The Incident and Risk Team manage the process for recoding incidents and operational risks.

Manage the risk management systems including Datix and Ulysses

  • Provide training on the identification and reporting of incidents

  • Provide training and advice on the appropriate risk methodology, including the identification, scoring and mitigation of operational risks.

  • Facilitate learning and good practice through the dissemination of national Central Alerting System (CAS) alerts and internal Quality Practice Alerts (QPA)s.

The Trust Risk Management Policy promotes a culture of Ward to Board risk management. Risks are identified and scored at a team and divisional level with staff working with identified risk leads in the divisions. Each division reviews and provides oversight of the risks through a number of governance forums such has Divisional Safety Huddles.  Risks are also reviewed through a Trust wide Risk Management Group and referenced in a monthly risk report which is presented to the Board’s sub committees. Any risk that reached an extreme level (15 or above) are also place into the Board Assurance Framework (BAF) and reviewed by the Trust Board and the Executive Safety Huddle.

The Trust is committed to providing a safe environment for its patients/service users, staff and visitors as well as delivering high standards of care. It acknowledges that sometimes, in the course of providing healthcare, incidents can occur, some of which may have serious consequences for a patients / service users, their carers, families, staff and the public. In order to record and learn from such incidents the Trust uses Datix and Ulysses incident management systems, both of which are managed by the Datix Team. The team work in partnership with the governance leads in the divisions to improve the collection of data and the timeliness and accuracy of reporting.  

SA03 Reporting, Management, Review and Learning from Incidents

 

Quality Practice Alerts (QPA’s) are a fast, efficient, and dynamic communication method that supports all Mersey Care staff to learn from a range of events and guidance:

  • Adverse incidents, events and near misses

  • Complaints and claims

  • Clinical Audits and QRVs

  • Investigations

  • Risk registers

  • Best practice identified from the above and from other local and national sources

The QPA’s are drafted by the subject matter experts and disseminated out by via the CAS/QPA administrator to the divisional governance and clinical leads.  Click this link to access the QPA template and guidance and a full list of previous QPAs.

The Central Alerting System (CAS) is a web-based system used for issuing patient safety alerts and other safety critical guidance to the NHS and other health and social care providers. It brings together the Public Health Link (PHL) and the Safety Alert Broadcast System (SABS). Safety alerts, emergency alerts, drug alerts, Dear Doctor letters and medical device alerts will be monitored through Datix on behalf of the:

  • Medicines and Healthcare Products Regulatory Agency (MHRA)

  • National Patient Safety Agency (NPSA)

  • Department of Health

  • New ‘originating bodies’ as the need arises

There is a distinction between the two types of alerts sent via CAS:

  • Non-emergency alerts – issued on behalf of MHRA Medical Devices, the NPSA and the Department of Health Estates and Facilities, they have set deadlines for acknowledgment and completion of actions. NHS Trusts are required to submit responses on the action they have taken on alerts and are monitored on their compliance

  • Emergency alerts that do not have deadlines, these relate to how quickly the information contained should be cascaded onwards and do not require a response. They are also sent to all Medical Directors and Chief Executives of NHS Trusts

All CAS alerts are monitored and distributed by the teams CAS/QPA administrator through Datix to allow for a complete audit trail for distribution and completion of actions.

SA07 HS6 Standard Operating Procedure for Management of the Central Alert System (CAS)

Key functions

Contacts

 

Name

Telephone

Email

Trust Risk Manager

 

CAS/QPA Administrator

 

Incident Management system administration

Frank Westhead

 

Barbara Martin

 

 

Chris Jones / Claire Jennings

0151 472 4084

 

 

0151 472 7437

 

0151 472 4543

0151 478 6901

 

 

Frank.Westhead@merseycare.nhs.uk

 

 

barbara.martin@merseycare.nhs.uk

 

 

Datixadmin@merseycare.nhs.uk

 

For staff in Mid-Mersey Division please contact risk@merseycare.nhs.uk

 

How do I raise a risk onto the register?

Speak to your divisional risk lead who will guide you through the process of recording, scoring the risk and applying the appropriate controls and actions. A list of divisional risk leads is included below.   

Secure and Specialist LD

Sarah Pilling: 0151 471 2221

Sarah Caine: 0151  471 2626

Paul Conchie (Ext)  3855 (need to check prefix)

Local Division

Emma Howell 0151 527 3444

Louise Gange 0151 527 3471

Community

Maria Caves 07443 237833

Mid Mersey

Sharon Mageean 07917 594702

Justina Mawson 07789 864923

Corporate

Frank Westhead 0151 472 4084

Barbara Martin 0151 472 7437

Do I need an account to log an incident on Datix?

No, any member of staff can report an incident on Datix an account is not required. You only need an account if you are reviewing an incident. 

How can I access incident and Risk training?

Due to Covid restrictions training is currently provided by the Datix Team over Microsoft Teams. Please email the team on datixadmin@merseycare.nhs.uk to arrange a training session.

For staff in Mid-Mersey Division please contact risk@merseycare.nhs.uk

How do I reset my password on Datix?

The system has a self-service function to reset your password. Click on the link just below the Log in button or you can click on the link here.

For staff in Mid Mersey Division please use this link.