§ Mr. Jim CunninghamTo ask the Secretary of State for Health what plans he has to introduce an early warning system of clinical error. [136694]
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§ Ms StuartWe agreed all recommendations set out by an expert group on learning from adverse events in the National Health Service in the report "An Organisation with a Memory". We are planning, by the end of 2001, to introduce a new mandatory reporting system to log failures, mistakes, errors and near-misses in health care and ensure that lessons learned in one part of the NHS are properly shared with the whole of the health service.