This is the eighteenth report published by NCEPOD and, as always, could not have been achieved without the support and co-operation of a wide range of individuals and organisations. Our particular thanks go to the following:

  • The expert group and advisors who worked with NCEPOD staff to understand the findings of this study and who are listed here:
Mr S Ashley Consultant Vascular Surgeon, Plymouth Hospitals NHS Trust
Dr P Bayly Consultant Anaesthetist, Newcastle upon Tyne Hospitals NHS Trust
Mr J M F Clarke Consultant General and Vascular Surgeon, Norfolk and Norwich University Hospital NHS Trust
Professor S Gallivan Clinical Operational Research Unit, University College London
Miss M Harvey General Manager, Critical Care, Mayday University Hospital NHS Trust
Mrs M Ibbetson Lay representative
Mr R M Kirby Consultant Surgeon, University Hospital of North Staffordshire NHS Trust
Mr G T Layer Consultant Surgeon, Royal Surrey County Hospital NHS Trust and NCEPOD Trustee
Dr J Mayet Consultant Cardiologist, St Mary’s NHS Trust and Imperial College London
Dr R More Consultant Cardiologist, Blackpool Fylde and Wyre Hospitals NHS Trust
Dr A Nicholson Consultant Radiologist, Leeds Teaching Hospitals NHS Trust and NCEPOD steering group member
Dr D Prytherch Senior Research Fellow, University of Portsmouth and Portsmouth Hospitals NHS Trust
Dr A Taylor Consultant in Anaesthesia and Intensive Care, City Hospitals Sunderland NHS Trust
Dr D Thomas Consultant Anaesthetist, University Hospital of North Durham
Dr S Thomas Consultant Radiologist, Sheffield Teaching Hospitals NHS Trust
Dr M Utley Clinical Operational Research Unit, University College London
Mrs M Wang Lay representative
Dr D Whitaker Consultant Anaesthetist, Central Manchester and Manchester Children’s University Hospitals NHS Trust and NCEPOD steering group member
  • The local reporters in each hospital who work tirelessly to ensure full participation by their organisation
  • All those clinicians who contributed to the study by completing questionnaires
  • The organisations who provided funding to cover the cost of this study and who are listed here:

National Patient Safety Agency
Department of Health, Social Services and Public Safety (Northern Ireland)
Aspen Healthcare
Benenden Hospital
BUPA
Capio Group
Covenant Healthcare Ltd
Cromwell Hospital
Department of Health and Social Security, Isle of Man Government
Fairfield Independent Hospital
HCA International Ltd
Horder Centre
Hospital Management Trust
Hospital of St John & St Elizabeth
King Edward VII Hospital
King Edward VIIs Hospital Sister Agnes
London Clinic
McIndoe Surgical Centre
Mount Alvernia Hospital
Netcare Healthcare
New Victoria Hospital
North Wales Medical Centre
Nuffield Hospitals
Orchard Hospital
St Anthony’s Hospital
St Joseph’s Hospital
Spencer Wing, Queen Elizabeth the Queen Mother Hospital
States of Guernsey Board of Health
Ulster Independent Clinic

  • The professional organisations that support our work and who constitute our Steering Group:

Association of Anaesthetists of Great Britain and Ireland
Association of Surgeons of Great Britain and Ireland
Coroners’ Society of England and Wales
Faculty of Dental Surgery of the Royal College of Surgeons of England
Faculty of Public Health of the Royal Colleges of Physicians of the UK
Institute of Healthcare Management
Royal College of Anaesthetists
Royal College of General Practitioners
Royal College of Nursing
Royal College of Obstetricians & Gynaecologists
Royal College of Ophthalmologists
Royal College of Pathologists
Royal College of Physicians of London
Royal College of Radiologists
Royal College of Surgeons of England

  • The Steering Group, clinical co-ordinators and chief executive would like to record their appreciation of the hard work of the NCEPOD staff: Philip Brown, Heather Cooper, Marisa Cullinane, Steven Dowling, Stacey Emmett, Dolores Jarman, Deon Palmer, Neil Smith,
    Carmen Tsang and Donna Weyman.


 Disclaimer
This work was undertaken by NCEPOD, which received funding for this report from the National Patient Safety Agency. The views expressed in this publication are those of the authors and not necessarily those of the Agency.

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