Learning From Deaths

In this section you will find:

  • Introduction
  • Trust performance & learning from deaths
  • Learning from deaths policies and guidance
  • Support for families and carers 

In March 2017, the National Quality Board published the first edition of the National Guidance on Learning from Deaths to help standardise and improve the way that NHS trusts identify report, review, investigate and learn from deaths, and how they engage with bereaved families and carers. 

This was reinforced by the findings of the Care Quality Commission (CQC) report Learning, candour and accountability: A review of the way NHS trusts review and investigate the deaths of patients in England published in December 2016.  It found that learning from deaths was not being given sufficient priority in some organisations and consequently valuable opportunities for improvements were being missed. The report also pointed out that there is more that the NHS can do to engage families and carers and to recognise their insights as a vital source of learning. Its purpose is to help initiate a standardised approach, which will evolve as the health care system learns. 

In July 2018, the National Quality Board published the first edition of the Learning from deaths: Guidance for NHS trusts on working with bereaved families and carers to help NHS trusts to further develop guidance for bereaved families and carers regarding what local support they can expect when concerns are raise concerns related to the death of their loved one. 

To help us in delivering this guidance, we have set a quality improvement priority for 2018/19, which is ‘Improvement in engagement with bereaved families and carers’. More information can be found in ‘Support for families and carers’.

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