Tuesday, 13 December 2016

Learning, candour and accountability: A review of the way NHS trusts review and investigate the deaths of patients in England

Learning, candour and accountability: A review of the way NHS trusts review and investigate the deaths of patients in England The Secretary of State for Health asked us to look at how acute, community and mental health NHS trusts across the country investigate and learn from deaths to find out whether opportunities for prevention of death have been missed, and identify any improvements that are needed.

We looked at the processes and systems trusts use to identify, investigate and learn from the death of a person using their services. We looked particularly closely at how trusts investigate the deaths of people with a mental health problem or learning disability. Care Quality Commission

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