Standardise, educate, harmonise: Commissioning the conditions for safer surgery Report of the NHS England Never Events Taskforce – 27 February 2014
“The main recommendations of the report cover three themes:
Standardise – The development of high-level national standards of operating department practice that will support all providers of NHS-funded care to develop and maintain their own more detailed standardised local procedures. The report also recommends the establishment of an Independent Surgical Investigation Panel to externally review selected serious incidents;
Educate – Consistency in training and education of all staff in the operating theatres, development of a range of multimedia tools to support implementation of standards and support for surgical safety training including human factors; and
Harmonise – Consistency in reporting and publishing of data on serious incidents, dissemination of learning from serious incidents and concordance with local and national standards taken into account through regulation.
In order to respond appropriately to the report’s recommendations, NHS England will engage and collaborate with a range of organisations to ensure the initiatives we develop are accessible, achievable and manageable; and also ensure that we develop the right kind of standard practice across NHS perioperative care, education, training and regulation.”