Learning from patient deaths

Learning from the deaths of people in our care can help the Trust improve the quality of the care we provide to patients and their families, and identify where this care could be improved.

In March 2017, the National Quality Board (NQB) introduced new guidance for NHS providers on how they should learn from the deaths of people in their care.

This national guidance requires Trusts to:

• Have a Leaning from Deaths Policy approved and published by the end of September 2017 reflecting the guidance and setting out how the Trust responds to and learns from, deaths of patients who die under its management and care and includes deaths of individuals with a learning disability and children 
• Publish information on deaths, reviews and investigations via an agenda item and paper to public Board meetings 
• Have a considered approach to the engagement of families and carers in the mortality review process
• Publish evidence of learning and actions taken as a result of the mortality review and learning from deaths process in the Trust’s Quality Account from June 2018