Learn from patient safety events (LFPSE) service
Introducing LFPSE
The Learn from Patient Safety Events (LFPSE) service is a national NHS system for the recording and analysis of patient safety events that occur in healthcare. The service introduces a range of innovations to support the NHS to improve learning from the over 2.5 million patient safety events recorded each year, to help make care safer (see ‘How LFPSE will improve patient safety learning’).
LFPSE is now in use across the NHS, and organisations have switched to recording patient safety events onto the new LFPSE service using LFPSE-compliant local systems, rather than the National Reporting and Learning System (NRLS), which was decommissioned on 30 June 2024.
Community Pharmacy should be using LFPSE to record patient safety incidents
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YouTube link to the webinar. In the link you can jump the sections that you want to in the webinar. e webinar. In the link you can jump the sections that you want to watch https://youtu.be/567je604j9w
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Answers to the questions raised at the webinar are below
| Question | Answer |
| When doing LFPSE there should be option for dispensing errors as in some sections you can’t be answering properly i.e. after care etc. | Thank you for this feedback which will be shared with the national team who are developing the functionality of LFPSE for community pharmacies as key primary care users. |
| If you register for LFPSE and are signed into it, can this be the sole method of reporting – what about reporting of near misses? | Whilst the NHSE revised particulars (2024) for community pharmacists state the requirement for the reporting of (patient safety) incidents on LFPSE, there is significant learning potential to be gained from the recording of near misses and good care episodes. |
| Is it for us to report any incident occurred in the pharmacy; can we record incidents that occurred due to incorrect prescribing by doctors. | Yes, you can/ should record this information if it contributed to the incident that occurred / was identified within your practice(s) and contributed to the outcome for the patient.
As much information as possible should be shared within your LFPSE record to describe the incident and to help understand the context of what was happening at the time of the incident.
In addition, if within your practice(s) you identify an issue or risk to patient safety that relates to another practice / provider this information can be shared as an ‘event’ through LFPSE also for the attention of the other provider.
To do this: please select the organisation’s name and ODS code from the question “Under which organisation’s care did the incident occur?”. Please note, an automated LFPSE notification email will be sent to the external provider’s admin (if available) to inform them of the patient safety event. However, LFPSE is an anonymous system, so it is important for you to continue your current practice of communicating with the external organisation, to provide further information and identifiers, to assist the external organisation in responding to the patient safety event.
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| Can someone else or patients report our errors or incidents? | Through your account within LFPSE you can receive notifications from other providers about patient safety incidents / events that relate to your practice(s) and could contribute to learning and continuous improvement.
Patients will be able to record events in their own version of LFPSE once developed during 2025. |
| Basically, what should you be recording? | LFPSE is for the recording of patient safety events which are where:
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| In essence we need to report twice? | We recognise that community pharmacies have multiple reporting requirements which could present barriers to them fully engaging with the LFPSE service and recording of patient safety events.
This issue has been escalated through the London LFPSE working group to the national team developing LFPSE, and we understand there are discussions in progress with the aim /ambition to develop the functionality of LFPSE to interface with other reporting systems including the CDAO reporting tool.
We cannot provide a timescale, but the issues are recognised
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3 minutes spare? Watch a video to find out more about the Patient Safety Incident Response Framework (PSIRF)
