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Investigation of Deaths & Serious Incidents in Mental Health Services

Wednesday 15 Sep 2021


Follow the conference on Twitter #seriousincidentmh

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) which has now been published for the early adopter sites as introductory guidance, and will examine how this will fit with the Royal College of Psychiatrists Care Review Tool for mortality review.

“Learning from serious incidents is essential, and a culture of openness should be present in every organisation…the quality of the investigations varies and there is also variation in the way that patients and families or carers are engaged in the process.”

The Royal College of Psychiatrists

“Identifying incidents, recognising the needs of those affected, examining what happened to understand the causes and responding with action to mitigate risks remain essential to improving the safety of healthcare. Creating systems that do this is a complex, challenging and continuous endeavour that requires the right skills, processes and – perhaps most importantly – behaviours. We know that organisations are struggling to deliver good quality investigations that consistently support the reduction of risk. As a result, opportunities to reduce patient safety incidents can be missed.”

Patient Safety Incident Response Framework 2020 An introductory framework for implementation by nationally appointed early adopters March 2020

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

Chair and Speakers Include:

Dr Elena Baker-Glenn

Liaison Psychiatrist & Development Lead
Care Review Tool, The Royal College of Psychiatrists

Dr Rajesh Nadkarni

Medical Director
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

Jan Fowler

Making Families Count

Virtual Attendance

Our online virtual events include a combination of live webcam presentations, training materials, video sessions and interactive exercises and discussion.

All you need is a quiet space, a good internet connection and PC or laptop with camera and microphone to allow you to see, hear and speak to the facilitator and other delegates. We will provide full instructions for accessing the platform along with login details. 

For the full benefits and all our virtual training titles click here

Virtual Training

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 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 with your key audience  
  • 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 exhibition and sponsorship prices, or to discuss a tailored package to suit your needs and budget.

Fee Options

NHS & Public Sector



Voluntary sector & charities



Commercial organisations



Virtual Training



(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

Supporting Organisations