Pauline Heslop Anna Marriott - PowerPoint PPT Presentation

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confidential inquiry into the deaths of people with learning disabilities reviewing deaths workshop n.
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  1. Confidential Inquiry into the deaths of people with learning disabilitiesReviewing deaths Workshop Pauline Heslop Anna Marriott

  2. Reviewing deaths • The aim must be to identify factors that can be changed that will lead to improved heath and health care for people with learning disabilities.

  3. Review stages • Notification • Collection of core data • Interviews • Reviews of records • Local Review Panel meeting • External scrutiny

  4. Replicating the approach • Single agency reviews without external scrutiny. • Single agency reviews with external scrutiny. • Multi-agency reviews without external scrutiny. • Multi-agency reviews with external scrutiny.

  5. Practice issues • Engaging with professionals • Encouraging participation • Emphasis on reflective learning • Making a difference • Mike’s story.

  6. Policy issues • Code of conduct • Permissions and approvals • Data protection • Security • Confidentiality.

  7. Potential impact • Higher threshold for reporting patient safety incidents. • More confidence to challenge poor quality care. • Increased knowledge about potential contributory factors. • Reflect – is care equitable and have reasonable adjustments been made?

  8. The way forward?