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This national conference looks at the practicalities of Serious Incident Investigation and Learning from Deaths in Mental Health Services. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework). The PSIRF now been published for the early adopter sites, the final version is due in Spring 2022, and is due to be fully introduced in all organisations during 2022, the conference will examine how the new framework will fit with the Royal College of Psychiatrists Care Review Tool for mortality review.
The principles of the Royal College of Psychiatrists mortality review process are:
- All deaths are appropriately reviewed to assess if there is potential for organisational learning.
- The deaths selected for further review have a structured judgement review completed.
- The review of deaths is undertaken in a spirit of openness and transparency, and organisational learning, rather than blame.
- The review of deaths will involve families and those close to the deceased, where possible.
“Local systems and organisations outside of the early adopter areas can use this version of the PSIRF to start to plan and prepare for PSIRF’s full introduction in 2022.”
“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.”
“To support the NHS to further improve patient safety, we are preparing for the introduction of a new Patient Safety Incident Response Framework (PSIRF), outlining how providers should respond to patient safety incidents and how and when a patient safety investigation should be conducted.”
This conference will enable you to:
- Network with colleagues who are working to improve the investigation of serious incidents and deaths in mental health services
- Ensure your approach to Serious Incident Investigation is in line with the NHS Patient Safety Strategy
- Learn from outstanding practice in implementing the Royal College of Psychiatrists Mortality Care Review Tool
- Reflect on the lived experience of a bereaved relative
- Improve the way you involve and engage families and carers in the investigation process
- Develop your skills in incident investigation and mortality review
- Understand how you can improve serious incident investigation and understand the recent developments including the New Patient Safety Incident Response Framework
- Identify key strategies for undertaking a self assessment, and continuous review of deaths and investigation practice in your organisation
- Understand how human factors can help improve learning from serious incident investigation
- Ensure you are up to date with the role of the coroner
- Understand how you can better support staff when a serious incident occurs
- Self assess and reflect on your own practice
- Gain CPD accreditation points contributing to professional development and revalidation evidence
100% of delegates so far would recommend to a colleague and 100% said attending the conference today will ultimately have a positive impact on patient experience and outcomes