07968 501014 [email protected]


Individuals in any role, regardless of professional background or seniority that would gain from reflecting on their understanding of what it means to learn effectively from harming events, and what it means to engaging well with patients and families after harm.

“It is an extremely informative overview of incident investigation techniques & Duty of Candour requirements.”


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

This workshop aims to support Trusts to achieve a better level of insight and knowledge around those aspects of the investigatory process highlighted as not achieving the standards required in the latest Learning Candour and Accountability CQC report (published December 2016). Participants will have the opportunity to reflect on what ‘doing better’ means and how to ensure that investigations:

  • Engage with families and patients in a meaningful and respectful way
  • Are thorough and ask the right questions including the family/patient questions
  • Explore significant and/or contributory lapses in care and treatment to make sure we understand their complexity so we make the right recommendations and can put the right improvement plans in place
  • Result in a report that sets out what happened, and how in a straight forwards way.
It is a programme that aims to influence thinking and perspectives about how we explore unexpected harm outcomes and how we perceive the patient/family role in that process.


Duration and delivery

This is a one-day workshop that can be delivered on site or via Teams.


Enquire about this programme

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