Incident systems must reach the whole organisation: staff helped to spot and report, patients and families given a way to raise concerns, staff and consumers drawn into reviews, findings fed back promptly to the board, staff and consumers, lessons turned into improvement, resulting risks entered on the register, and the system itself reviewed. Open disclosure must run on a program aligned to the national framework, with its effectiveness tracked and improved.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.