We are concerned there is far too little data on the factors behind clinical negligence, given its huge impact on people’s lives and NHS finances. Behind every clinical negligence claim is a tragic incident of patient harm. We were disappointed that neither the Department nor NHS England could adequately explain how the NHS uses its extensive data on patient harm to identify and address the underlying causes of clinical negligence. Data is not routinely reviewed at a national level as NHS England claim there is no direct connection between data on patient harm 4 and clinical negligence claims. NHS Resolution has committed to making better use of its extensive claims database and to explore options to extract more detailed insight on the causes of harm to prevent the same things happening again. However, we remain concerned that poor investment in data analytics will leave the NHS lagging behind the private sector, where legal firms are now using artificial intelligence to triage clinical negligence claims on an industrial scale. One person we spoke to at our private roundtable described the English NHS having a plethora of data and no information, adding that we need more NHS data in one place. recommendation a. The Department should establish a national system for sharing data between trusts and analysing trends. If there are barriers to sharing protected data, it should develop analysis on an anonymised basis to pull out lessons and provide early warning alerts to trusts. b. The Department, NHS England and NHS Resolution should explore the use of artificial intelligence to analyse live data, detect discrepancies and outliers quickly, and improve the speed of early warning systems.