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 — incidents that could have caused harm but didn’t — are goldmines for proactive improvement.


👀 Don’t Dismiss the “Almost”

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 — 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.


🛠️ 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.


📢 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.


Written by Mike Harrison, Founder of Impact Guru Ltd — specialists in bid writing and strategy for social care providers

Visit impact-guru.co.uk to browse downloadable strategies, method statements, or get in touch about tender support.

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