IBI-4e Accepted

Cross-Administration Patient Safety Coordination

Infected Blood Inquiry · Infected Blood Inquiry Final Report · Issued 20 May 2024 · Addressed to: UK Government

Source — verbatim from the inquiry

Inquiry recommendation

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.

Infected Blood Inquiry, Infected Blood Inquiry Final Report · 20 May 2024 Source PDF →

Published evidence summary

Publicly available evidence relating to this recommendation:

- The Government stated in December 2024 that a working group had been established to improve patient safety coordination across the four nations, with an options paper circulated at working level (Government Response to the Infected Blood Inquiry, Cabinet Office, December 2024).
- 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.

Response — verbatim from government

UK Government

NHS 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.

UK Government · 14 May 2025 Written response →

Evidence trail — what's actually happened since

  • 15 Jan 2026 · IBCA Community Update 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 source → Good Progress
  • 28 Oct 2025 · IBCA Independent Review 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 source → Reasonable Progress

Each entry above links to a primary source — gov.uk written statement, consultation response document, or inspection report. The Index does not characterise government intent; it tracks what has been published.

How this page is built

Source and Response are verbatim from primary documents. The Evidence trail records published activity since — written statements, consultation outcomes, inspection findings, parliamentary references. The Index does not paraphrase or characterise intent; it tracks what has been published. Where the evidence is the absence of action (a missed deadline, a slipped timetable), that absence is documented from primary sources rather than inferred.

This recommendation's data is verified periodically against primary sources. The Index is monitored for staleness weekly.