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20 Performance summary

Priority 3 Priority 4

Build on our unique role in sharing Responding to the changing health
learning from claims and concerns landscape including reviewing our
back to the health system, in particular indemnity scheme pricing and the
in relation to the interplay between role of incentives in light of
general practice and secondary care and wider system changes
ho w to respond when harm occurs

NHS Resolution has a wealth of data which we have The CNST pricing methodology has incentives
used to share intelligence and learning to support built in to reflect the relative claims payments
reduction of harm, such as claims scorecards, experience of the CNST member. Discussions have
engagement events and thematic reviews. This been ongoing with NHS England colleagues on
supports the broader NHS safety architecture how financial incentives through the CNST pricing
to learn from harm through, for example, the and funding methodology could be enhanced
reporting of incidents via the National Reporting as the NHS moves to a post Covid-19 financial
and Learning System and investigations by trusts and operating environment. This includes how
and the Healthcare Safety Investigation Branch. A to respond to developments in establishing the
significant amount of work has been undertaken financial framework for integrated care boards
on analysis of the first year of CNSGP as well as (ICBs). Over the last year, we have worked
further work on learning from claims for lower- with policy colleagues from DHSC and NHS
limb complications in the diabetic patient. Work England to understand the implications arising
continued on the development of our Faculty of from the Health and Care Bill5 to ensure that
Learning1and in collaboration with our academic and our indemnity schemes provide continuity of

other partners to develop eLearning tools. We have cover for new and legacy organisations.
continued to collaborate with NHS England (which
We are supporting the Health and Social Care
legally merged with NHS Improvement as a result of
Secretary's technology vision by continuing to
the Health and Care Act 2022) and have shared data
redevelop our IT systems and services. This will align
with their Getting It Right First Time (GIRFT) team.
to the wider Government Cloud First strategy and,
We continued to innovate and develop our Advice wherever possible, will use existing systems and
and Appeals services. We have redesigned our services on the NHS central platforms. A Court of
regionally aligned service delivery in anticipation Appeal ruling on Appeals interest payments has
of integrated care systems (ICS) launching in July meant that NHS Resolution as an adjudicator now
2022. Our Insights series2continues to support the has a power to award interest when it finds that

healthcare system to better understand, manage a contractor has been paid the wrong amount.
and resolve concerns about doctors, dentists or An interim approach to the consideration and
pharmacists. We have enhanced our behavioural award of interest is available on our website6.
assessments, and introduced virtual elements to our
clinical performance assessments. New products
include an annual activity report for employing

1https://resolution.nhs.uk/facultv-of-learning/
organisations, and a 'compassionate conversations'
2 https://resolution.nhs.uk/services/practitioner-
learning programme. Both pilots have been successful
performance-advice/insiahts/
and will be rolled out more widely over the course of
3 https://www.aov.uk/aovernment/publications/aovernment-response-
2022/23. In response to the Government's response to-the-independent-inquirv-report-into-the-issues-raised-bv-former-
to the independent inquiry report3into the issues suraeon-ian-paterson/aovernment-response-to-the-independent-

inauirv-report-into-the-issues-raised-bv-former-suraeon-ian-paterson
raised by former surgeon Ian Paterson, we published
a suite of resources to help healthcare leaders make 4 https://resolution.nhs.uk/resources/insights-from-10-vears-
of-supportina-the-manaaement-of-exclusions/
the right decisions on exclusions. It was accompanied
by a report on Insights from 10 years of supporting 5 Health and Care Act 2022 - Parliamentary Bills - UK
Parliament: https://bills.parliament.uk/bills/3022
the management of exclusions in England4.
6 https://resolution.nhs.uk/wp-content/uploads/2021/03/NHS-
Resolution-approach-to-lnterest-Pavments-FINAL.pdf