Introduction

Ashford and St Peter’s Hospital NHS Foundation Trust is committed to giving sufficient priority to the review of and learning from deaths, in line with the National Quality Board (2017) National Guidance on Learning from Deaths. The guidance was produced in response to events in Mid Staffordshire and the findings of the CQC (2016) report - Learning, candour and accountability: A review of the way NHS trusts review and investigate the deaths of patients in England.

Central to the Trust Strategy (2018-2023) is ‘is to become a learning organisation and create a culture of continuous improvement, to enable us to reduce repeated harms to our patients’ Furthermore the Learning from Death process feeds into all areas of the Trust strategy through quality of care, leadership and culture to empower staff, modernising, optimising and standardising our processes, being innovative in our use of digital technology and collaboration with patients, families and other organisations.

Bereaved families are key to the Learning from Deaths process. The Trust supports and welcomes bereaved families to share concerns or learning from their experiences and considers them to be a key partner in the review and learning process.

There is some overlap with the Learning from Deaths process and the new Patient Safety Investigation Framework (PSIRF) (NHSE, 2022) due to be implemented by the Trust in 2023. The Quality and Patient Safety team are committed to working closely to align these processes and embed learning from both across the organisation.

 

Policy Details

Download: PDF version
Compiled by: Jenni Davidson, Mortality Improvement Lead
Ratified by: Safety and Quality Department
Date Ratified: November 2022
Date Issued: July 2023
Review Date: November 2024
Target Audience: All staff and public
Contact name: Jenni Davidson, Mortality Improvement Lead

 

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