Implementing SHOT Reports
Implementing SHOT reports:
That all NHS organisations across the UK have a mechanism in place for implementing recommendations of Serious Hazard of Transfusion (SHOT) reports, which should be professionally mandated, and for monitoring such implementation.
How was this assessed?
Response
Accepted in Part
Response
Accepted in PartUK Government
Work is underway to develop governance practices for the implementation of SHOT recommendations, with careful consideration given to the needs for standardisations and the needs of local organisations. Accreditation for SHOT as an organisation for the use of the Central Alerting System is under consideration, which will allow the use of the web-based cascading system to issue patient safety alerts. This will streamline SHOT recommendation cascade and maximise the visibility of recommendations in Trusts, which is funding dependent. Furthermore, SHOT is developing safety standards to provide guidance for NHS provider organisations.
Scottish Government
The Scottish Government established a short-life working group involving NHS staff, SNBTS and SHOT to consider how best to support Health Boards to implement recommendation 7e). This OAG agreed with recommendations made by the group and will write to Health Boards following the publication of the next SHOT report in July 2025 asking them to ensure they are meeting this IBI recommendation on an ongoing basis. While it is primarily for Health Boards to monitor progress and assure themselves that the actions being taken are sufficient, the Scottish Government will carry out an initial period of external assurance and monitoring in order to ensure fulfilment of this recommendation and sufficient focus on the new standards.
Welsh Government
On 7e), The BHNOG has a Serious Hazards of Transfusion (SHOT) subgroup and oversees the implementation of SHOT recommendations. The BHNOG is supported by the SHOT subgroup by outlining more robust transfusion safety governance within Health Boards linking with established patient safety mechanisms. The SHOT subgroup works closely with the National SHOT team to support development of governance practices to support local implementation of SHOT recommendations.
Northern Ireland Executive
On 7e), the Department of Health is currently undertaking engagement with Health and Social Care Trusts to assess the level to which the recommendation is already being carried out. NIBTS is contributing to the national SHOT working group to support the implementation of 7e) and SHOT recommendations.
Published Evidence
Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.
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