The national director of patient safety at NHS England, which released today's 'never ever' findings, said that the risk of such serious medical errors "has never been smaller" and said that it "has always been the case" that mistakes will occur among healthcare professionals.
Every single never event puts patients at risk of harm which is avoidable.
People who suffer severe harm because of mistakes can suffer serious physical and psychological effects for the rest of their lives, and that should never happen to anyone who seeks treatment from the NHS.
But is time for some real openness and honesty. There are risks involved with all types of healthcare.
And one of those risks - with the best will in the world and the best doctors, nurses and other healthcare professionals in the world - is that things can go wrong and mistakes can be made.
More top news
A coalition airstrike reportedly struck a shelter used by those fleeing the militants last week leaving over 100 dead.
High pressure gives settled weather across the UK.
Concern over F1’s lucrative tax agreement has driven the Labour MP Margaret Hodge to table Parliamentary Questions about it