As part of the Care Quality Commission (CQC) registration, every GP practice should have an incident policy/procedure in place in the event of an incident, including near misses and serious incidents (SIs), that take place at the practice. Do not confuse with the Quality Alert System, which is for GPs to report service-quality issues to the CCG.

Further information

Serious Incident Framework (March 2013) document and the Serious Incident Reporting: Interim Operating Model document

SI Framework (March 2013)

Reporting flow chart for Primary Care SIs in Appendix 2

CQC guidance for GP practices

Reporting events and Serious Incidents to CQC

It is a requirement of CQC registration that GP practices report all events that indicate, or may indicate, risks to compliance with registration requirements, or that may require changes to practice information on the CQC register. For more on the CQC's essential standards of quality and safety (2010) see the website.

Reporting Serious Incidents to NHS England

NHS England Incident Reporting Form

  • Email:
  • The words ‘Serious Incident Notification’ must be used in the subject of the email
  • NHS England SI notification helpline t: 020 7932 2659

SIs of particular gravity which could attract media attention must be reported to NHS England, London Region, out of normal hours Telephone: 08448 222888 (quote NHS01). NHS England is developing further guidance concerning reporting of incidents which do not reach the SI threshold.

In the meantime, to report incidents involving patient safety or health care professionals, Email:

To report incidents relating to contractual issues Email:

Incident reporting related to Locally Commissioned Services

Complete this form.

See also the Quality Alert System page.