Safeguarding remains a standing agenda item within weekly clinical quality and patient safety meetings. This provides teams with a structured forum to discuss concerns, reflect on cases, share learning, and support one another, while ensuring appropriate actions are taken to protect patients and service users from harm. An annual safeguarding compliance audit is undertaken by the NPC safeguarding lead. The most recent audit, completed in April 2026, identified three areas for improvement. Subsequent actions and implementation of a full review of the organisational All-Age Safeguarding Policy then demonstrated 100% compliance against expected standards. 3.5 Incident Reporting and Learning Incident reporting and learning are fundamental to improving patient safety, enabling organisations to identify risks, reflect on practice, and drive continuous improvement through shared learning.
Area
Summary for Quality Account Reporting
We promote openness, transparency, and compassionate engagement, ensuring patients, families and staff are actively involved following incidents. Duty of Candour is embedded, with timely communication, explanation, and learning informed directly by patient feedback. A system-focused approach has been adopted, emphasising learning from underlying causes rather than individual blame. Implementation is progressing across services, with further rollout planned to ensure consistent adoption. Incidents are managed proportionately, with simpler events addressed through local learning and more complex incidents subject to structured review, ensuring resources are aligned to risk and improvement potential. Strengthened governance arrangements ensure patient safety insights are reviewed from service level through to Board, supporting organisational learning, accountability, and continuous improvement. A just culture is actively promoted, encouraging staff to report concerns without fear of blame. The NHS “Being Fair” framework supports fair, consistent decision-making and focuses on system improvement. Learning from incidents is triangulated with feedback, complaints, and audit data to inform improvements, enhancing service quality, access, and patient experience.
Compassionate Engagement and Involvement
Systems-Based Learning (PSIRF)
Proportionate Response
Governance and Oversight
Just and Learning Culture
Continuous Improvement
Norfolk Primary Care - Quality Account 2025/26
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