Lessons from Near Misses: Learning Without the Harm

In social care, some of the most valuable learning comes from what *didn’t* happen. Near misses β€” incidents that could have caused harm but didn’t β€” are goldmines for proactive improvement.


πŸ‘€ Don’t Dismiss the β€œAlmost”

Near misses are early warning signs. A missed medication dose that’s caught just in time, or a service user who nearly slips on a wet floor β€” these moments give you the chance to act *before* someone gets hurt.

Commissioners will score you highly if your culture encourages this kind of proactive reporting and learning.


πŸ› οΈ Use Near Misses to Improve

To learn from near misses:

  • Record and analyse them, just as you would actual incidents
  • Identify the root causes and contributing factors
  • Put actions in place to stop them happening again

Importantly, this must happen *without blame*. A culture of openness is essential for honest reporting.


πŸ“’ Show It in Tenders

In your tender responses, go beyond policies. Describe how near miss reporting is embedded in your daily practice:

  • Is there a dedicated log or form?
  • Do you review near misses in team meetings or supervisions?
  • What examples can you give where this led to meaningful change?

Stories matter here. Show your service actively learning and adapting.


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Updated for Procurement Act 2023 β€’ CQC-aligned β€’ BASE-aligned (where relevant)


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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