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

Investigation of Deaths & Serious Incidents in Mental Health Services

Training dates throughout the year:

Wednesday 26 Jan 2022
Wednesday 4 May 2022

Follow the conference on Twitter #SIMental

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.

“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.”

NHS England and NHS Improvement 2021

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 

Chair and Speakers Include:

Dr Panchu Xavier

Consultant Forensic Psychiatrist and College Tutor, Chair – Ethical Advisory Group, Deputy Medical Director – Quality and Patient Safety, Director of Patient Safety, Mersey Care NHS Foundation Trust

Dr Elena Baker-Glenn

Liaison Psychiatrist, Northamptonshire Healthcare NHS Foundation Trust and Chair of SIRAN Accreditation Panel, Royal College of Psychiatrists

Kate Eisenstein

Assistant Director of Insight and Public Affairs
Parliamentary and Health Service Ombudsman

Mike O'Connell

Legal Services Practitioner and Interim Senior Inquests Manager
Calderdale and Huddersfield NHS Foundation Trust

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

Browser unsupported

You’re using an unsupported browser.

This website uses the latest web technology and your browser doesn't support those technologies at this time.

Please update to Chrome, Firefox, Edge or Safari (on Mac) to view the full experience.