Governance & Quality

Patient safety · risk · audit · learning · regulatory

Open Incidents

1

1 SUI · 4 reported in 30d

Live Complaints

2

3 compliments in 30d · 1 PHSO

High Risks

1

0 review overdue

Audits Live

2

3 below target · 1 re-audit due

1

Incident Register

2

Complaints

7

Risk Register

6

Clinical Audit

6

Learning Bulletin

3

PRF Review

Medicine Admin

CD Register

PGD Library

Policies

SOPs

Stats

Recent Incidents

All
DTX-2026-0118Severesui

Paediatric out-of-hospital cardiac arrest (4yo male)

2026-04-30 14:18 · Reigate, RH2

DTX-2026-0117Low

Paracetamol 1g PO administered without explicit second-checker witness signature on PRF (single-clinician event)

2026-04-22 19:45 · Hawkfest 2026 — Day 1, Cobham

DTX-2026-0116No harm

Romeo 1 contacted nearside of stationary VW Golf at low speed (<5mph) during reversing manoeuvre on a blue-light call

2026-04-18 22:14 · Cobham — A245 / Stoke Road junction

DTX-2026-0115Low

Verbal abuse + threatened assault from intoxicated patient during handover

2026-04-12 11:02 · Royal Surrey County Hospital — A&E reception

DTX-2026-0114No harm

Suction unit (Laerdal LSU) failed self-test

2026-04-08 08:20 · Brookwood Workshops

Top Residual Risks

Open

Paramedic recruitment / staffing shortfall

RR-2025-014 · Thomas Clarke

9 · 3×3

Cyber-security / patient data breach

RR-2025-009 · Dr Priya Sharma

8 · 2×4

Paediatric resuscitation equipment availability

RR-2026-001 · Dr Priya Sharma

5 · 1×5

DBS / HCPC registration lapses

RR-2026-002 · Thomas Clarke

4 · 1×4

Major event over-commitment

RR-2026-004 · Thomas Clarke

4 · 2×2

Audit Programme — Compliance vs Target

All cycles

Adult Cardiac Arrest — Resuscitation Documentation

CA-2026-Q1-01 · n=14 · JRCALC 2024 + ROSC Bundle

92% / 95%

Pain Management — Adult, Numerical Rating Scale

CA-2026-Q1-02 · n=22 · JRCALC 2024 — Pain Management

86% / 90%

Controlled Drugs — Stock & Documentation Compliance

CA-2026-A-01 · n=4 · Misuse of Drugs Regs 2001

100% / 100%

Patient Refusal & Mental Capacity

CA-2025-Q4-01 · n=11 · Mental Capacity Act 2005

73% / 90%

Latest Learning

Bulletin
LL-2026-007·2026-05-02

Paediatric Resus Pad Placement Standardised

LL-2026-006·2026-04-29

Single-clinician Drug Administration Documentation

LL-2026-005·2026-04-25

Reversing & Junction Observation Refresher

LL-2026-004·2026-04-12

MHRA Yellow Card Process Reinforced

1 open action · 6 bulletins YTD

Regulatory & External

CQC

Standards Met

Inspection due Q3 2026

DSPT

Standards Met 2025/26

Re-submit 30 Jun 2026

MHRA Yellow Cards YTD

1 submitted

Equipment / drug device faults

RIDDOR YTD

1 reportable

Workplace incidents (HSE)

As at 2026-05-08 · Ockham Rescue · Governance lead: Dr Priya Sharma · Reports to Trust Board monthly · CQC reg ID 1-XXXXXXXXXX