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This national conference looks at the practicalities of Serious Incident Investigation and Learning from Deaths in Mental Health Services and implementation of the New Patient Safety Incident Response Framework (PSIRF previously known as the Serious Incident Framework). The Patient Safety Incident Response Framework (PSIRF) was published on 16th August 2022 and replaces the Serious incident Framework.
“Early adopters of the Patient Safety Incident Response Framework (PSIRF) are reporting improved safety cultures, identification of more effective risk reduction strategies and early signs of harm reduction, due to their revised approach.”
NHS England June 2023
The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement, and updates from PSIRF early adopter sites in mental health. The conference will also examine how the new framework will fit with the Royal College of Psychiatrists Care Review Tool for mortality review.
We welcome the publication of NHS England’s new Patient Safety Incident Response Framework (PSIRF) and the focus it places on effective learning and compassionate, meaningful engagement with those affected when incidents occur. Through our monitoring and inspection we have seen how the existence of a strong organisational safety culture, where the views of staff and patients are listened to and acted on, and learning is prioritised is essential to good practice in responding when things go wrong.
Dr Sean O’Kelly, Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services, Care Quality Commission, August 2022
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 Patient Safety Incident Response Framework (PSIRF)
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 learn about the New Patient Safety Incident Response Framework from early adopter sites in Mental Health
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
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