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Investigation of Deaths in NHS Trusts: Implementing the NQB & CQC Recommendations

Monday 2 October 2017
De Vere West One Conference Centre, London

Follow the conference on Twitter #CQCDeathsreview

The National Guidance on Learning from Deaths was released by the National Quality Board in March 2017, following recommendations for NHS Trusts by the CQC released in December 2016. This national conference focuses on improving the investigation of deaths in NHS Trusts in line with these recent recommendations.

“The National Quality Board has published a first edition of National Guidance on Learning from Deaths, providing a framework for NHS trusts on identifying, reporting, investigating and learning from deaths of people in their care. The need for national guidance was identified as one of the highest priority recommendations in our report Learning, Candour and Accountability, published in December last year.” The National Quality Board in March 2017.

“Learning from deaths needs much greater priority within the NHS to avoid missing opportunities to improve care.” CQC, 13 December 2016

“There is a real opportunity for the NHS to become world leaders in the way learning and investigations are completed and changes are made when a person dies… We call on everyone working in and with the NHS to play their part in making the changes needed, with a focus on pace, transparency and consistency being achieved in 2017.” CQC, 13 December 2016

“The extent of the problems is more than I expected. The whole system [of investigating deaths] needs an overhaul at national level and local level…there is not a single NHS trust that is getting it completely right currently”.  Prof Sir Mike Richards, chief inspector of hospitals, CQC HSJ, December 2016

“Learning from the care provided to patients who die is, of course, a key part of clinical governance and quality improvement work. These new requirements are designed to complement your existing approaches, introducing minimum standards and reporting in some areas but not seeking to replace current good practice” Care Quality Commission and NHS Improvement 22nd February 2017

This conference will enable you to:

  • Network with colleagues working to improve practice in the investigation of deaths
  • Improve the investigation of deaths in your organization in line with CQC and NQB recommendations and guidance
  • Learn from established practice in the delivery of mortality review
  • Understand and reflect on what mortality governance means in practice      
  • Update your knowledge on national developments in hospital mortality
  • Develop your skills investigation and improve consistency in decision making practice
  • Identify key strategies for the involvement of carers and families
  • Reflect on role of mortality audits, internal inspection and mortality reviews to answer the question “did a problem in care contribute to the death?
  • Understand the legal issues around investigation and the duty of candour
  • Ensure the learning from investigations leads to change and improvement
  • Examine your role in the coordination of multiple investigations across organisations
  • Self assess and reflect on your own practice
  • Gain cpd accreditation points contributing to professional development and revalidation evidence

100% of delegates at our previous conference on this subject would recommend it to a colleague

Book online now

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