Find the 'never events' in your NHS trust

  • Published

More than 750 patients have suffered after preventable mistakes in England's hospitals over the past four years, a BBC investigation has found.

The incidents, such as operating on the wrong body part or leaving instruments inside patients, are categorised by the Department of Health as "never events".

This means they are incidents that are so serious they should never happen.

NHS England admitted the figures were too high and said it had introduced new measures to ensure patient safety.

Find out how many "never events" occurred between 2009 and 2012 within NHS trusts in your area in England by clicking on the table below.

Please note these figures do not reflect the total number of procedures performed in each NHS trust. This means that even if your trust has a high number of "never events" it may also deal with more patients than other trusts.

Never events

Select a trust to see breakdown

NHS trustsNever events
Aintree University Hospitals NHS Foundation Trust2
Wrong site surgery1
Misplaced naso-or oro-gastric tubes1
Alder Hey Children's NHS Foundation Trust2
Wrong site surgery2
Ashford and St Peter's NHS Foundation Trust5
Retained foreign object post-operation3
Wrong site surgery1
Maladministration of Insulin1
Avon & Wiltshire Mental Health Partnership NHS Trust1
Escape of a transferred prisoner1
Barking Havering & Redbridge University Hospitals NHS Trust7
Retained foreign object post-operation4
Wrong site surgery3
Barnet & Chase Farm Hospitals NHS Trust4
Retained foreign object post-operation2
Wrong gas administered1
Inappropriate administration of daily oral methotrexate1
Barnet & Chase Farm Hospitals NHS Trust - Chase Farm site4
Wrong site surgery2
Retained foreign object post-operation2
Barnsley Hospitals NHS Foundation Trust1
Retained foreign object post-operation1
Barts & The London NHS Trust8
Retained foreign object post-operation4
Wrong site surgery2
Misplaced naso-or oro-gastric tubes2
Barts Health NHS Trust11
Retained foreign object post-operation4
Wrong site surgery3
Misplaced naso-or oro-gastric tubes2
Wrong implant/prosthesis1
Air Embolism1
Basildon & Thurrock University Hospitals NHS Foundation Trust7
Misplaced naso-or oro-gastric tubes3
Maladministration of potassium containing solutions1
Wrong site surgery2
Retained foreign object post-operation1
Berkshire West PCT1
Wrong site surgery1
Birmingham Children's Hospital NHS Foundation Trust5
Retained foreign object post-operation3
Wrong site surgery1
Misplaced naso-or oro-gastric tubes1
Birmingham Women's NHS Foundation Trust1
Retained foreign object post-operation1
Blackpool, Fylde & Wyre Hospitals NHS Foundation Trust2
Wrong site surgery2
Bolton1
Wrong site surgery1
Bradford Hospitals NHS Foundation Trust4
Wrong site surgery2
Retained foreign object post-operation2
Brighton & Hove City PCT1
Inappropriate administration of daily oral methotrexate1
Brighton and Sussex University Hospitals NHS Trust6
Retained foreign object post-operation4
Wrong site surgery1
Air Embolism1
Bromley PCT - Provider1
Misplaced naso-or oro-gastric tubes1
Buckinghamshire Healthcare NHS Trust5
Surgical Error2
Other1
Wrong site surgery1
Unexpected Death of Inpatient 1
Burton Hospitals NHS Foundation Trust4
Wrong site surgery2
Retained foreign object post-operation2
Calderdale and Huddersfield NHS Foundation Trust1
Retained foreign object post-operation1
Calderdale Independent/Non NHS Providers1
Wrong site surgery1
Cambridge University Hospitals NHS Foundation Trust8
Retained foreign object post-operation6
Wrong site surgery1
Misidentification of patients1
Central Manchester University Hospitals NHS Foundation Trust6
Wrong gas administered2
Medication Error1
Wrong site surgery1
Misplaced naso-or oro-gastric tubes1
Retained foreign object post-operation1
Chelsea & Westminster Healthcare NHS Foundation Trust9
Retained foreign object post-operation5
Wrong site surgery4
Chesterfield Royal Hospital NHS Foundation Trust4
Retained foreign object post-operation2
Wrong site surgery1
Misplaced naso-or oro-gastric tubes1
City Hospital Sunderland NHS Foundation Trust7
Retained foreign object post-operation3
Transfusion of ABO-incompatible blood components2
Wrong site surgery1
Misidentification of patients1
Colchester Hospital University NHS Foundation Trust2
Retained foreign object post-operation2
Cornwall Independent Treatment Centre1
Wrong implant/prosthesis1
Countess of Chester Hospital NHS Foundation Trust3
Misplaced naso-or oro-gastric tubes1
Wrong site surgery1
Retained foreign object post-operation1
County Durham & Darlington NHS Foundation Trust5
Retained foreign object post-operation3
Wrong site surgery2
Coventry and Warwickshire Partnership NHS Trust1
Escape of a transferred prisoner1
Croydon Health Services NHS Trust8
Retained foreign object post-operation3
Wrong site surgery2
Wrong implant/prosthesis2
In-hospital maternal death from post-partum haemorrhage after caeserean section1
Cumbria Partnership NHS Foundation Trust1
Overdose of midazolam during conscious sedation 1
Dartford & Gravesham NHS Trust4
Wrong site surgery1
Wrong implant/prosthesis1
Maladministration of potassium containing solutions1
Misplaced naso-or oro-gastric tubes1
Derby Hospitals NHS Foundation Trust4
Wrong implant/prosthesis2
Inappropriate administration of daily oral methotrexate1
Misplaced naso-or oro-gastric tubes1
Doncaster & Bassetlaw Hospitals NHS Foundation Trust3
Misplaced naso-or oro-gastric tubes1
Wrong implant/prosthesis1
Retained foreign object post-operation1
Dorset County Hospital NHS Foundation Trust1
Wrong site surgery1
Ealing Hospital NHS Trust4
Retained foreign object post-operation4
East and North Hertfordshire NHS Trust4
Retained foreign object post-operation3
Wrong site surgery1
East Cheshire NHS Trust2
Retained foreign object post-operation1
Inappropriate administration of daily oral methotrexate1
East Kent Hospitals University NHS Foundation Trust7
Retained foreign object post-operation4
Misplaced naso-or oro-gastric tubes2
Wrong implant/prosthesis1
East Lancashire Hospitals NHS Trust1
Retained foreign object post-operation1
East London NHS Foundation Trust1
Escape of a transferred prisoner1
East Sussex Healthcare NHS Trust7
Retained foreign object post-operation4
Wrong site surgery3
Eastern and Coastal Kent PCT - Independent Provider4
Wrong site surgery1
Wrong implant/prosthesis1
Falls from unrestricted windows1
Retained foreign object post-operation1
Emerson's Green Treatment Centre1
Wrong site surgery1
Epsom & St Helier NHS Trust5
Retained foreign object post-operation4
Misplaced naso-or oro-gastric tubes1
Frimley Park Hospital NHS Foundation Trust2
Wrong site surgery1
Surgical Error1
Gateshead Health NHS Foundation Trust1
Retained foreign object post-operation1
George Eliot Hospital NHS Trust4
Wrong implant/prosthesis2
Wrong site surgery1
Retained foreign object post-operation1
Gloucestershire Hospitals NHS Foundation Trust9
Retained foreign object post-operation5
Wrong site surgery2
Misplaced naso-or oro-gastric tubes1
Wrong implant/prosthesis1
Great Ormond Street Hospital Children NHS Foundation Trust7
Misplaced naso-or oro-gastric tubes3
Wrong site surgery2
Retained foreign object post-operation2
Great Western Hospitals NHS Foundation Trust6
Wrong site surgery2
Retained foreign object post-operation2
Inappropriate administration of daily oral methotrexate1
Wrong implant/prosthesis1
Guy's and St Thomas' NHS Foundation Trust15
Wrong site surgery8
Retained foreign object post-operation4
Wrong implant/prosthesis2
Misplaced naso-or oro-gastric tubes1
Hampshire Hospitals NHS Foundation Trust5
Surgical Error3
Wrong site surgery2
Harbour Hospital1
Wrong implant/prosthesis1
Heart of England NHS Foundation Trust8
Wrong implant/prosthesis3
Retained foreign object post-operation3
Misplaced naso-or oro-gastric tubes2
Heatherwood & Wexham Park Hospitals NHS Foundation Trust3
Surgical Error2
Wrong site surgery1
Hertfordshire PCT1
Inappropriate administration of daily oral methotrexate1
Hillingdon PCT1
Wrong implant/prosthesis1
Hinchingbrooke Health Care NHS Trust5
Retained foreign object post-operation2
Wrong site surgery2
Wrong route administration of oral/enteral treatment 1
Homerton Hospital NHS Foundation Trust6
Retained foreign object post-operation3
Wrong site surgery2
Misplaced naso-or oro-gastric tubes1
Hull & East Yorkshire Hospitals NHS Trust10
Wrong site surgery5
Retained foreign object post-operation4
Misplaced naso-or oro-gastric tubes1
Imperial College Healthcare NHS Trust11
Retained foreign object post-operation8
Wrong site surgery2
Misplaced naso-or oro-gastric tubes1
Independent Provider Organisations Bradford & Airedale2
Wrong site surgery1
Wrong implant/prosthesis1
Ipswich Hospital NHS Trust1
Retained foreign object post-operation1
Isle of Wight NHS Trust4
Other3
Drug incident (Chemotherapy)1
James Paget University Hospitals NHS Foundation Trust10
Retained foreign object post-operation6
Wrong implant/prosthesis3
Maladministration of Insulin1
Kettering General Hospital NHS Foundation Trust4
Retained foreign object post-operation3
Wrong site surgery1
King's College Hospital NHS Foundation Trust6
Wrong site surgery2
Wrong implant/prosthesis2
Retained foreign object post-operation2
Kingston Hospital NHS Trust4
Retained foreign object post-operation2
Wrong site surgery1
Misplaced naso-or oro-gastric tubes1
Lancashire Teaching Hospitals NHS Foundation Trust2
Retained foreign object post-operation1
Misplaced naso-or oro-gastric tubes1
Leeds Teaching Hospitals NHS Trust6
Wrong site surgery4
Misplaced naso-or oro-gastric tubes2
Lewisham Healthcare NHS Trust2
Wrong site surgery1
Retained foreign object post-operation1
Lister Surgicentre (Clinicentre Ltd)1
Retained foreign object post-operation1
Luton and Dunstable Hospital NHS Foundation Trust2
Wrong site surgery1
Wrong implant/prosthesis1
Maidstone and Tunbridge Wells NHS Trust7
Retained foreign object post-operation4
Wrong implant/prosthesis2
Wrong site surgery1
Medway NHS Foundation Trust4
Misplaced naso-or oro-gastric tubes2
Wrong site surgery1
Retained foreign object post-operation1
Mid Cheshire Hospitals NHS Foundation Trust1
Misplaced naso-or oro-gastric tubes1
Mid Essex Hospital Services NHS Trust11
Retained foreign object post-operation6
Misplaced naso-or oro-gastric tubes2
Maladministration of Insulin1
Wrong site surgery1
Misidentification of patients1
Mid Staffordshire General Hospitals NHS Foundation Trust4
Wrong site surgery2
Retained foreign object post-operation2
Mid Yorkshire Hospitals NHS Trust 1
Misplaced naso-or oro-gastric tubes1
Middlesbrough PCT1
Wrong site surgery1
Milton Keynes General NHS Foundation Trust3
Retained foreign object post-operation2
Wrong site surgery1
Moorfields Eye Hospital NHS Foundation Trust4
Wrong implant/prosthesis4
Newcastle Upon Tyne Hospitals NHS FoundationTrust4
Wrong implant/prosthesis2
Wrong site surgery1
Misplaced naso-or oro-gastric tubes1
Newham University Hospital NHS Trust1
Retained foreign object post-operation1
NHS Norfolk3
Wrong site surgery1
Wrong implant/prosthesis1
Inappropriate administration of daily oral methotrexate1
NHS South East Essex1
Wrong site surgery1
NHS West Essex1
Wrong site surgery1
Norfolk & Norwich University Hospitals NHS Foundation Trust6
Retained foreign object post-operation3
Wrong site surgery2
Maladministration of Insulin1
Norfolk PCT1
Wrong site surgery1
North Bristol NHS Trust6
Wrong site surgery4
Misplaced naso-or oro-gastric tubes1
Retained foreign object post-operation1
North East Essex PCT1
Retained foreign object post-operation1
North Essex Partnership NHS Foundation Trust1
Maladministration of Insulin1
North Middlesex Hospital NHS Trust6
Retained foreign object post-operation5
Wrong implant/prosthesis1
North Tees & Hartlepool NHS Foundation Trust6
Retained foreign object post-operation3
Misplaced naso-or oro-gastric tubes1
Wrong site surgery1
Wrong implant/prosthesis1
North West London Hospitals NHS Trust5
Retained foreign object post-operation3
Wrong site surgery2
North West London sector1
Inappropriate administration of daily oral methotrexate1
Northampton General Hospital NHS Trust5
Wrong site surgery5
Northamptonshire Healthcare NHS Foundation Trust1
Wrong implant/prosthesis1
Northern Devon Healthcare NHS Trust4
Retained foreign object post-operation2
Wrong site surgery1
Inappropriate administration of daily oral methotrexate1
Northern Lincolnshire & Goole Hospitals NHS Foundation Trust3
Retained foreign object post-operation3
Nottingham University Hospitals NHS Trust13
Retained foreign object post-operation8
Wrong site surgery4
Wrong route administration of chemotherapy1
Nottinghamshire County PCT - Provider1
Retained foreign object post-operation1
Nottinghamshire Healthcare NHS Trust1
Inappropriate administration of daily oral methotrexate1
Nuffield Health - Exeter Hospital1
Retained foreign object post-operation1
Nuffield Hospital Leeds1
Wrong site surgery1
Outer London North East sector1
Misplaced naso-or oro-gastric tubes1
Oxford Health NHS Foundation Trust1
Abscond1
Oxford University Hospitals NHS Trust5
Surgical Error3
Maternity service1
Other1
Papworth Hospital NHS Foundation Trust4
Retained foreign object post-operation4
Partnerships in Care1
Escape of a transferred prisoner1
Pennine Acute Hospitals NHS Trust6
Retained foreign object post-operation6
Pennine Care1
Retained foreign object post-operation1
Peterborough & Stamford Hospitals NHS Foundation Trust5
Retained foreign object post-operation3
Wrong site surgery2
Plymouth Hospitals NHS Trust14
Retained foreign object post-operation6
Wrong site surgery4
Misplaced naso-or oro-gastric tubes2
Maladministration of Insulin1
Maladministration of potassium containing solutions1
Plymouth Independent Treatment Centre1
Wrong implant/prosthesis1
Poole Hospital NHS Foundation Trust1
Wrong site surgery1
Portsmouth Hospitals NHS Trust5
Other3
Wrong site surgery1
Surgical Error1
Princess Alexandra Hospital NHS Trust1
Retained foreign object post-operation1
Queen Elizabeth Hospital – King’s Lynn - NHS Foundation Trust6
Retained foreign object post-operation3
Wrong site surgery2
Maladministration of Insulin1
Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust3
Wrong site surgery2
Wrong implant/prosthesis1
Royal Berkshire NHS Foundation Trust3
Wrong site surgery3
Royal Cornwall Hospital NHS Trust6
Wrong site surgery3
Retained foreign object post-operation3
Royal Devon & Exeter NHS Foundation Trust6
Wrong site surgery4
Misplaced naso-or oro-gastric tubes1
Retained foreign object post-operation1
Royal Liverpool & Broadgreen University Hospitals NHS Trust2
Retained foreign object post-operation2
Royal Surrey County NHS Foundation Trust2
Wrongly prepared high-risk injectible medication1
Wrong site surgery1
Royal United Hospital Bath NHS Trust4
Retained foreign object post-operation2
Wrong site surgery1
Wrong implant/prosthesis1
Salford Royal NHS Foundation Trust4
Misplaced naso-or oro-gastric tubes2
Wrong site surgery1
Retained foreign object post-operation1
Salisbury NHS Foundation Trust5
Retained foreign object post-operation3
Wrong site surgery2
Sandwell and West Birmingham Hospitals NHS Trust9
Retained foreign object post-operation4
Misplaced naso-or oro-gastric tubes2
Wrong site surgery2
Wrong implant/prosthesis1
Scarborough & North East Yorkshire NHS Trust3
Retained foreign object post-operation2
Wrong site surgery1
Sheffield Teaching Hospitals NHS Foundation Trust5
Retained foreign object post-operation5
Shepton Mallet Treatment Centre1
Wrong site surgery1
Sherwood Forest Hospitals NHS Foundation Trust2
Retained foreign object post-operation2
Shrewsbury and Telford Hospital NHS Trust9
Wrong implant/prosthesis5
Retained foreign object post-operation3
Wrong site surgery1
Somerset Primary Care Trust1
Wrong site surgery1
South Devon Healthcare NHS Foundation Trust2
Wrong implant/prosthesis1
Retained foreign object post-operation1
South London and Maudsley NHS Foundation Trust1
Escape of a transferred prisoner1
South London Healthcare NHS Trust7
Retained foreign object post-operation4
Misplaced naso-or oro-gastric tubes2
Wrong site surgery1
South Tees Hospitals NHS Foundation Trust7
Wrong site surgery3
Retained foreign object post-operation3
Maladministration of potassium containing solutions1
South Tyneside Healthcare NHS Trust1
Misplaced naso-or oro-gastric tubes1
South Warwickshire NHS Foundation Trust4
Retained foreign object post-operation2
Misplaced naso-or oro-gastric tubes2
South West Yorkshire partnership NHS Foundation Trust1
Escape of a transferred prisoner1
Southampton City PCT (Moorgreen)1
Wrong site surgery1
Southend University Hospital NHS Foundation Trust6
Wrong site surgery4
Retained foreign object post-operation2
Southern Health NHS Foundation Trust1
Other1
Southport & Ormskirk NHS Trust5
Wrong site surgery2
Wrong implant/prosthesis2
Retained foreign object post-operation1
St George's Healthcare NHS Trust8
Wrong site surgery3
Retained foreign object post-operation3
Misidentification of patients1
Misplaced naso-or oro-gastric tubes1
St Helen's & Knowsley Hospitals NHS Trust1
Wrong site surgery1
Stockport NHS Foundation Trust1
Retained foreign object post-operation1
Stoke on Trent Community Health Services (NHS Stoke on Trent provider arm)1
Wrong site surgery1
Surrey & Sussex Healthcare NHS Trust2
Retained foreign object post-operation2
Surrey PCT - Independent Provider3
Wrong site surgery2
Retained foreign object post-operation1
Tameside Hospital NHS Foundation Trust1
Wrong site surgery1
Taunton & Somerset NHS Foundation Trust3
Wrong site surgery2
Retained foreign object post-operation1
The Hillingdon Hospital NHS Foundation Trust2
Wrong implant/prosthesis1
Retained foreign object post-operation1
The Manor Hospital, Oxford1
Retained foreign object post-operation1
The Princess Alexandra Hospital NHS Trust8
Wrong site surgery3
Retained foreign object post-operation3
Misidentification of patients1
Misplaced naso-or oro-gastric tubes1
The Queen Elizabeth Hospital Kings Lynn NHS Trust2
Wrong site surgery1
Retained foreign object post-operation1
The Queen Victoria Hospital NHS Foundation Trust2
Retained foreign object post-operation2
The Rotherham NHS Foundation Trust1
Retained foreign object post-operation1
The Royal Free London NHS Foundation Trust10
Retained foreign object post-operation5
Wrong site surgery2
Inappropriate administration of daily oral methotrexate1
Misplaced naso-or oro-gastric tubes2
The Royal Marsden Hospital NHS Foundation Trust1
Retained foreign object post-operation1
The Royal Orthopaedic Hospital NHS Foundation Trust2
Wrong implant/prosthesis1
Retained foreign object post-operation1
The Royal Wolverhampton Hospitals NHS Trust10
Retained foreign object post-operation5
Wrong site surgery2
Failure to monitor and respond to oxygen saturation1
Inappropriate administration of daily oral methotrexate1
Maladministration of Insulin1
The Winfield Hospital1
Retained foreign object post-operation1
Trafford Healthcare NHS Trust*1
Misplaced naso-or oro-gastric tubes1
United Lincolnshire Hospitals NHS Trust12
Retained foreign object post-operation4
Wrong site surgery3
Wrong implant/prosthesis2
Transfusion of ABO-incompatible blood components2
Maladministration of potassium containing solutions1
University Hospitals Morcambe Bay NHS Foundation Trust1
Misplaced naso-or oro-gastric tubes1
University College London Hospitals NHS Foundation Trust5
Retained foreign object post-operation2
Wrong implant/prosthesis1
Air Embolism1
Misplaced naso-or oro-gastric tubes1
University Hospital Birmingham NHS Foundation Trust3
Retained foreign object post-operation2
Misplaced naso-or oro-gastric tubes1
University Hospital of Bristol NHS Foundation Trust4
Wrong site surgery1
Retained foreign object post-operation1
Air Embolism1
Maladministration of potassium containing solutions1
University Hospital of North Staffordshire NHS Trust7
Retained foreign object post-operation3
Wrong site surgery2
Misplaced naso-or oro-gastric tubes2
University Hospital of South Manchester NHS Foundation Trust1
Retained foreign object post-operation1
University Hospital Southampton NHS Foundation Trust7
Surgical Error4
Wrong site surgery2
Maternity service1
University Hospitals Coventry and Warwickshire NHS Trust6
Wrong site surgery4
Misplaced naso-or oro-gastric tubes1
Retained foreign object post-operation1
University Hospitals of Leicester NHS Trust12
Retained foreign object post-operation5
Wrong site surgery3
Misplaced naso-or oro-gastric tubes1
Wrong route administration of chemotherapy1
Inappropriate administration of daily oral methotrexate1
Wrong implant/prosthesis1
Walsall Healthcare NHS Trust3
Retained foreign object post-operation2
Wrong site surgery1
Warrington & Halton Hospitals NHS Foundation Trust1
Retained foreign object post-operation1
West Hertfordshire Hospitals NHS Trust11
Wrong site surgery5
Retained foreign object post-operation5
Misplaced naso-or oro-gastric tubes1
West Kent PCT1
Falls from unrestricted windows1
West Middlesex University NHS Trust3
Misplaced naso-or oro-gastric tubes2
Retained foreign object post-operation1
West Suffolk NHS Foundation Trust3
Wrong site surgery2
Misplaced naso-or oro-gastric tubes1
Western Sussex Hospitals NHS Trust5
Retained foreign object post-operation3
Misplaced naso-or oro-gastric tubes1
Wrong site surgery1
Weston Area Health Trust4
Wrong site surgery2
Maladministration of potassium containing solutions1
Wrong gas administered1
Whipps Cross University Hospital NHS Trust7
Retained foreign object post-operation4
Wrong site surgery1
Falls from unrestricted windows1
Inappropriate administration of daily oral methotrexate1
Whittington Hospital NHS Trust5
Retained foreign object post-operation4
Misplaced naso-or oro-gastric tubes1
Wiltshire Primary Care Trust1
Wrong site surgery1
Wirral University Teaching Hospital NHS Foundation Trust1
Retained foreign object post-operation1
Worcestershire Acute Hospitals NHS Trust4
Retained foreign object post-operation2
Wrong site surgery1
Inappropriate administration of daily oral methotrexate1
Yeovil District Hospital NHS Foundation Trust3
Retained foreign object post-operation3
York Hospitals NHS Trust 2
Wrong site surgery1
Inappropriate administration of daily oral methotrexate1
Grand Total762

*In 2012 Maidstone and Tunbridge Wells NHS Trust downgraded one never event in the category of retained foreign object post-operation.

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