A practical guide to serious incident investigation & learning

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) which has now been published for the early adopter sites as introductory guidance. NHS Improvement will then work with a small number of early adopters to test implementation. For all other organisations the PSIRF is being published for information only and using learning from the pilot sites, resources and guidance will be developed to support organisations to adopt and implement PSIRF, with an expectation that providers and local systems will begin introducing the new framework from Autumn 2020, with full NHS-wide roll out complete by Summer 2021 (these timings are subject to change due to Covid-19).

The conference will also update delegates on best practice in Learning from Deaths the role of the Medical Examiner. There will be an extended focus on learning from serious incidents, ensuring the investigation findings lead to change and improvement.

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