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The Coroner Role & Preparing for Coroner's Inquest : Learning from Deaths

News and updates from todays conference focusing on the role of the Coroner and preparing and attending Coroner’s Inquests.

 

Ms Dorit Braun

Ms Dorit Braun

Retired Charity Chief Exec with personal experience of a coroner’s inquest

Dorit retired in 2019, having worked as a Charity Chief Executive and in a variety of senior management and governance roles in the social care and family support sectors.  Following a very traumatic family bereavement, Dorit is active in trying to improve mental health care and the ways NHS staff and organisations learn from deaths.

Dorit said "Explations of terms used and proceedures would really help families when they are going through something like this"

she also said "An apology would have helped, just showing people cared" 

On moving forward Dorit said "Finding other families who have experienced something similar really helped us".

 

Dr Martin Farrier

Dr Martin Farrier

Associate Medical Director Chief Clinical Information Officer and Consultant Paediatrician, Wrightington, Wigan and Leigh NHS Foundation Trust

Martin qualified in 1992 from Charing Cross Medical School. He initially trained as a GP, before becoming a paediatrician. He took his first post as a Consultant in 2001 at Wigan where he specialised in Neonates and Cardiology. His interest in Mor…

Managing a Complaint and Safety Investigation Alongside an Inquest including implications of PSIRF

• supporting staff through multiple investigation processes

• the implications of the new Patient Safety Incident Response Framework

• Providing effective and efficient support to families

• Effectively co-ordinating multiple investigation processes; timing, content and managing expectations

• Effective use of safety investigation findings to prevent PFDR’s

Martin talked about Death audits and steps they have taken in their trust to try to bring down the figure of avoidable deaths. 

Martin said he was told "You need an army of people who are willing to help bring about change" He said " We trained people to become Quality Champions"

Martin also said "The number of people reaching the average age of death which is currently 83, will double by 2035, What we are seeing is an overload of frail people"

 

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