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Confidential Inquiry into the deaths of people with learning disabilities Reviewing deaths Workshop Pauline Heslop Anna Marriott.

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Presentation on theme: "Confidential Inquiry into the deaths of people with learning disabilities Reviewing deaths Workshop Pauline Heslop Anna Marriott."— Presentation transcript:

1 Confidential Inquiry into the deaths of people with learning disabilities Reviewing 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 Mikes 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?

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