Incident Reporting

As part of the Care Quality Commission (CQC) registration, every GP practice should have an incident policy/procedure in place in to investigate all incidents, including non-clinical incidents, near-misses and serious incidents (SIs), which take place at the practice.

Practice staff should use the National Reporting and Learning System (NRLS) GP e-form to report all patient safety incidents and near-misses, whether they result in harm or not, as soon as they are identified and prior to the investigation commencing.

These reports are used by to spot any emerging patterns of similar incidents or anything of particular concern. This will help protect patients by raising awareness of the risks through shared learning with general practices and other health providers across the country.

Reporting incidents to a national central system helps protect patients from avoidable harm by increasing opportunities for the NHS to learn when things go wrong.

The NHS England Patient Safety Domain uses patient safety incident reports submitted to the NRLS to identify key themes and trends, and take action at a national level to prevent similar incidents from occurring, often via Patient Safety Alerts.

The Patient Safety team at NHSE/I shared GP e-forms with CCGs.

By reporting a patient safety incident to the NRLS, you can gain CPD credits. When you report a patient safety incident to the NRLS using the GP e-form, you will automatically be sent a CPD/Serious Event Analysis (SEA) template for appraisal and revalidation. This can also be used as evidence for CQC inspections.

Further Information

Reporting Events and Serious Incidents to CQC

It is a requirement of CQC registration that GP practices report all events that indicate, or may indicate, risks to compliance with registration requirements or that may require changes to practice information on the CQC register. For more on the CQC's essential standards of quality and safety, see the CQC website.

The Central Alerting System (CAS) is an online cascading system for issuing patient safety alerts, important public health messages and other safety-critical information and guidance to the NHS and others, including independent providers of health and social care. Providers can register to receive these alerts through the MHRA website.