Improvement through learning – can the NHS do it?

Verita Team

Published 25 April 2016

Healthcare safety

Harvard Professor Dr. Lucian Leape has said that ‘the single greatest impediment to error prevention in the medical industry is that we punish people for making mistakes’. Against this background is the recent announcement of a legal ‘safe space’ to protect those who speak honestly to Healthcare Safety Investigation Branch investigators, modeled on the Air Investigation Branch in the aviation industry. It is hoped that this legal change will help start a new era of openness in response to tragic mistakes: families will get the truth faster; doctors will get support and protection to speak out; and the NHS as a whole will become much better at learning when things go wrong. Will this make a difference, will it be enough?

Verita is hosting a breakfast seminar for NHS Trust and CCG CEOs, medical, nursing and HR directors to generate discussion about the benefits of a robust and proactive response to serious incidents; the part that they have to play in leading such an approach and embedding it in the culture of their organisation. Breakfast and refreshments will be provided. The event will take place between 8.30am-9.30am at The Boardroom, Remark events, 18 Leather Lane, London, EC1N 7SU.

Professor Martin Elliott, consultant paediatric cardiothoracic surgeon, Great Ormond Street Hospital NHSFT and Gresham Professor of Physic, will open by setting out his personal views and experience of how individuals and organisations respond to serious incidents and investigations. The consequences of getting it wrong, and thoughts about how to do it well.

There will then be a facilitated discussion for delegates to share their own experiences of what has worked well and what they would do differently with the benefit of hindsight.

Verita has a wealth of experience in conducting systematic investigations into serious incidents, reviewing trust investigations into complaints and case reviews. These often involve complex and sensitive issues in an emotionally charged environment. We often find that where an organisation has not got it right at the outset, the situation escalates bringing considerable financial and reputational consequences and compounding the distress of those affected.

This event will offer senior leaders of NHS organisations a fresh perspective on why it matters that your response to adverse events properly addresses the patient or family’s concerns, that your organisation can demonstrate improvement as a result of real learning, and that you avoid the huge financial and reputational cost of getting it wrong.

To reserve your place please follow this link or contact Laura Conlon by email or 020 7494 5670.

Verita is an independent team providing investigations consultancy work with organisations in a variety of sectors throughout the UK
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