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FOI 2023 147 – Cofnodi Achosion Diogelwch Cleifion

Cyfeirnod Rhyddid Gwybodaeth: FOI 2023 147

Dyddiad derbyn y cais:

Dyddiad y disgwylir anfon yr wybodaeth:

Gwybodaeth y gofynnwyd amdani:

Cyflwynwyd y cais rhyddid gwybodaeth hwn drwy gyfrwng y Saesneg, felly yn Saesneg yn unig mae Iechyd Cyhoeddus Cymru wedi ymateb.

I am writing to submit a formal request for information under the Freedom of Information (FOI) Act 2000. My request relates to patient safety incident data required to be reported under the National Policy on Patient Safety Incident Reporting and Management.

Please can you provide the following information:

  • The number of patient safety incidents related to ophthalmic harm reported each month as per applicable national policy.

 

  • The number of reported patient safety incidents related to ophthalmic harm for patients who have categorised as health risk factor R1 under the requirements of the Eye Care Measures for NHS Outpatients.

 

For each of the above points, please provide data disaggregated by Health Board, Trust or Special Health Authority in NHS Wales from the date the policy was brought into effect to present.


Gwybodaeth a ddarparwyd ar gyfer yr ateb:

Thank you for your recent request dated 6th September 2023.

In relation to points 1 and 3 of the request, the below table summarises National Reportable Incidents (NRI) data for NRIs that have been coded by the reporting organisation as relating to ophthalmic services (variations for spelling have been included where identified) reported to the NHS Wales Delivery Unit (now part of the NHS Wales Executive) from 14 June 2021 to 20 September 2023. The level of harm the reporting organisation associated with the incident at the time the NRI report was made is also included.

 

Aneurin Bevan UHB 11 (total)  
Apr 2023 1 Catastrophic
Jul 2023 7 Severe
Aug 2023 2 Severe
Sep 2023 1 Severe
Betsi Cadwaladr UHB 12 (total)  
Nov 2021 2 Severe
Jan 2022 3 Severe
Feb 2022 2 Severe
Jun 2022 1 Severe
Sep 2022 1 Severe
Oct 2022 1 Severe
Nov 2022 1 Severe
Dec 2022 1 Moderate
Cardiff and Vale UHB 1 (total)  
Jun 2023 1 None
Cwm Taf Morgannwg UHB 18 (total)  
Feb 2022 4 Severe
May 2022 1 Severe
Jun 2022 2 Severe
Jul 2022 2 Severe
Aug 2022 2 Severe
Dec 2022 1 Low
Jan 2023 2 Severe
Mar 2023 1 Severe
Jul 2023 2 Severe
Aug 2023 1 Severe
Hywel Dda UHB 1 (total)  
Aug 2022 1 Severe
Swansea Bay UHB 2 (total)  
Sep 2021 2 Severe
Grand Total 45  

 

In relation to point 2 of the request, the NHS Wales Executive does not collect data on patients who have categorised as health risk factor R1 as part of the NRI reporting processes so we are unable to respond to this point.

 

Please note the NHS Wales Executive are only able to provide data relating to Nationally Reported Incidents. Individual Health Boards, Trusts and Special Health Authorities in NHS Wales would need to be contacted directly in order to provide any detail in relation to locally reported incidents.

 

I have provided contact details for each Health Board below, you would need to contact them individually for this information.

 

Aneurin Bevan University Health Board

http://www.wales.nhs.uk/sitesplus/866/page/39187

Betsi Cadwaladr University Health Board

http://www.wales.nhs.uk/sitesplus/861/page/39134

Cardiff and Vale University Health Board

http://www.cardiffandvaleuhb.wales.nhs.uk/freedom-of-information-new

Cwm Taf Morgannwg University Health Board

https://cwmtafmorgannwg.wales/foi/

Swansea Bay University Health Board

https://sbuhb.nhs.wales/about-us1/foia/

Hywel Dda University Health Board

http://www.wales.nhs.uk/sitesplus/862/page/52085

Powys Teaching Health Board

http://www.powysthb.wales.nhs.uk/freedom-of-information

 

 

If you are unhappy with the service you have received in relation to your request and wish to make a complaint or request a review of the decision, you should write to the Corporate Complaints Manager, Public Health Wales NHS Trust, 3, Number 2, Capital Quarter, Tyndall Street, Cardiff, CF10 4BZ.

If you are not content with the outcome of your complaint or review, you may apply directly to the Information Commissioner for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the Trust. The Information Commissioner can be contacted at:

Information Commissioner for Wales
2nd Floor
Churchill House
Churchill Way
Cardiff
CF10 2HH

Telephone: 029 2067 8400
Email: [email protected]