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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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“The Committee supports the recommendations made in the CQC’s report that training should be provided to staff across the health service in England on how to conduct investigations.” Will the NHS never learn? Follow-up to PHSO report ‘Learning from Mistakes’ on the NHS in England, 2017

“It is clear from the evidence reviewed during the course of this inquiry that the investigative processes in the health service in England remain obscure and difficult to navigate for patients and families. As a result, patients and families are excluded by the system, which must become open and learning-focused if investigations are to lead to positive changes in the system. Families and patients should, as a matter of course, be included in investigations and should feel confident that lessons will be learned as a result of clinical incidents.” Will the NHS never learn? Follow-up to PHSO report ‘Learning from Mistakes’ on the NHS in England, 2017

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.

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

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