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By collecting the data and taking action in response to failings in care, trusts will be able to give an open and honest account of the circumstances leading to a death. This National Conference focuses on improving the investigation and learning from deaths in NHS Trusts and will reflect on learning from deaths. There will be a focus on mortality review during the Covid pandemic and how mortality investigation should be managed in these cases.
The conference will discuss the role of Medical Examiners in learning from deaths which is now being extended to all non-coronial deaths wherever they occur. The conference will also update delegates on the New National Patient Safety Incident Response Framework including sharing experience from an early adopter site.
“The objective is for medical examiners to independently scrutinise all non-coronial deaths across England and Wales”
“Learning from the early adopters will inform the final version of the PSIRF which we anticipate will be published in Spring 2022. We anticipate that at that point, all other organisations will be encouraged to begin the transition to the PSIRF, with an expectation that all parts of the NHS in England will be using the new framework by Autumn 2022.”
“The revised Patient Safety Incident Response Framework (PSIRF) is expected to be published in June 2022. At this point we will ask the wider NHS to begin preparing to transition from the Serious Incident Framework to PSIRF. We expect implementation to be a gradual process and do not expect organisations to be ready to implement PSIRF from its publication.”
Attendance at this conference will support you to:
- Network with colleagues who are working to improve practice in the investigation and learning from deaths
- Learning from the Mortality Case Review
- Reflect on the lived experience of a carer
- Learning from deaths during Covid-19
- Learn from working examples of mortality governance and develop the role of mortality audits, internal inspection and mortality reviews to answer the question “did a problem in care contribute to the death?
- Implement the new Patient Safety Incident Response Framework and improve learning from serious incidents
- Understand national developments and national reporting requirements
- Learn from best practice in the investigation of deaths
- Identification and reporting of deaths and the role of the Medical Examiner – including extending this role to all non-coronial deaths
- Improving your processes and skills in mortality review and mortality governance
- Reflect on how you improving involvement of families and carers
- Understand the decision to investigate, and the appropriate level of investigation
- Improving your skills in serious Incident Investigation: and understanding the implications of the New Patient Safety Incident Response Framework
- Explore how a human factors can support learning from deaths
- Effectively support staff when a death occurs including supporting staff through coroner inquests
- Self assess your learning from deaths process and ensure investigations lead to change
- Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes
100% of delegates who attended the previous date would recommend to a colleague.