Management of Adverse Events: Review Report NHS 24

Reviewing NHS boards’ governance arrangements and processes for managing adverse events helps us to identify whether appropriate learning and improvement is taking place to reduce the risk of events happening again.Our reviews focus on the six key recommendations (18–23) for NHS boards from the NHS Ayrshire & Arran report (2012) to provide assurance that NHS boards are effectively managing adverse events. We measure NHS boards against the recommendations within the NHS Ayrshire & Arran report and against their own policies.Our 2013 review of NHS 24's governance arrangements and processes for managing adverse events involved:an analysis of evidence provided by NHS 24, anda visit to NHS 24 on Thursday 31 October 2013This report highlights areas of strengths as well as areas for further improvement, including recommendations for actions.