QUALITY: Bolton Foundation Trust has asked the Royal College of Surgeons to review its services after reporting five ‘never events’ in the last year.
Details of the incidents have been listed in the trust’s board papers for last month.
These included “one wrong tooth extracted” by a dental surgeon; “one wrong hip replacement component implanted” by the trauma and orthopaedics team; “one wrong facial skin lesion excised” in plastic surgery; “one wrong size lens implanted” by opthalmology; and “one retained vaginal swab” in obstetrics.
Trust chief executive Jackie Bene said in her monthly report: “Following discussions at the [quality assurance] committee, the Royal College of Surgeons will be contacted with a view to commissioning an independent review. This review will be supported by an internal audit review.”
This article was amended after the trust subsequently said there had been five never events, rather than seven, since April 2014. The board papers implied there had been seven incidents and the trust did not correct this interpretation when it was asked to comment by HSJ.
Trust board papers
30 April 2015