BRIS-108 Response Historic

Conduct priority studies to establish baseline of NHS sentinel events

Recommendation

Major studies should, as a matter of priority, be carried out to investigate the extent and type of sentinel events in the NHS to establish a baseline against which improvements can be made and measured.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
No formal government response has been recorded for this recommendation. No independent verification has been carried out.
Sources
Based on tracking data in the inquiry database.
How was this evidence gathered?
Evidence searched by baseline-data-v1 on 26 May 2026
Checked data held on this site (government responses, progress updates, independent evidence)
Jurisdiction
UK-wide
Response
Historic

No government response recorded.

Source
Inquiry Bristol Heart Inquiry
Report Bristol Heart Inquiry — Final Report 18 Jul 2001
View Source
Themes & Tags
Quality and safety oversight Patient safety governance
Recommendation age 24.9 yrs
Last formal update No formal updates