<p>Sharps injuries are one of the main types of accident sustained by NHS staff. The RCN’s Be Sharp Be Safe campaign was launched in 2001 with the aim of reducing sharps injuries and includes a surveillance project to describe the current pattern of sharps injuries being experienced in participating trusts. This article gives an overview of the results from the second year of the surveillance project and indicates how the data can be used to help improve practice. Nurses emerge as the staff group reporting the highest proportion of injuries recorded in the study period. The most common sharps injury scenario involves nurses giving injections in the patient’s room or ward area. Aspects of poor disposal practice and incidents involving the recapping of needles continue to result in injuries and are worthy of further investigation. Analysis of the data by location can highlight specific tasks which could be reviewed to identify safer working practices.</p>