Understanding Engagement With Incident Reporting Systems Among NHS Healthcare Professionals: A Cross-Sectional Study.

Background Incident reporting systems such as Datix (London, UK) and Radar (Leeds, UK) are key components of the NHS's patient safety infrastructure. Whilst widely implemented, engagement with these systems varies across professional roles and settings. Aim The aim of the study is to explore how NHS healthcare professionals engage with incident reporting systems, identify perceived barriers, and gather suggestions for improvement. Methods A cross-sectional, anonymised online survey was distributed to doctors, nurses, allied health professionals, and support staff working in a single large NHS hospital located in an urban area in the UK. The questionnaire included both closed- and open-ended questions covering system familiarity, usage, barriers, and perceptions. Quantitative data were analysed descriptively, and qualitative responses were reviewed thematically. Results Seventy-three professionals responded, with doctors forming the majority. Most participants were familiar with incident reporting systems, but submission rates were low, and many had never received formal training. Feedback following reports was inconsistent, and many respondents were unsure whether their reports led to meaningful change. Whilst most viewed the system as a safety tool, a notable proportion associated it with complaints or blame. Participants suggested that improved training, simplified reporting processes, and regular feedback would enhance engagement. Conclusion Incident reporting systems remain underutilised by NHS staff due to both practical and cultural barriers. Addressing these through targeted training, streamlined processes, and visible organisational learning may help shift perceptions and improve reporting behaviour.