Sign up to Safety and the NHS Litigation Authority

The NHS Litigation Authority has committed to support the Sign up to Safety campaign in two distinct ways:
1.    The safety and learning strategy at the NHS LA supports the overarching goal of reducing avoidable harm by 50% and saving 6000 lives in across the NHS in England. To find out more and see the NHS LA 5 pledges for Sign up to Safety, click here.
2.    The NHS LA has provided financial incentives to members who are participants of Sign up to Safety that have stated explicitly that their local safety improvement plan will address particular areas that relate to higher value and/or higher volume claims.
Sign up to Safety provides a platform for the sharing of knowledge, experience and innovation across the NHS. This year, the NHS Litigation Authority awarded £18m to NHS organisations that developed safety improvement initiatives to drive improvements in patient safety and reduce litigation claims. We need to celebrate the innovation of NHS staff and share the learning from these initiatives that are flourishing as a result of local ownership and accountability for patient safety. The vast majority of care provided by the NHS is safe but sometimes mistakes are made. When things do go wrong, we need to admit mistakes promptly, say we’re sorry, provide appropriate redress and most importantly, learn from preventable harm to prevent it reoccurring.
The NHS LA are delighted to have supported this campaign with an incentivisation scheme for its members and up to £18m has been awarded to trusts across the country for safety improvement initiatives which were linked to claims reduction. The NHSLA have used this initiative to support trusts and help to create the environment for conversations to help reduce harm to patients and the financial burden to the NHS through learning from claims.
Helen Vernon | Chief Executive
NHS Litigation Authority (NHS LA)
Denise Chaffer | Director of Safety, Learning and People
NHS Litigation Authority (NHS LA)
Safety Resources
For information and resources on bids click here.
Outcome of Bids to the NHS LA
Halving avoidable harm in the NHS over the next three years and saving 6000 lives is the ambition of the national Sign up to Safety Campaign launched by the Secretary of State for Health in June 2014. As a key member of the National Coordinating and Support Group, the NHS LA provided support to the campaign, including offering financial incentives to those organisations that evidenced their Safety Improvement Plans would reduce harm and claims. Trusts were able to bid for a one off payment of up to 10% of their contribution to the Clinical Negligence scheme. The scorecards enabled Trusts to analyse where their safety improvement plans could evidence how they could reduce claims and harm.

The NHS LA received 249 bids from 114 member trusts across a wide geographical reach by the time of the closing date on 16 January 2015. The Safety and Learning Team assessed the Safety Improvement Plans and bids through robust governance processes with clinical and claims input against a defined set of criteria. Approved bids numbered 67 from a range of safety improvement areas, the top five focus areas being:
1.    Maternity - purchase of CTG electronic monitors, STAN (ST Segment’ analysis of the fetal ECG monitors), recruitment for 'second pair of eyes', central CTG monitoring and alert systems, remote access to tracings, training.
2.    Safety Culture - a range of human factors and cross cutting areas
3.    Surgical - includes training and equipment, human factors training in a number of surgical specialties particularly orthopaedics and neurological surgery
4.    A&E - improving missed and delayed diagnosis, diagnostics, 'hot' radiography reporting in 24 hours, performance feedback on missed diagnoses.
5.    Deteriorating patient - early and improved recognition, electronic flags, improved management pathways.
For information on the breakdown of successful and unsuccessful bids by region click here.
For information on the breakdown of categories of successful bids click here.
For information on the breakdown of the type of Trust submitting bids to the NHS LA and where these were successful or not click here.
For information on the funding allocation to successful bids in maternity, human factors, safety culture and A&E click here.
For information on the breakdown of funding allocated by Trust click here.
For examples of successful bids click here.
For information on next steps click here.
For FAQs click here.