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Welcome to NRLS Reporting

The National Reporting and Learning System (NRLS) is a central database of patient safety incident reports. Since the NRLS was set up in 2003, the culture of reporting incidents to improve safety in healthcare has developed substantially.

All information submitted is analysed to identify hazards, risks and opportunities to continuously improve the safety of patient care. Please click here for further information.

The published Organisation Patient Safety Incident Reports are generated by the Explorer Tool and can be found here.

For the published data workbook, please click here.

For the monthly published data reports click here and for the National Patient Safety Reports click here.

After logging in you can:

  • Upload incident reports from your local risk management reporting system
  • Review incident reports submitted by your organisation
  • View incident reports submitted online to the NRLS for your organisation

News Headlines

  • 15-Nov-2022 : NRLS Incident Data Uploads

    Dear Users, Please continue to regularly upload your patient safety incidents to the NRLS on a monthly basis and also reconciliating your data end of November 2022 and end of May 2023, till you transition fully to LFPSE. Another final upload will be required just before transitioning to LFPSE to ensure your NRLS incident data is complete. Any questions can be sent to our Patient Safety Helpdesk email: england.patientsafetyhelpdesk@nhs.net


  • 25-Oct-2022 : Official Statistics Release

    Dear Colleague, The official statistics releases of the National Reporting and Learning System (NRLS) were released on the 13th of October 2022. They include the Organisation Patient Safety Incident Reports (OPSIR) which show incidents reported by organisations from 1 April 2021 to 31 March 2022 and the National Patient Safety Incident Reports (NAPSIR) which show the national patterns and trends on incident reporting from 1 April 2021 to 31 March 2022 that were submitted to the National Reporting System (NRLS) by 31 May 2022. The publication of this year’s Explorer tool is delayed for testing the new annual format. The Explorer tool will be released as soon as testing has been completed and the webpage will be updated on release.


  • 19-Oct-2022 : LFPSE Optional Transition Extension

    Dear Colleague, Please find the link below to the statement issued by NHS England National Patient Safety Team regarding an option to extend the deadline to complete transition to the Learn from Patient Safety Events (LFPSE) service to the 30th of September 2023. https://future.nhs.uk/NHSps/view?objectID=148745989


  • 17-Oct-2022 : NRLS Provisional Data

    Dear Colleagues, The Provisional data for each NRLS Organisation is now available for you to log in and view.


  • 05-Oct-2022 : The LFPSE Data Access App

    Dear Colleague, the LFPSE Data Access app has now gone live: https://access-data.learn-from-patient-safety-events.nhs.uk/ - this is the first of many iterations to come, so please take some time to explore the tool and let us have your feedback on how it could be enhanced to support your local learning and improvement.


  • 16-Sep-2022 : Publication of Annual NRLS Official Statistics

    Dear Colleague, the official statistics releases of the National Reporting and Learning System (NRLS) data will be published on the 13th of October 2022. This includes the Organisation Patient Safety Incident Reports (OPSIR) and the National Patient Safety Incident Reports (NaPSIR). To illustrate and show the importance of recording patient safety events, we publish regular case studies at https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/how-we-acted-on-patient-safety-issues-you-recorded.


  • 02-Sep-2022 : LFPSE Event Type Update

    Dear Colleague, User testing leading up to this summer indicated that introducing the ‘outcome’ and ‘risk’ event types was useful to those recording patient safety events, local administrators and national users. However, concerns raised over the last couple of months have demonstrated that there is a wider range of opinion, with some strongly held views that presently the inclusion of ‘outcome’ and ‘risk’ event types is not helpful. We are currently further exploring their use and building a bigger evidence base to help us identify the best way forward. We will do this with a smaller group of organisations who have either already adopted the use of the ‘outcome’ and ‘risk’ event types, and are happy to continue using them, as well as others who have agreed to help us further test these concepts. Organisations can now choose to participate in this further testing of these concepts [please let us know if you wish to be a tester by contacting the Patient Safety Helpdesk at england.patientsafetyhelpdesk@nhs.net], or to presently only implement the ‘incident’ and ‘good care’ event types. Once we have developed further understanding of the concepts with testing organisations, we will either move to wider adoption by all, or suspend use of ‘risk’ and ‘outcome’ event types. That decision will be based on the evidence generated and the experience of users. Those organisations currently wishing to only implement ‘incident’ and ‘good care’ should ask their local risk management system vendors to disable ‘outcome’ and ‘risk’ event types. We have contacted all risk management vendors, asking them to help with any such requests. We envisage this change will reduce the burden on adjusting local forms, internal communications and concerns raised in regard to training required around the ‘outcome’ and ‘risk’ event types, better supporting providers transitioning from the NRLS to meet the end of March 2023 deadline.


  • 15-Jul-2022 : NEW NRLS Mapping Requests

    Due to the transitioning to LFPSE and the decommissioning of the NRLS in April 2023 our team are no longer undertaking new system mapping reviews. Please speak to your Vendor to connect you to LFPSE and contact our team at england.patientsafetyhelpdesk@nhs.net so we may support you through the transition phase.


  • 10-May-2022 : NRLS Contact form

    Dear Colleague, Please note we are currently experiencing difficulty receiving messages via the NRLS Contact form, should you need to get in touch with us, please email england.patientsafetyhelpdesk@nhs.net.


  • 10-Mar-2022 : GP Mythbuster

    Dear Colleague, The CQC has recently released their latest GP mythbuster, explaining how they do and don’t use the data from the Learn from patient safety events (LFPSE) service. Please see the link for further information, https://www.cqc.org.uk/guidance-providers/gps/gp-mythbuster-24-recording-patient-safety-events-learn-patient-safety-events


  • 12-Jun-2020 : Reporting COVID-19 Deaths

    Dear users, we wish to remind reporters, particularly from Mental Health and Community Care settings, to only upload deaths relating to COVID-19 where a patient safety incident has occurred and not report death arising from natural causes. Further advice is available via the NRLS help guide “Degree of harm FAQs” found in the Help section. Please refer to Section 9 “When is an incident not reportable as a death to the NRLS?”


  • 15-Oct-2014 : NRLS Mapping Toolkit available

    An NRLS Mapping Toolkit aimed at demystifying the NRLS Mapping process and helping you set up an ideal coding structure is now available. Please request the Mapping Toolkit and mapping review by completing a contact form.