Cross-Administration Patient Safety Coordination
Coordination of patient records with devolved governments:
Consideration should be given by the national healthcare administrations in England, Scotland, Wales and Northern Ireland, to further coordination of their approaches particularly to ensure that patterns of harm, or trends, are identified and any response which for the sake of patient safety would be better coordinated than left to each individual administration can collaboratively be agreed and implemented.
- Wales stated it was implementing Datix Cymru for incident reporting with an oversight assurance function (Government Response to the Infected Blood Inquiry, Cabinet Office, December 2024).
- No published outcome from the four-nation coordination working group has been identified to March 2026.
How was this evidence gathered?
Response
Accepted
Response
AcceptedNHS England operates the Learn From Patient Safety Events service, analysing approximately 3 million incidents annually. Scotland requires Health Boards to notify Healthcare Improvement Scotland of significant adverse events. Coordination mechanisms continue developing across the four nations.
Published Evidence
Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.
As of 13 January 2026: 3,721 people asked to start claims, 3,546 begun process, 3,074 received offers totalling £2.47bn, 2,861 paid totalling £1.89bn. Third compensation regulations in force 31 December 2025.
View detailed findings
IBCA exceeded initial expectations. Three sets of regulations now in force covering infected persons, affected persons, and supplementary routes. £11.8bn committed in October 2024 Budget. Independent review found "very creditable progress."
IBCA has contacted 2,215 people to begin compensation claims; 1,934 started process. £812m+ paid via Horizon Shortfall Scheme. £11.8bn committed in Autumn Budget.
View detailed findings
IBCA exceeded expectations for first cohort and established operational service with "compassionate ethos." Target: bulk of infected payments by 2027, affected by 2029. Third compensation scheme regulations came into law 31 December 2025.