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X-WR-CALNAME:Community Calendar
NAME:Community Calendar
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BEGIN:DAYLIGHT
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DTSTART:20210328T020000Z
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DTSTART:20211031T020000Z
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SUMMARY:When deaths go wrong. Lessons learnt from avoidable deaths o
	f people with learning disabilities or autism
DTSTAMP:20210308T103556Z
SEQUENCE:0
UID:432-1-ee2a5ec9cbd1b5a75b4ec5d63ec903ec@www.pslhub.org
ORGANIZER;CN="Patient Safety Learning":noreply@pslhub.org
DESCRIPTION:\n	People with learning disabilities are at risk of dying to
	o young\, and dying unnecessarily. The Learning Disability Mortality Revie
	w (LeDeR) in England has found that too often\, those deaths are a result 
	of failings within health and social care provision. Reflecting on this ha
	s never been more important – during the pandemic\, the inequalities tha
	t many people with learning disabilities face have been put into stark foc
	us. Today we focus on the stories of Oliver’s and Richard's deaths\, and
	 on what lessons we can all learn from this.\n\n\n\n	Oliver McGowan died i
	n 2016. He was 18 years old. Oliver had mild learning disabilities and aut
	ism. A recent independent LeDeR review concluded Oliver’s death was avoi
	dable. Richard Handley died in 2012 at the age of 33\, from complications 
	arising from constipation. He had Down syndrome and mental health problems
	. The inquest into his death concluded that their had been “gross failur
	es” in his care and treatment.\n\n\n\n	Paula McGowan and Sheila Handley 
	share the stories of their sons’ lives\, and of the healthcare failings 
	that contributed to their deaths. Oliver’s and Richard’s stories are p
	rofoundly important and profoundly moving.\n\n\n\n	Register\n
DTSTART:20210309T123000Z
DTEND:20210309T133000Z
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