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This National Conference focuses on improving the investigation and learning from deaths and will update delegates on the death certification reforms which come into force on the 9th September 2024. There will be an extended focus on engaging and involving patients, families and staff following a death, and on learning from deaths including an update from a coroner.
“The death certification reforms will come into force on Monday 9 September 2024 meaning independent scrutiny by a medical examiner will become a statutory requirement prior to the registration of all non-coronial deaths in England and Wales from this date.”
Dr Alan Fletcher, National Medical Examiner June 2024
“A new statutory medical examiner system is being rolled out across England and Wales to provide independent scrutiny of deaths, and to give bereaved people a voice. From 9 September 2024 all deaths in any health setting that are not investigated by a coroner will be reviewed by NHS medical examiners. The changes, which form part of the Department of Health’s Death Certification Reforms, were announced by the government on 15 April 2024, and come into force on 9 September 2024. The regulations introduce new medical certificates of cause of death (MCCD) to be used by attending practitioners and medical examiners from 9 September 2024… Medical practitioners must use the new MCCD from 12:01am on 9 September 2024.”
UK Government June 2024
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 include a split stream where delegates can chose to focus on investigating and learning from either deaths in acute care, or deaths in primary and community care.
Attendance at this conference will support you to:
Network with colleagues who are working to improve practice in the investigation and learning from deaths
Improve practice in learning from deaths
Understand the implications of the death certification reforms legislation from September 2024
Reflect on the involvement of families through a lived experience of a carer
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
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
Reflect on the Coroner perspective and role
Understand the decision to investigate, and the appropriate level of investigation
Explore how a human factors can support learning from deaths
Effectively support staff when a death occurs including supporting staff through coroner inquests and serious incident investigations
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