgannwg University Health Board

https://cwmtafmorgannwg.wales/foi/

Swansea Bay University Health Board

https://sbuhb.nhs.wales/about-us1/foia/

Hywel Dda University Health Board

http://www.wales.nhs.uk/sitesplus/862/page/52085

Powys Teaching Health Board

http://www.powysthb.wales.nhs.uk/freedom-of-information

 

 


If you are unhappy with the service you have received in relation to your request and wish to make a complaint or request a review of the decision, you should write to the Corporate Complaints Manager, Public Health Wales NHS Trust, 3, Number 2, Capital Quarter, Tyndall Street, Cardiff, CF10 4BZ.

If you are not content with the outcome of your complaint or review, you may apply directly to the Information Commissioner for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the Trust. The Information Commissioner can be contacted at:

Information Commissioner for Wales
2nd Floor
Churchill House
Churchill Way
Cardiff
CF10 2HH

Telephone: 029 2067 8400
Email: wales@ico.org.uk