The Care Quality Commission (CQC) is planning a thorough investigation into how well NHS Trusts investigate unexpected deaths and whether they then learn from these investigations. This review follows the Mazars Report, commissioned by NHS England, which investigated the deaths of people using mental health / learning disability services.
Our review of how NHS trusts investigate and learn from deaths. [Online]: Care Quality Commission, June 6th 2016.
“The Mazars Report – which looked at the deaths of people using mental health or learning disability services run by Southern Health Foundation Trust – set out a number of failings. These included that the trust had no effective overall way of reporting, investigating and learning from deaths”.
Review of how NHS trusts investigate and learn from deaths now underway. [Online]: Care Quality Commission, April 12th 2016.
Recent developments, also of interest:
Connor Sparrowhawk death: Health trust accepts responsibility. London: BBC News, June 9th 2016.