This report shows what we found about the common areas of risk when using medicines across health and social care in England.
We know that people’s physical and mental health outcomes improve when medicines are used in the best or optimal way. When they are not prescribed or administered correctly they can cause harm.
We want to encourage improvement by sharing what we have found through our regulatory work and giving examples of how some providers have reduced these risks.
What we did
- over 200 inspection reports
- 100 enforcement notices
- 1,500 National Reporting and Learning System (NRLS) and statutory notifications from providers.
What we found
There are many examples of how good use of medicines can lead to person-centred care and better patient outcomes. Yet many medication errors happen and we identified common areas of risk where there is a need for improvement across different types of health and care services:
- prescribing, monitoring and reviewing medicines
- administering medicines
- at transfer of care between services
- reporting and learning from incidents
- storing, supplying and disposal
- staff competence and workforce capacity