New report from HSSIB says that ‘Retained surgical swabs are classed as Never Events. However, data shows that there has been 11-23 retained swab incidents per year since 2015.’ This is why the NHS needs to start managing quality. NO Quality Control and NO Quality Assurance and Quality2024 with all the wonderful presentations will not make any difference to this number over the next 19 years! It’s time the NHS started listening to UK Quality Professional and not the likes of IHI and VMI. We in the UK have had a Chartered Quality Institute for over 100 years. Why don’t you listen to them? The new standard foe management in healthcare, BS ISO 7101:2023 is the ONLY way forward for the NHS.