Serious Incident Investigation & Patient Safety

#NHSSeriousIncidents.  View the full programme here

Conference chair:

 Mike O'Connell
Legal Services Practitioner and Interim Senior Inquests Manager, Calderdale and Huddersfield NHS Foundation Trust

• Mike O'Connell's biography 0.02 MBDOCXfile

The Patient Safety Incident Response Framework

Professor Helen Young Executive Director of Patient Care & Service Transformation
South Central Ambulance NHS Foundation Trust

• PSIRF: Introductory guidance
• working with the early adopters
• key differences between the PSIRF and the Serious Incident Framework
• moving forward: a timeline for implementation

• Professor Helen Young's biography 0.01 MBDOCXfile

Early Adopters of the PSIRF – Experience and Learning

 Saranna Burgess
Director of Patient Safety and Quality, and Patient Safety Specialist Norfolk and Suffolk NHS Foundation Trust

• leading the way on the PSIRF and how the Trust has implemented the pilot scheme
• challenges and barriers to change
• winning hearts and minds

• Saranna Burgess's biography and abstract 0.02 MBDOCXfile
• Saranna Burgess's slides 9.31 MBPPTXfile

EXTENDED SESSION: Mortality Governance & Learning from Deaths

Mr Gabriel Sayer
Associate Medical Director, Consultant General and Vascular Surgeon
Barking Havering & Redbridge University Hospitals NHS Trust

• implementing the national framework for Identifying, Reporting, Investigating and Learning from Deaths
• the national context - Learning From Deaths and the introduction of Medical Examiners
• developing Mortality Governance locally
• serious incidents, learning from deaths, and Covid-19
• sharing information about deaths between providers: challenges and information governance

• Mr Gabriel Sayer's biography 0.04 MBDOCXfile
• Mr Gabriel Sayer's slides 8.61 MBPPTXfile

The decision to Investigate: a Risk Based Response

 Jo Mason-Higgins
Head of Claims, Complaints and Patient Safety Investigations Lead for Duty of Candour
Gloucestershire Hospitals NHS Foundation Trust

• the decision to investigate: developing a range of proportionate and effective learning responses to incidents
• developing criteria for full investigation
• ensuring a proportionate response: methods for managing and learning from other types of incidents
• ensuring conclusions in investigations will lead to inform learning and change practice
• key steps within incident investigation
• our approach to serious incident investigation and cases involving Covid-19

• Jo Mason-Higgins's biography 0.01 MBDOCXfile

We are also holding this conference again in April 2022, find out more here