Learning from patient deaths

Learning from the deaths of people in our care can help the Trust improve the quality of the care we provide to patients and their families, and identify where this care could be improved.

In March 2017, the National Quality Board (NQB) introduced new guidance for NHS providers on how they should learn from the deaths of people in their care.

This national guidance requires Trusts to:

• Have a Leaning from Deaths Policy approved and published by the end of September 2017 reflecting the guidance and setting out how the Trust responds to and learns from, deaths of patients who die under its management and care and includes deaths of individuals with a learning disability and children 
• Publish information on deaths, reviews and investigations via an agenda item and paper to public Board meetings 
• Have a considered approach to the engagement of families and carers in the mortality review process
• Publish evidence of learning and actions taken as a result of the mortality review and learning from deaths process in the Trust’s Quality Account from June 2018

The Trust’s policy and mortality reports are listed below:

• Learning from Deaths Policy 
• Mortality Report: Learning from Deaths Framework Quarter 4: 01 January 2018 – 31 March 2018
• Mortality Report: Learning from Deaths Framework Quarter 1: 01 April 2018 – 30 June 2018
• Mortality Report: Learning from Deaths Framework Quarter 2: 01 July 2018 – 30 September 2018
• Mortality Report: Learning from Deaths Framework Quarter 3: 01 October 2018 – 31 December 2018
• Mortality Report: Learning from Deaths Framework Quarter 4: 01 January 2019 – 31 March 2019
• Mortality Report: Learning from Deaths Framework Quarter 1: 01 April 2019 – 30 June 2019
• Mortality Report: Learning from Deaths Framework Quarter 2: 01 July 2019 – 30 September 2019
• Mortality Report: Learning from Deaths Framework Quarter 3: 01 October 2019 – 31 December 2019
• Mortality Report: Learning from Deaths Framework Quarter 4: 01 January 2020 – 31 March 2020
• Mortality Report: Learning from Deaths Framework Quarter 1: 01 April 2020 – 30 June 2020
• Mortality Report: Learning from Deaths Framework Quarter 2: 01 July 2020 – 30 September 2020
• Mortality Report: Learning from Deaths Framework Quarter 3: 01 October 2020 – 31 December 2020
• Mortality Report: Learning from Deaths Framework Quarter 4: 01 January 2021 – 31 March 2021
• Mortality Report: Learning from Deaths Framework Quarter 1: 01 April 2021 – 30 June 2021
• Mortality Report: Learning from Deaths Framework Quarter 2: 01 July 2021 – 30 September 2021
• Mortality Report: Learning from Deaths Framework Quarter 3: 01 October 2021 – 31 December 2021
• Mortality Report: Learning from Deaths Framework Quarter 4: 01 January 2022 – 31 March 2022
• Mortality Report Learning from Deaths Framework Quarter 1: 1 April 2022 – 30 June 2022
• Mortality Report Learning from Deaths Framework Quarter 2: 1 July 2022 – 30 September 2022
• Mortality Report: Learning from Deaths Framework Quarter 3: 01 October 2022 – 31 December 2022
• Mortality Report Learning from Deaths Framework Quarter 4: 1 January – 31 March 2023
• Mortality Report Learning from Deaths Framework Quarter 1: 01 April 2023 – 30 June 2023
• Mortality Report Learning from Deaths Quarter 2: 01 July 2023 – 30 September 2023