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Frontline team leaders, their deputies, matrons, lead clinicians and service managers. Key to achieving a meaningful and proportionate approach is the early grounded assessment of what has happened. Frontline staff are best placed to initiate this process.

“The most important learning point was to ensure you are a ‘safe’ investigator by liaising with the Subject Matter Advisors during every investigation.”

This is a two-day part taught and part supervised practice-based workshop. Attendees, working in pre-allocated pairs, undertake the assessment of occurrences in their own service that meet the threshold of unexpected moderate harm, or greater harm than this.

Learning objectives

A core objective of the workshop is that each pair will conduct and complete, where possible, at least one initial assessment of the incident so that an evidenced-based decision can be taken regarding:

  • The need for further investigation or not
  • If further investigation is needed, why, with what focus and at what level
  • The best approach to responding to patient/family questions where the case assessment process has not been able to elicit answers to these.

It gives an unrivalled opportunity for attendees to embed their learning and be confident in what they are doing by assessing real incidents in a safe environment.

Participants will also gain:

  • Insights about what characteristics make a ‘good’ investigation
  • Validation of their analytical skills and critical thinking skills
  • Understanding that the investigation process is a journey and why determining size and scope of investigation based on outcome alone is undesirable
  • Confidence in how to determine the right investigation level (i.e. proportionality) and to be able to defend your decision

Duration and delivery

This course can be delivered on site or via Teams over the equivalent of one to two days. The two-day version includes an entire day of hands-on practice facilitated by Consequence UK’s principal, Maria Dineen.


Enquire about this programme

To discuss delivery of this course your organisation, contact Consequence UK.