A policy on Never Events was introduced in the NHS in England from April 2009, following its proposal in High Quality Care for All.
Implementation of Never Events is phased. The first phase was from April 2009 to March 2010. The NPSA published a core list of eight Never Events for 2009/10.
Following preliminary feedback from the NHS, initial data from the Reporting and Learning System, and recommendations in The operating framework for the NHS in England 2010/11, this update of the Never Events framework outlines new aspects for 2010/11 with regard to:
- strengthening discussion and reporting of Never Events;
- refinements to the core list of Never Events; and
- seeking recovery of cost if a Never Events occurs.