This is a brief supporting article of the July 2020 review, First Do No Harm, the report of the independent medicines and medical devices safety review by Baroness Cumberlege.
With a new Patient Safety Commissioner to be appointed by the Government, the article criticises the lack of action taken by the healthcare system to evaluate and act on clinical negligence data as a means of increasing patient safety. They highlight that whilst it has been mandatory for NHS organisations to report on patient incidents resulting in severe harm or death since 2010, the number of these incidents during this period has increased by 2%.
The current approach to patient safety is impossibly fragmented. It is a patchwork quilt of programmes, recommendations and reports which is inefficient and lacks coherent leadership.