{{ item.label }}: {{ item.title }}

A Practical Guide to Serious Incident Investigation & Learning

Wednesday 14 Oct 2020


Follow the conference on Twitter #NHSSeriousIncidents

Find out more about virtual attendance

This virtual conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously know as the Serious Incident Framework) which is due to be published in Winter 2019/20 as introductory guidance. NHS Improvement will then work with a small number of early adopters to test implementation. For all other organisations the PSIRF is being published for information only and using learning from the pilot sites, resources and guidance will be developed to support organisations to adopt and implement PSIRF, with an expectation that providers and local systems will begin introducing the new framework from Autumn 2020, with full NHS-wide roll out complete by Summer 2021.

“Patient safety is about maximising the things that go right and minimising the things that go wrong…It is human to make mistakes so we, the NHS, need to continuously reduce the potential for error by learning and acting when things go wrong.” 

The NHS Patient Safety Strategy July 2019

”While recognising the importance of learning from what goes well, identifying incidents, recognising the needs of those affected, undertaking meaningful analysis and responding to reduce the risk of recurrence remain essential to improving safety. Doing this well requires the right skills, systems, processes and behaviours throughout the healthcare system. The PSIRF will support the NHS to operate systems, underpinned by behaviours, decisions and actions, that assist learning and improvement, and allow organisations to examine incidents openly without fear of inappropriate sanction, support those affected and improve services” 

NHS Improvement 2019

The conference will examine the development of a risk based response to incidents as outlined in the July 2019 NHS patient safety strategy “we think organisations should develop a patient safety incident review and investigation strategy to allow them to use a range of proportionate and effective learning responses to incidents. The proposal is to explore basing the selection of incidents for investigation on the opportunity they give for learning; and ensuring that providers allocate sufficient local resources to implement improvements that address investigation findings.”

The conference will also update delegates on the National Learning from Deaths guidance and implementation in practice including the new role of the Medical Examiner. There will be an extended focus on learning from serious incidents, ensuring the investigation findings lead to change and improvement.

This conference will enable you to:

  • Network with colleagues who are working to improve the investigation of serious incidents
  • Ensure your approach to Serious Incident Investigation is in line with the 2019 NHS Patient Safety Strategy
  • Update your knowledge with national developments including the New Patient Safety Incident Response Framework (PSIRF)
  • Learn from outstanding practice in the development of serious incident investigation and mortality review
  • Reflect on the perspectives of bereaved families and carers and understand how you can engage them and recognise their insights as a vital source of learning in line with the National Guidance
  • Develop a risk based response to incident investigation
  • Reflect on the development of mortality governance within your organization
  • Understand how to work with staff to ensure a focus on learning and continuous improvement
  • Develop your skills in Serious Incident Investigation: applying the serious incident framework and using skilled analysis to move the focus of investigation from acts or omissions of staff, to identifying systems improvement
  • Identify key strategies for improving investigation of serious incidents
  • Gain CPD accreditation points contributing to professional development and revalidation evidence

Huw Twamley

Regional Medical Examiner
North West

Exhibition & Sponsorship Packages

This conference offers a valuable opportunity for industry suppliers to personally meet with their target audience where they will have time to talk and demonstrate the benefits of their products. High quality specialist audiences make having a presence at our events, whether it be a sponsored session, or a virtual booth, a highly targeted and cost effective marketing channel.

Why Exhibit?

Having a presence at this event will give you the opportunity to:

  • Demonstrate your product, system or service
  • Network and engage face to face with your key audience on-site and virtually 
  • Generate new business leads
  • Gain exposure for your brand and raise the profile of your organisation
  • Understand the current needs of your audience and challenges they’re facing
  • Update your knowledge of national policy and local developments  


Contact Carolyn Goodbody for virtual & hybrid exhibition and sponsorship prices, or to discuss a tailored package to suit your needs and budget.

Fee Options

NHS, Social Care, Private Healthcare Organisations & Universities



Voluntary sector & charities



Commercial organisations



(Prices in brackets include VAT)


Additional delegate discount:

A discount of 15% will be applied to fees for any extra delegates.

Online discount:

A discount of 10% will be applied if you pay using the website.

Also of Interest

A Practical Guide to Human Factors in Healthcare
Friday 6 Nov 2020
Deteriorating Patient Summit
Friday 11 Dec 2020
West One De Vere, London OR Virtual, Online