member immediately returned to the blood pressure, premises to collect the document and temperature and apologise to the patient. The NCH&C pulse recorded Trust Policy precludes the use of against their handover documents away from base. name. Four The staff member had completed their patients had mandatory Information Governance future clinic Training programme within the appointment previous 12 month period. . times and dates beside their name. KENT COMMUNITY 16-Sep-14 Information Request was received from the The person's HEALTH NHS about 11-50 authority for a case conference report name, d.o.b, TRUST individuals for a child. The service had not seen gender, ethnicity, the child for a while, but compiled the NHS number, GP report and as was usual practice, sent surgery and a copy to the parents to the address address. There that they had on record. The address was also that was on record was not correct, information about and although the service checked on height and weight their system and the National Spine, measurements, the service did not check that this was immunisation the same address that was on the status and 2 A&E request for the information. attendances. Although the report was sent private There was also and confidential, with a return address the mother's on it in case of wrong delivery, the name d.o.b, recipient at the wrong address gender, ethnicity, opened the report. relationship to child and address. UNIVERSITY 28-Jul-14 Information Patient's partner read the Parental Medical Records HOSPITALS OF about less Vulnerability Documentation (Cause MORECAMBE BAY than 10 for Concern) regarding his domestic NHS TRUST individuals violence and controlling behaviour as the patient's hospital notes were left in the delivery room. Croydon Health 29-Sep-14 Information Patient A , got home and discovered Full Patient Services NHS Trust about 51-100 she had a discharged letter belonging demographics, individuals to Patient B. Concerned about delays Diagnosis, GP in Patient's B care, the discharged contact details. summary was sent to the GP address Details of by Patient A, using information in the medication letter. NOTTINGHAM 03-Jul-14 Information An email was received from a Letter contained UNIVERSITY about 11-50 patient's parent informing us that they patient HOSPITALS NHS individuals had received a letter addressed to a demographics TRUST local Doctor in regard to another child. and medical This letter had been attached to the condition of the back of a letter correctly addressed child/patient. and intended for this patient's parent
member immediately returned to the premises to collect the document and apologise to the patient. The NCH&C Trust Policy precludes the use of handover documents away from base. The staff member had completed their mandatory Information Governance Training programme within the previous 12 month period. . blood pressure, temperature and pulse recorded against their name. Four patients had future clinic appointment times and dates beside their name. KENT COMMUNITY HEALTH NHS TRUST 16-Sep-14 Information about 11-50 individuals Request was received from the authority for a case conference report for a child. The service had not seen the child for a while, but compiled the report and as was usual practice, sent a copy to the parents to the address that they had on record. The address that was on record was not correct, and although the service checked on their system and the National Spine, the service did not check that this was the same address that was on the request for the information. Although the report was sent private and confidential, with a return address on it in case of wrong delivery, the recipient at the wrong address opened the report. The person's name, d.o.b, gender, ethnicity, NHS number, GP surgery and address. There was also information about height and weight measurements, immunisation status and 2 A&E attendances. There was also the mother's name d.o.b, gender, ethnicity, relationship to child and address. UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS TRUST 28-Jul-14 Information about less than 10 individuals Patient's partner read the Parental Vulnerability Documentation (Cause for Concern) regarding his domestic violence and controlling behaviour as the patient's hospital notes were left in the delivery room. Medical Records Croydon Health Services NHS Trust 29-Sep-14 Information about 51-100 individuals Patient A , got home and discovered she had a discharged letter belonging to Patient B. Concerned about delays in Patient's B care, the discharged summary was sent to the GP address by Patient A, using information in the letter. Full Patient demographics, Diagnosis, GP contact details. Details of medication NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST 03-Jul-14 Information about 11-50 individuals An email was received from a patient's parent informing us that they had received a letter addressed to a local Doctor in regard to another child. This letter had been attached to the back of a letter correctly addressed and intended for this patient's parent Letter contained patient demographics and medical condition of the child/patient.
2014-Q3_Report%20of%20HSC%20Closed%20Level%202%20IG%20Serious%20Incidents_July%20to%20September%202014_V2_final.docx