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Any incident on an NHS site, or elsewhere, whilst in NHS-funded or NHS-regulated care involving:
- NHS patients/clients/service users, relatives or visitors, or
- Staff, including students undertaking clinical or work experience, and/or their tutors
- Contractors, equipment, building or property.
Leading to:
-
- Causes death or serious injury or was life threatening
- Contributes to a pattern of sustained reduction in standards of care
- Involves a hazard to public health, including major toxic contamination or radiation hazard
- Involves the absconding or escape of a detained mental health patient who is considered at risk to themselves or others
- Relates to fraud or suspected fraud; or may, or did, give rise to a significant claim for damages or to legal
proceedings - Has involved the exclusion (suspension) of a member of clinical staff, or a student on clinical attachment, for reasons associated with patient care, which are potentially high impact
- Raises concern following an inquest or is likely to cause significant interest at an inquest
- Involves an episode of restraint that results in trauma to patients or staff
- Involves significant health care associated infections
- Is a death in custody, e.g. prison, probation hostels and immigration detention accommodation.
Note. Excluded from this definition, are adverse outcomes reasonably associated with routine NHS activity such as major surgical procedures.
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