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Investigation and Learning from Deaths in NHS Trusts

This Conference is now Closed

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Find out more about virtual attendance 

This National Conference focuses on improving the investigation and learning from deaths in NHS Trusts. By collecting the data and taking action in response to failings in care, trusts will be able to give an open and honest account of the circumstances leading to a death. There will be an extended focus on engaging and involving patients, families and staff following a death, and on learning from deaths including an update from a coroner. 

The conference will discuss the role of Medical Examiners in learning from deaths which is now being extended to all non-coronial deaths wherever they occur.

“The objective is for medical examiners to independently scrutinise all non-coronial deaths across England and Wales”

NHS England

The conference will also update delegates on the New National Patient Safety Incident Response Framework which was published on 16th August 2022 and the implications for serious incident investigation and learning from deaths.

“A key part of the preparation for PSIRF will be a review of your current systems and processes against the new patient safety incident response standards. This will determine where effort should be maintained and where adaptations are required…Organisations are also required to develop and publish their own patient safety incident response policy and plan. Developing this plan will include establishing your local patient safety incident profile and reviewing your existing improvement work. This will help inform how you plan to maximise opportunities for learning and improvement in the areas where patients will benefit the most.”

NHS England August 2022 

“The framework represents a significant shift in the way the NHS responds to patient safety incidents and is a major step towards establishing a safety management system across the NHS.” 

NHS England August 2022 

Attendance at this conference will support you to:

  • Network with colleagues who are working to improve practice in the investigation and learning from deaths
  • Learning from the Mortality Case Review
  • Reflect on the lived experience of a carer
  • Learning from deaths during Covid-19
  • Learn from working examples of mortality governance and develop the role of mortality audits, internal inspection and mortality reviews to answer the question “did a problem in care contribute to the death?
  • Implement the new Patient Safety Incident Response Framework and improve learning from serious incidents
  • Understand national developments and national reporting requirements
  • Learn from best practice in the investigation of deaths
  • Identification and reporting of deaths and the role of the Medical Examiner – including extending this role to all non-coronial deaths
  • Improving your processes and skills in mortality review and mortality governance
  • Reflect on how you improving involvement of families and carers
  • Understand the decision to investigate, and the appropriate level of investigation
  • Improving your skills in serious Incident Investigation: and understanding the implications of the New Patient Safety Incident Response Framework
  • Explore how a human factors can support learning from deaths
  • Effectively support staff when a death occurs including supporting staff through coroner inquests
  • Self assess your learning from deaths process and ensure investigations lead to change
  • 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

100% of delegates who attended the previous date would recommend to a colleague.

Speakers Include:

Dr Martin Farrier

Clinical Director for Quality
Wrightington Wigan and Leigh NHS Foundation Trust

Dr John Tansley

Clinical Director for Patient Safety and Consultant Anesthetist
Sherwood Forest Hospitals NHS Foundation Trust

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.

Supporting Organisations

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