Most people will be in receipt of care from the NHS at the time of their death and 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 provision for a number of reasons including system failure.
Learning from deaths is an essential part of quality improvement. It is the right thing to do to review and investigate deaths where care and service delivery problems occurred so that we can learn and prevent recurrence.
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