Learning from deaths
Most people will be receiving care from the NHS at the time of their death and they experience excellent care from the NHS for the weeks, months and years leading up to their death. However, for some people, the experience is different and they experience poor quality services for a number of reasons, including system failure.
The right thing to do is review and investigate deaths where care and service delivery problems occurred so that we can learn and prevent recurrence.
We have developed a policy, learning from healthcare deaths – the right thing to do, which sets out how we will do this in line with our values.
When a death has been reported on the Trust incident reporting system, Datix, it will be reviewed by the patient safety support team in line with this flowchart.
We produce reports on a quarterly and annual basis. The latest reports are available below:
- 2019/20 Quarterly report to the end of December 2019
- 2018/19 Annual Learning from healthcare deaths report
- 2018/19 Quarter 2 Learning from healthcare deaths report
- 2017/18 Learning from healthcare deaths report
Further work on themes is currently underway. Additional data is available in the Trust’s annual Quality Account report.
Grief is a natural process, but it can be devastating. For those who need help, there are many sources of support available. We are currently developing further bereavement support resources.
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