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Community Pharmacy Patient Safety Incident Reporting Wales

1. Community Pharmacy Patient Safety Incident Reporting Wales

Community pharmacies are required under the Clinical Governance requirements for community pharmacies in Wales to report appropriate patient safety incidents.

Following the de-commissioning of the National Reporting and Learning System (NRLS) on 31 March 2022, the Once for Wales Concerns Management System (Datix Cymru) will be made available for all community pharmacy contractors, as a successor to NRLS, to report patient safety incidents to the relevant Health Board in NHS Wales from 1 April 2022.

The Once for Wales Concerns Management System (Datix Cymru) provides a consistent Cloud based solution for incident reporting across NHS Wales and was launched on 1 April 2021. The System is supported by a Central Team based in NHS Wales Shared Services Partnership (NWSSP) and will allow the capture of patient safety incidents and enable analysis of data within Wales.

This revised approach to incident reporting has been agreed by Welsh Government, supported by the Once for Wales Concerns Management Central Team based in NHS Wales Shared Services Partnership (NWSSP).

 

2. Patient Safety Incident Reporting

A patient safety incident is:

‘’any unintended or unexpected incident that could have or did lead to harm for one or more patients receiving NHS-funded healthcare’’.

A near miss, referred to by the NPSA as a prevented patient safety incident, is defined as:

“any unexpected or unintended incident that was prevented, resulting in no harm to one or more patients receiving NHS-funded healthcare. The incident could have been prevented by an action, an individual, timing, or by chance or luck.”

 

Examples of patient safety incidents include:

  • No harm – impact prevented (near miss) – error noticed before medicine was handed over to patient.
  • No harm – impacted not prevented – error noticed by someone other than pharmacy staff, but none was used or taken.
  • Low harm - error noticed by someone other than pharmacy staff, medicine used or taken but no harm done.
  • Moderate – patient used or took medicine which caused noticeable side effects.
  • Severe - patient used or took medicine which caused hospitalisation.
  • Death

 

The following links will direct you to the relevant Health Board to enable an incident form to be completed:

Aneurin Bevan University Health Board

Logged In

https://aneurinbevan.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=15&module=INC

Logged Out

https://aneurinbevan.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=16&module=INC


Betsi Cadwaladr University Health Board

Logged In

https://betsi.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=14&module=INC

Logged Out

https://betsi.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=15&module=INC


Cardiff and Vale University Health Board

Logged In

https://cardiffandvale.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=13&module=INC

Logged Out

https://cardiffandvale.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=14&module=INC


Cwm Taf Morgannwg University Health Board

Logged In

https://cwmtaf.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=16&module=INC

Logged Out

https://cwmtaf.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=17&module=INC


Hywel Dda University Health Board

Logged In

 

https://hyweldda.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=17&module=INC

 

Logged Out

https://hyweldda.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=18&module=INC


Powys Teaching Health Board

Logged In

https://powys.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=15&module=INC

 

Logged Out

https://powys.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=16&module=INC


Swansea Bay University Health Board

Logged In

https://swanseabay.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=17&module=INC

Logged Out

https://swanseabay.private.prod-uk.datixcloudiq.co.uk/capture/?form_id=18&module=INC


 

3. Help with Incident Reporting

The Once for Wales Concerns Management Central Team are based in NHS Wales Shared Services Partnership (NWSSP) and host this website. If you have any queries regarding the reporting process or any technical issues, please contact:

OnceForWales.CMS@wales.nhs.uk – this inbox is monitored Monday to Friday 0900-1700.

A short user guide (PDF, 526KB) to assist with the reporting process.

 

4. User Feedback

We would be pleased to receive any feedback on the reporting process to inform improvements please email the Once for Wales Concerns Management Central Team:

OnceForWales.CMS@wales.nhs.uk

 

5. Supporting information

  1. Clinical governance requirements for community pharmacies in Wales (2012). Welsh Government.
  2. Professional Standards for Error Reporting (2016) The Royal Pharmaceutical Society (RPS).
  3. GPhC standards for pharmacy professionals https://www.pharmacyregulation.org/standards
  4. Hard copy version of form
  5. Medication Codes