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.
We have a discount for CHFG supporters using code hcuk20chfg
If you wish to attend this event please visit the organiser’s website