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Hospital Mortality National Summit: Mortality Monitoring & Reducing Avoidable Deaths attributable to problems in care - where are we now?

Wednesday 22 February 2017
The Studio Conference Centre, Birmingham

Hospital Mortality National Summit: Mortality Monitoring & Reducing Avoidable Deaths attributable to problems in care - where are we now?

This event has now past, but there may well be news on the event including presentations and quotes from the day at our News pages here, a full list of our forthcoming events is available here.

Follow the conference on Twitter #NHSMortality

This national Summit will focus on the question of mortality monitoring: where are we now? Through national updates and practical case studies the conference will look at how we can reduce and monitor avoidable deaths in hospitals through a range of measures which will replace the single hospital wide HSMR approach. The various approaches will aim to answer the question of whether a problem in care contributed to death, and how to identify which deaths attributable to problems in care are unavoidable. Areas covered will include mortality audits, internal inspection, mortality reviews, case note reviews, early identification of care problems, the patient voice as an early warning system and the role of mortality monitoring for individual consultants.

The conference will look at the latest evidence on avoidable deaths, including the topical issue of mortality at weekends. The Care Quality Commission released their report and recommendations into learning from deaths while in the NHS on Tuesday 13th December 2016. 

Sir Mike Richards, the CQC’s chief inspector of hospitals, said: “The extent of the problems is more than I expected. The whole system [of investigating deaths] needs an overhaul at national level and local level.” He added that “there is not a single NHS trust that is getting it completely right currently”. HSJ December  2016 

“Learning from deaths needs much greater priority across the health and social care system. Without this, opportunities to improve care for future patients will continue to be missed…. Healthcare providers should have a consistent approach to identifying and reporting, investigating and learning from the deaths of people using their services, and when appropriate, sharing this information with other services involved in a patient’s care before their death… Bereaved relatives and carers must always be treated as equal partners and receive an honest and caring response from health and social care providers. … Reviews and investigations need to be carried out to a high quality, with a focus on system analysis rather than individual errors.” Care Quality Commission Dec 2016

This conference will look at implementing the recommendations from the CQC report. 

“From next year we will then become the first country in the world to publish data on avoidable deaths at a hospital by hospital level.” Jeremy Hunt, Minister of State for Health, 13 December 2016

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