Putting your mouse pointer over a report image on the left will give you a brief synopsis. To view the full report, a summary of the report or to order a hard copy, please click the image.

Then and now (2000)

The Department of Health report on learning from adverse events, 'An Organisation with a Memory', commented upon the serious difficulty in establishing the rate of change when good practice recommendations are made by National Confidential Enquiries. This report, therefore, covering a period of almost ten years enables us to evaluate some of the changes that have occurred, but possibly more particularly to highlight the issues where changes have been less than adequate and certainly the rate of change has been unacceptably slow.

Percutaneous transluminal coronary angioplasty (2000)

This is a small survey by NCEPOD standards, but one of great importance, and demonstrates the value of the acquisition of reliable data by clinicians involved, and the importance of recording this on a national level to assess the quality of outcomes.

Interventional vascular radiology and interventional neurovascular radiology (2000)

Significant advances in interventional techniques, particularly in vascular and neurovascular radiology, in the last decade have led NCEPOD to explore the morbidity and mortality associated with such procedures. In view of the frequency with which these minimally invasive techniques are being carried out, it is important that the consequences of such interventions should be investigated.

Extremes of Age (1999)

This report concentrates on the extremes of age. In detail there are obvious differences between the groups, yet many of the lessons to be drawn from this study span the age difference.

The 1996/7 Report of NCEPOD

In this report recommendations were made with reference to specific surgical procedures: gynaecological surgery; head and neck surgery; minimally invasive surgery; oesophageal surgery; spinal surgery; urological surgery.

The 1995/6 Report of NCEPOD - Who Operates When?

This original report reviewed all surgical procedures during a one week period to identify the grades of surgeons operating and when the surgery was performed. This report led to the introduction of 'CEPOD' theatres.