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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

Investigation of Deaths in NHS Trusts: Implementing the NQB & CQC Recommendations
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This national conference will focus on improving the investigation of deaths and mortality governance in NHS Trusts in line with the recent recommendations from the National Quality Board and Care Quality Commission.

“Mortality governance should be a key priority for Trust boards” NHS England March 2017 

“National Guidance on Learning from Deaths should be read alongside the Serious Incident Framework. Trust boards are accountable for ensuring compliance with both these frameworks. They should work towards achieving the highest standards in mortality governance. However, different organisations will have different starting points in relation to this agenda and it will take time for all Trusts to meet such standards….. Boards should take a systematic approach to the issue of potentially avoidable mortality and have robust mortality governance processes.” NHS England 2017 

Chaired by Dr Jason Shannon National clinical lead for mortality case note review in Wales, Consultant Histopathologist and Assistant Medical Director Pathology Cwm Taf University Health Board, the conference will include a national update on Mortality Governance from Dr Gerry Morrow Joint Clinical Lead, Regional Mortality Review Project, Patient Safety Collaborative, North East and North Cumbria Academic Health Science Network. There will also feature an extended interactive practical session focusing on implementing effective Mortality Governance in practice delivered by Dr Martin Farrier Clinical Director for Quality & Consultant Paediatrician Wrightington, Wigan and Leigh NHS Foundation Trust.

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
     

 

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Good Governance Institute
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