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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

  • 10-Feb-2021 : Official Stats publishing schedule is changing

    Dear Colleague, The Official Statistics publishing schedule is changing We are now publishing the Organisation and National level patient safety incident reports (OPSIR and NAPSIR) once a year rather than every six months, with the next publication due in September 2021. Please visit the following page for more information: https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/


  • 04-Feb-2021 : PSIMS Update

    Dear Colleague, a new national NHS patient safety incident management system (PSIMS) is in the final stages of development as a central service for the recording and analysis of patient safety events that occur in healthcare. It will replace the current NRLS and StEIS, offering better support for staff from all health and care sectors to record safety events, and providing greater insight and analysis to aid national and local safety improvement. Found out more on the project’s webpage: https://www.england.nhs.uk/patient-safety/patient-safety-incident-management-system/


  • 25-Nov-2020 : NRLS Uploads

    Dear user, all organisations should keep reporting at least once a month and carry on their 6-month reconciliations and updates as normal, i.e. end of May and end of November - next following on Monday the 30th of November 2020.


  • 24-Sep-2020 : Official Statistics Release

    Dear Colleague, The official statistics releases of the National Reporting and Learning System (NRLS) have been released . This includes the Organisation Patient Safety Incident Reports (OPSIR) which shows incidents reported by organisation between October 2019 and March 2020 and the National Patient Safety Incident Reports (NAPSIR), which shows national patterns and trends on incident reporting between April 2019 and March 2020. You can also now download tailored reports on a trust’s individual reporting patterns for the period October 2019 to March 2020 via the the NRLS explorer tool.


  • 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?”


  • 08-Apr-2020 : NRLS uploads during Covid-19

    Dear user, we are continuing to routinely process and review patient safety incident reports and, where appropriate, use this information to identify actions that organisations can take to reduce risks. Incidents collated nationally support the response to covid-19 as well as the identification of patient safety issues for patients with other healthcare needs. Due to additional pressures on the NHS at the current time, organisations should prioritise regular uploads of incidents over quality checking. Also, it is good practice to have in each organisation more than one person able to upload incidents to the NRLS, to register a new NRLS Reporting user please access: https://report.nrls.nhs.uk/nrlsreporting/CreateUser.aspx eForm: We are continuing to routinely process and review patient safety incident reports and, where appropriate, use this information to identify actions that organisations can take to reduce risks. Incidents collated nationally support the response to covid-19 as well as the identification of patient safety issues for patients with other healthcare needs. Thank you so much for your hard work in these extraordinary times!


  • 25-Mar-2020 : Official Statistics Release

    Dear user, the official statistics releases of the National Reporting and Learning System (NRLS) data have been published today. This includes the Organisation Patient Safety Incident Reports (OPSIR), https://improvement.nhs.uk/resources/organisation-patient-safety-incident-reports-25-march-2020/ and the National Patient Safety Incident Reports (NAPSIR), https://improvement.nhs.uk/resources/national-patient-safety-incident-reports-25-march-2020/ The NRLS explorer tool is now available and includes the most recent data at https://report.nrls.nhs.uk/ExplorerTool/


  • 24-Mar-2020 : NRLS requirements/deadlines in light of Covid-19

    Dear user, we are currently reviewing reporting requirements and deadlines in light of Covid-19 and we will update you if changes are identified.


  • 29-Mar-2019 : Guidance to implement revised 2018 PU Framework

    Guidance to implement the revised 2018 Pressure Ulcer framework in your local reporting system and for reporting to the National Reporting and Learning System (NRLS) can be found via: https://improvement.nhs.uk/resources/pressure-ulcers-revised-definition-and-measurement-framework/


  • 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.