Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Commons to be printed 24 March 2015.
Terms of Reference
Summary
1 Introduction
Background
2 The current situation
The impact on patients and their families
Current patient safety initiatives
Who does what
Terminology
Complaints handling and the current effectiveness of clinical incident investigation
Complexity
Culture
Patient and family involvement
Quality
How investigations are carried out
How complaints are handled
The priority given to complaints
The Parliamentary and Health Service Ombudsman's handling of complaints
Legal liability
The Duty of Candour
Public inquiries
3 Reducing the risk of untoward clinical incidents through learning
The Department for Transport's Air Accidents Investigation Branch
The importance of an open and just culture
The importance of good local investigation
The importance of independence
The importance of accountability
Building the capacity to carry out investigations
The importance of learning and sharing lessons
A new body - what it should do and how it should relate to other bodies?
Where should a new body be located?
A 'whole system' approach
4 Conclusion
Conclusions and recommendations
Annex
Formal Minutes
Witnesses
Published written evidence
List of Reports from the Committee during the current Parliament
