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Department of Health Framework for Learning and Improvement from Patient Safety Incidents Consultation Questionnaire
Page 1 of 9
Closes
6 Jun 2025
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About you
1. Are you responding:
(Required)
as an individual? (Please complete questions 2-4)
on behalf of an organisation? (Please complete question 5)
2. Are you a child/young person (under the age of 18)?
Yes
No
3. Do you have lived experience, or close hand experience, of the Serious Adverse Incident process under the current Procedure for the Reporting and Follow up of Serious Adverse Incidents 2016?
Yes
No
Prefer not to say
4. If yes, please confirm if you experienced the current procedure as:
a Patient
a Family Member
a Carer
Other
Prefer not to say
5. If you are responding on behalf of an organisation, please provide your name and position, the name and address of the organisation and an email address.
Name
Job Title
Organisation
Address
Email address
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