Thursday 9 May 2013

Never Land.


BBC News has done us all a great service with some classic and useful research into ‘never happen’ events, using the powers under the Freedom of Information Acts to obtain this information.

I’ve taken their raw data and put it into list form for this site so you can have a look at your local hospitals. Tomorrow I’ll post my analysis of some of the worst offenders.

These aren’t just everyday mistakes – those happen and can be very serious. These are mistakes that should ‘never’ happen;

Ø Putting feeding tubes down into the lungs.

Ø Giving the wrong or no insulin.

Ø Operating on the wrong thing.

Ø Operating on the wrong person (no, really) .

Ø Letting patients fall out of windows.

Ø Leaving foreign objects in peoples bodies after operations.

And so on – you get the idea. It usually means death and it should ‘never happen’.

Mind you, one class of incidents is where prisoners in custody escape from the hospital. It’s not their responsibility, it’s not about treatment and really – as far as the patient is concerned - it is quite a good ‘outcome’.

Here’s the list - tomorrow I get into the figures.

Aintree University Hospitals NHS Foundation Trust 2

              Wrong site surgery 1

              Misplaced naso-or oro-gastric tubes 1

Alder Hey Children's NHS Foundation Trust 2

              Wrong site surgery 2

Ashford & St Peter's Hospitals NHS FoundationTrust 5

             Retained foreign object post-operation 3

             Wrong site surgery 1

             Maladministration of Insulin 1

Avon & Wiltshire Mental Health Partnership NHS Trust 1

             Escape of a transferred prisoner 1

Barking Havering & Redbridge University Hospitals NHS Trust 7

             Retained foreign object post-operation 4

             Wrong site surgery 3

Barnet & Chase Farm Hospitals NHS Trust 4

             Retained foreign object post-operation 2

             Wrong gas administered 1

             Inappropriate administration of daily oral methotrexate 1

Barnet & Chase Farm Hospitals NHS Trust - Chase Farm site 4

             Wrong site surgery 2

             Retained foreign object post-operation 2

Barnsley Hospitals NHS FT 1

              Retained foreign object post-operation 1

Barts & The London NHS Trust 8

              Retained foreign object post-operation 4

              Wrong site surgery 2

              Misplaced naso-or oro-gastric tubes 2

Barts Health NHS Trust 11

               Retained foreign object post-operation 4

               Wrong site surgery 3

               Misplaced naso-or oro-gastric tubes 2

               Wrong implant/prosthesis 1

               Air Embolism 1

Basildon & Thurrock University Hospitals NHS Foundation Trust 7

               Misplaced naso-or oro-gastric tubes 3

               Maladministration of potassium containing solutions 1

               Wrong site surgery 2

               Retained foreign object post-operation 1

Berkshire West PCT 1

               Wrong site surgery 1

Birmingham Children's Hospital NHS Foundation Trust 5

               Retained foreign object post-operation 3

               Wrong site surgery 1

               Misplaced naso-or oro-gastric tubes 1

Birmingham Womens NHS Foundation Trust 1

               Retained foreign object post-operation 1

Blackpool, Fylde & Wyre Hospitals NHS Foundation Trust 2

               Wrong site surgery 2

Bolton 1

               Wrong site surgery 1

Bradford Hospitals NHS FT 4

               Wrong site surgery 2

               Retained foreign object post-operation 2

Brighton & Hove City PCT 1

               Inappropriate administration of daily oral methotrexate 1

Brighton and Sussex University Hospitals NHS Trust 6

               Retained foreign object post-operation 4

               Wrong site surgery 1

               Air Embolism 1

Bromley PCT - Provider 1

               Misplaced naso-or oro-gastric tubes 1

Buckinghamshire Healthcare NHS Trust 5

               Surgical Error 2

               Other 1

               Wrong site surgery 1

              Unexpected Death of Inpatient  1

Burton Hospitals NHS Foundation Trust 4

               Wrong site surgery 2

               Retained foreign object post-operation 2

Calderdale & Huddersfield NHS FT  1

              Retained foreign object post-operation 1

Calderdale Independent/Non NHS Providers 1

             Wrong site surgery 1

Cambridge University Hospitals NHS Foundation Trust 8

             Retained foreign object post-operation 6

             Wrong site surgery 1

             Misidentification of patients 1

Central Manchester University Hospitals NHS Foundation Trust 6

              Wrong gas administered 2

              Medication Error 1

              Wrong site surgery 1

              Misplaced naso-or oro-gastric tubes 1

              Retained foreign object post-operation 1

Chelsea & Westminster Healthcare NHS Foundation Trust 9

               Retained foreign object post-operation 5

               Wrong site surgery 4

Chesterfield Royal Hospital NHS Foundation Trust 4

               Retained foreign object post-operation 2

               Wrong site surgery 1

               Misplaced naso-or oro-gastric tubes 1

City Hospital Sunderland NHS Foundation Trust 7

               Retained foreign object post-operation 3

               Transfusion of ABO-incompatible blood components 2

               Wrong site surgery 1

               Misidentification of patients 1

Colchester Hospital University NHS Foundation Trust 2

               Retained foreign object post-operation 2

Cornwall Independent Treatment Centre 1

               Wrong implant/prosthesis 1

Countess of Chester Hospital NHS Foundation Trust 3

               Misplaced naso-or oro-gastric tubes 1

               Wrong site surgery 1

               Retained foreign object post-operation 1

County Durham & Darlington NHS Foundation Trust 5

               Retained foreign object post-operation 3

               Wrong site surgery 2

Coventry and Warwickshire Partnership NHS Trust 1

                Escape of a transferred prisoner 1

Croydon Health Services NHS Trust 8

                Retained foreign object post-operation 3

                Wrong site surgery 2

                Wrong implant/prosthesis 2

                In-hospital maternal death from post-partum haemorrhage after                    

                caeserean section 1

Cumbria Partnership NHS Foundation Trust 1

                  Overdose of midazolam during conscious sedation  1

Dartford & Gravesham NHS Trust 4

                  Wrong site surgery 1

                  Wrong implant/prosthesis 1

                  Maladministration of potassium containing solutions 1

                  Misplaced naso-or oro-gastric tubes 1

Derby Hospitals NHS Foundation Trust 4

                  Wrong implant/prosthesis 2

                  Inappropriate administration of daily oral methotrexate 1

                  Misplaced naso-or oro-gastric tubes 1

Doncaster & Bassetlaw Hospitals NHS Foundation Trust 3

                  Misplaced naso-or oro-gastric tubes 1

                  Wrong implant/prosthesis 1

                  Retained foreign object post-operation 1

Dorset County Hospital NHS Foundation Trust 1

                 Wrong site surgery 1

Ealing Hospital NHS Trust 4

                 Retained foreign object post-operation 4

East and North Hertfordshire NHS Trust 4

                 Retained foreign object post-operation 3

                 Wrong site surgery 1

East Cheshire NHS Trust 2

                 Retained foreign object post-operation 1

                  Inappropriate administration of daily oral methotrexate 1

East Kent Hospitals University NHS Foundation Trust 7

                  Retained foreign object post-operation 4

                  Misplaced naso-or oro-gastric tubes 2

                 Wrong implant/prosthesis 1

East Lancashire Hospitals NHS Trust 1

                 Retained foreign object post-operation 1

East London NHS Foundation Trust 1

                 Escape of a transferred prisoner 1

East Sussex Healthcare NHS Trust 7

                 Retained foreign object post-operation 4

                 Wrong site surgery 3

Eastern and Coastal Kent PCT - Independent Provider 4

                 Wrong site surgery 1

                 Wrong implant/prosthesis 1

                 Falls from unrestricted windows 1

                 Retained foreign object post-operation 1

Emerson's Green Treatment Centre 1

                 Wrong site surgery 1

Epsom & St Helier NHS Trust 5

                  Retained foreign object post-operation 4

                  Misplaced naso-or oro-gastric tubes 1

Frimley Park Hospital NHS Foundation Trust 2

                  Wrong site surgery 1

                  Surgical Error 1

Gateshead Health NHS Foundation Trust 1

                  Retained foreign object post-operation 1

George Eliot Hospital NHS Trust 4

                  Wrong implant/prosthesis 2

                  Wrong site surgery 1

                  Retained foreign object post-operation 1

Gloucestershire Hospitals NHS Foundation Trust 9

                  Retained foreign object post-operation 5

                 Wrong site surgery 2

                 Misplaced naso-or oro-gastric tubes 1

                 Wrong implant/prosthesis 1

Great Ormond Street Hospital Children NHS Foundation Trust 7

                 Misplaced naso-or oro-gastric tubes 3

                 Wrong site surgery 2

                 Retained foreign object post-operation 2

Great Western Hospitals NHS Foundation Trust 6

                 Wrong site surgery 2

                 Retained foreign object post-operation 2

                 Inappropriate administration of daily oral methotrexate 1

                 Wrong implant/prosthesis 1

Guy's and St Thomas' NHS Foundation Trust 15

                Wrong site surgery 8

                Retained foreign object post-operation 4

                Wrong implant/prosthesis 2

                Misplaced naso-or oro-gastric tubes 1

Hampshire Hospitals NHS Foundation Trust 5

                Surgical Error 3

                Wrong site surgery 2

Harbour Hospital 1

                Wrong implant/prosthesis 1

Heart of England NHS Foundation Trust 8

                Wrong implant/prosthesis 3

               Retained foreign object post-operation 3

               Misplaced naso-or oro-gastric tubes 2

Heatherwood & Wexham Park Hospitals NHS Foundation Trust 3

                Surgical Error 2

                Wrong site surgery 1

Hertfordshire PCT 1

                 Inappropriate administration of daily oral methotrexate 1

Hillingdon PCT 1

                Wrong implant/prosthesis 1

Hinchingbrooke Health Care NHS Trust 5

                Retained foreign object post-operation 2

                Wrong site surgery 2

                Wrong route administration of oral/enteral treatment  1

Homerton Hospital NHS Foundation Trust 6

                Retained foreign object post-operation 3

                Wrong site surgery 2

                Misplaced naso-or oro-gastric tubes 1

Hull & East Yorkshire Hospitals NHS Trust 10

                Wrong site surgery 5

                Retained foreign object post-operation 4

                Misplaced naso-or oro-gastric tubes 1

Imperial College Healthcare NHS Trust 11

                Retained foreign object post-operation 8

                Wrong site surgery 2

                Misplaced naso-or oro-gastric tubes 1

Independent Provider Organisations Bradford & Airedale 2

                Wrong site surgery 1

                 Wrong implant/prosthesis 1

Ipswich Hospital NHS Trust 1

                Retained foreign object post-operation 1

Isle of Wight NHS Trust 4

                Other 3

                Drug incident (Chemotherapy) 1

James Paget University Hospitals NHS Foundation Trust 10

                 Retained foreign object post-operation 6

                  Wrong implant/prosthesis 3

                 Maladministration of Insulin 1

Kettering General Hospital NHS Foundation Trust 4

                 Retained foreign object post-operation 3

                 Wrong site surgery 1

King's College Hospital NHS Foundation Trust 6

                Wrong site surgery 2

                Wrong implant/prosthesis 2

                Retained foreign object post-operation 2

Kingston Hospital NHS Trust 4

                Retained foreign object post-operation 2

                Wrong site surgery 1

                Misplaced naso-or oro-gastric tubes 1

Lancashire Teaching Hospitals NHS Foundation Trust 2

                Retained foreign object post-operation 1

                Misplaced naso-or oro-gastric tubes 1

Leeds Teaching Hospitals NHS Trust 6

                Wrong site surgery 4

                Misplaced naso-or oro-gastric tubes 2

Lewisham Healthcare NHS Trust 2

               Wrong site surgery 1

               Retained foreign object post-operation 1

Lister Surgicentre (Clinicentre Ltd) 1

               Retained foreign object post-operation 1

Luton and Dunstable Hospital NHS Foundation Trust 2

               Wrong site surgery 1

               Wrong implant/prosthesis 1

Maidstone and Tunbridge Wells NHS Trust 7

              Retained foreign object post-operation 4

             Wrong implant/prosthesis 2

             Wrong site surgery 1

Medway NHS Foundation Trust 4

             Misplaced naso-or oro-gastric tubes 2

             Wrong site surgery 1

             Retained foreign object post-operation 1

Mid Cheshire Hospitals NHS Foundation Trust 1

             Misplaced naso-or oro-gastric tubes 1

Mid Essex Hospital Services NHS Trust 11

              Retained foreign object post-operation 6

              Misplaced naso-or oro-gastric tubes 2

              Maladministration of Insulin 1

              Wrong site surgery 1

              Misidentification of patients 1

Mid Staffordshire General Hospitals NHS Foundation Trust 4

             Wrong site surgery 2

             Retained foreign object post-operation 2

Mid Yorkshire Hospitals NHS Trust  1

              Misplaced naso-or oro-gastric tubes 1

Middlesbrough PCT 1

             Wrong site surgery 1

Milton Keynes General NHS Foundation Trust 3

             Retained foreign object post-operation 2

             Wrong site surgery 1

Moorfields Eye Hospital NHS Foundation Trust 4

             Wrong implant/prosthesis 4

Newcastle Upon Tyne Hospitals NHS FoundationTrust 4

            Wrong implant/prosthesis 2

            Wrong site surgery 1

            Misplaced naso-or oro-gastric tubes 1

Newham University Hospital NHS Trust 1

             Retained foreign object post-operation 1

NHS Norfolk 3

             Wrong site surgery 1

             Wrong implant/prosthesis 1

              Inappropriate administration of daily oral methotrexate 1

NHS South East Essex 1

             Wrong site surgery 1

NHS West Essex 1

             Wrong site surgery 1

Norfolk & Norwich University Hospitals NHS Foundation Trust 6

             Retained foreign object post-operation 3

             Wrong site surgery 2

             Maladministration of Insulin 1

Norfolk PCT 1

             Wrong site surgery 1

North Bristol NHS Trust 6

             Wrong site surgery 4

             Misplaced naso-or oro-gastric tubes 1

             Retained foreign object post-operation 1

North East Essex PCT 1

             Retained foreign object post-operation 1

North Essex Partnership NHS Foundation Trust 1

             Maladministration of Insulin 1

North Middlesex Hospital NHS Trust 6

              Retained foreign object post-operation 5

              Wrong implant/prosthesis 1

North Tees & Hartlepool NHS Foundation Trust 6

             Retained foreign object post-operation 3

             Misplaced naso-or oro-gastric tubes 1

             Wrong site surgery 1

             Wrong implant/prosthesis 1

North West London Hospitals NHS Trust 5

            Retained foreign object post-operation 3

            Wrong site surgery 2

North West London Sector 1

             Inappropriate administration of daily oral methotrexate 1

Northampton General Hospital NHS Trust 5

             Wrong site surgery 5

Northamptonshire Healthcare NHS Foundation Trust 1

             Wrong implant/prosthesis 1

Northern Devon Healthcare NHS Trust 4

             Retained foreign object post-operation 2

             Wrong site surgery 1

             Inappropriate administration of daily oral methotrexate 1

Northern Lincolnshire & Goole Hospitals NHS Foundation Trust 3

            Retained foreign object post-operation 3

Nottingham University Hospitals NHS Trust 13

             Retained foreign object post-operation 8

             Wrong site surgery 4

             Wrong route administration of chemotherapy 1

Nottinghamshire County PCT - Provider 1

             Retained foreign object post-operation 1

Nottinghamshire Healthcare NHS Trust 1

             Inappropriate administration of daily oral methotrexate 1

Nuffield Health - Exeter Hospital 1

             Retained foreign object post-operation 1

Nuffield Hospital Leeds 1

             Wrong site surgery 1

Outer North East London Sector 1

              Misplaced naso-or oro-gastric tubes 1

Oxford Health NHS Foundation Trust 1

             Abscond 1

Oxford University Hospitals NHS Trust 5

              Surgical Error 3

             Maternity service 1

             Other 1

Papworth Hospital NHS Foundation Trust 4

             Retained foreign object post-operation 4

             Partnerships in Care 1

             Escape of a transferred prisoner 1

Pennine Acute Hospitals NHS Trust 6

            Retained foreign object post-operation 6

Pennine Care 1

            Retained foreign object post-operation 1

Peterborough & Stamford Hospitals NHS Foundation Trust 5

            Retained foreign object post-operation 3

            Wrong site surgery 2

Plymouth Hospitals NHS Trust 14

           Retained foreign object post-operation 6

           Wrong site surgery 4

           Misplaced naso-or oro-gastric tubes 2

           Maladministration of Insulin 1

           Maladministration of potassium containing solutions 1

Plymouth Independent Treatment Centre 1

          Wrong implant/prosthesis 1

Poole Hospital NHS Foundation Trust 1

         Wrong site surgery 1

Portsmouth Hospitals NHS Trust 5

         Other 3

         Wrong site surgery 1

         Surgical Error 1

Princess Alexandra Hospital NHS Trust 1

         Retained foreign object post-operation 1

Queen Elizabeth Hospital – King’s Lynn - NHS Foundation Trust 6

         Retained foreign object post-operation 3

         Wrong site surgery 2

         Maladministration of Insulin 1

Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust 3

         Wrong site surgery 2

         Wrong implant/prosthesis 1

Royal Berkshire NHS Foundation Trust 3

         Wrong site surgery 3

Royal Cornwall Hospital NHS Trust 6

         Wrong site surgery 3

         Retained foreign object post-operation 3

Royal Devon & Exeter NHS Foundation Trust 6

        Wrong site surgery 4

       Misplaced naso-or oro-gastric tubes 1

       Retained foreign object post-operation 1

Royal Liverpool & Broadgreen University Hospitals NHS Trust 2

       Retained foreign object post-operation 2

Royal Surrey County NHS Foundation Trust 2

       Wrongly prepared high-risk injectible medication 1

       Wrong site surgery 1

Royal United Hospital Bath NHS Trust 4

       Retained foreign object post-operation 2

       Wrong site surgery 1

       Wrong implant/prosthesis 1

Salford Royal NHS Foundation Trust 4

       Misplaced naso-or oro-gastric tubes 2

       Wrong site surgery 1

       Retained foreign object post-operation 1

Salisbury NHS Foundation Trust 5

       Retained foreign object post-operation 3

      Wrong site surgery 2

Sandwell and West Birmingham Hospitals NHS Trust 9

      Retained foreign object post-operation 4

      Misplaced naso-or oro-gastric tubes 2  

      Wrong site surgery 2

      Wrong implant/prosthesis 1

Scarborough & North East Yorkshire NHS Trust 3

      Retained foreign object post-operation 2

      Wrong site surgery 1

Sheffield Teaching Hospitals NHSFT 5

     Retained foreign object post-operation 5

Shepton Mallet Treatment Centre 1

     Wrong site surgery 1

Sherwood Forest Hospitals NHS Foundation Trust 2

       Retained foreign object post-operation 2

Shrewsbury and Telford Hospital NHS Trust 9

       Wrong implant/prosthesis 5

       Retained foreign object post-operation 3

       Wrong site surgery 1

Somerset Primary Care Trust 1

       Wrong site surgery 1

South Devon Healthcare NHS Foundation Trust 2

       Wrong implant/prosthesis 1

        Retained foreign object post-operation 1

South London and Maudsley NHS Foundation Trust 1

         Escape of a transferred prisoner 1

South London Healthcare NHS Trust 7

          Retained foreign object post-operation 4

          Misplaced naso-or oro-gastric tubes 2

          Wrong site surgery 1

South Tees Hospitals NHS Foundation Trust 7

           Wrong site surgery 3

            Retained foreign object post-operation 3

            Maladministration of potassium containing solutions 1

South Tyneside Healthcare NHS Trust 1

            Misplaced naso-or oro-gastric tubes 1

South Warwickshire NHS Foundation Trust 4

            Retained foreign object post-operation 2

            Misplaced naso-or oro-gastric tubes 2

South West Yorks Partnership NHS FT 1

             Escape of a transferred prisoner 1

Southampton City PCT (Moorgreen) 1

             Wrong site surgery 1

Southend University Hospital NHS Foundation Trust 6

             Wrong site surgery 4

             Retained foreign object post-operation 2

              Southern Health NHS Foundation Trust 1

              Other 1

Southport & Ormskirk NHS Trust 5

              Wrong site surgery 2

              Wrong implant/prosthesis 2

               Retained foreign object post-operation 1

St George's Healthcare NHS Trust 8

              Wrong site surgery 3

              Retained foreign object post-operation 3

              Misidentification of patients 1

              Misplaced naso-or oro-gastric tubes 1

St Helen's & Knowsley Hospitals NHS Trust 1

              Wrong site surgery 1

Stockport NHS Foundation Trust 1

               Retained foreign object post-operation 1

Stoke on Trent Community Health Services (NHS Stoke on Trent provider arm) 1

               Wrong site surgery 1

Surrey & Sussex Healthcare NHS Trust 2

                Retained foreign object post-operation 2

Surrey PCT - Independent Provider 3

                Wrong site surgery 2

                 Retained foreign object post-operation 1

Tameside Hospital NHS Foundation Trust 1

                 Wrong site surgery 1

Taunton & Somerset NHS Foundation Trust 3

                 Wrong site surgery 2

                 Retained foreign object post-operation 1

The Hillingdon Hospital NHS Foundation Trust 2

                Wrong implant/prosthesis 1

                Retained foreign object post-operation 1

The Manor Hospital, Oxford 1

                 Retained foreign object post-operation 1

The Princess Alexandra Hospital NHS Trust 8

                 Wrong site surgery 3

                 Retained foreign object post-operation 3

                 Misidentification of patients 1

                 Misplaced naso-or oro-gastric tubes 1

The Queen Elizabeth Hospital Kings Lynn NHS Trust 2

                 Wrong site surgery 1

                 Retained foreign object post-operation 1

The Queen Victoria Hospital NHS Foundation Trust 2

                  Retained foreign object post-operation 2

The Rotherham NHS Foundation Trust 1

                 Retained foreign object post-operation 1

The Royal Free London NHS Foundation Trust 10

                  Retained foreign object post-operation 5

                   Wrong site surgery 2

                   Inappropriate administration of daily oral methotrexate 1

                   Misplaced naso-or oro-gastric tubes 2

The Royal Marsden Hospital NHS Foundation Trust 1

                   Retained foreign object post-operation 1

The Royal Orthopaedic Hospital NHS Foundation Trust 2

                  Wrong implant/prosthesis 1

                  Retained foreign object post-operation 1

The Royal Wolverhampton Hospitals NHS Trust 10

                   Retained foreign object post-operation 5

                   Wrong site surgery 2

                   Failure to monitor and respond to oxygen saturation 1

                   Inappropriate administration of daily oral methotrexate 1

                   Maladministration of Insulin 1

The Winfield Hospital 1

                    Retained foreign object post-operation 1

                    Trafford Healthcare NHS Trust* 1

                    Misplaced naso-or oro-gastric tubes 1

United Lincolnshire Hospitals NHS Trust 12

                    Retained foreign object post-operation 4

                    Wrong site surgery 3

                    Wrong implant/prosthesis 2

                    Transfusion of ABO-incompatible blood components 2

                      Maladministration of potassium containing solutions 1

University Hospitals Morcambe Bay NHS Foundation Trust 1

                       Misplaced naso-or oro-gastric tubes 1

University College London Hospitals NHS Foundation Trust 5

                        Retained foreign object post-operation 2

                        Wrong implant/prosthesis 1

                        Air Embolism 1

                        Misplaced naso-or oro-gastric tubes 1

University Hospital Birmingham NHS Foundation Trust 3

                         Retained foreign object post-operation 2

                         Misplaced naso-or oro-gastric tubes 1

University Hospital of Bristol NHS Foundation Trust 4

                         Wrong site surgery 1

                         Retained foreign object post-operation 1

                         Air Embolism 1

                         Maladministration of potassium containing solutions 1

University Hospital of North Staffordshire NHS Trust 7

                          Retained foreign object post-operation 3

                          Wrong site surgery 2

                         Misplaced naso-or oro-gastric tubes 2

University Hospital of South Manchester NHS Foundation Trust 1

                         Retained foreign object post-operation 1

University Hospital Southampton NHS Foundation Trust 7

                          Surgical Error 4

                          Wrong site surgery 2

                          Maternity service 1

University Hospitals Coventry and Warwickshire NHS Trust 6

                          Wrong site surgery 4

                          Misplaced naso-or oro-gastric tubes 1

                          Retained foreign object post-operation 1

University Hospitals of Leicester NHS Trust 12

                          Retained foreign object post-operation 5

                          Wrong site surgery 3

                          Misplaced naso-or oro-gastric tubes 1

                          Wrong route administration of chemotherapy 1

                           Inappropriate administration of daily oral methotrexate 1

                           Wrong implant/prosthesis 1

Walsall Healthcare NHS Trust 3

                           Retained foreign object post-operation 2

                           Wrong site surgery 1

Warrington & Halton Hospitals NHS Foundation Trust 1

                           Retained foreign object post-operation 1

West Hertfordshire Hospitals NHS Trust 11

                           Wrong site surgery 5

                           Retained foreign object post-operation 5

                           Misplaced naso-or oro-gastric tubes 1

West Kent PCT 1

                           Falls from unrestricted windows 1

West Middlesex University NHS Trust 3

                           Misplaced naso-or oro-gastric tubes 2

                            Retained foreign object post-operation 1

West Suffolk NHS Foundation Trust 3

                           Wrong site surgery 2

                           Misplaced naso-or oro-gastric tubes 1

Western Sussex Hospitals NHS Trust 5

                           Retained foreign object post-operation 3

                           Misplaced naso-or oro-gastric tubes 1

                           Wrong site surgery 1

Weston Area Health Trust 4

                            Wrong site surgery 2

                            Maladministration of potassium containing solutions 1

                            Wrong gas administered 1

Whipps Cross University Hospital NHS Trust 7

                            Retained foreign object post-operation 4

                            Wrong site surgery 1

                            Falls from unrestricted windows 1

                            Inappropriate administration of daily oral methotrexate 1

Whittington Hospital NHS Trust 5

                            Retained foreign object post-operation 4

                              Misplaced naso-or oro-gastric tubes 1

Wiltshire Primary Care Trust 1

                              Wrong site surgery 1

Wirral University Teaching Hospital NHS Foundation Trust 1

                               Retained foreign object post-operation 1

Worcestershire Acute Hospitals NHS Trust 4

                               Retained foreign object post-operation 2

Wrong site surgery 1

                                Inappropriate administration of daily oral methotrexate 1

Yeovil District Hospital NHS Foundation Trust 3

                                 Retained foreign object post-operation 3

York Hospitals NHS Trust  2

                                 Wrong site surgery 1

                                 Inappropriate administration of daily oral methotrexate 1

Grand Total 762

Neil Harris

(a don’t stop till you drop production)

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