Audience

This programme is for individuals who are most likely to be tasked with the in-depth review of individual events, and small clusters of events, that meet the threshold for systemic evaluation using a range of approaches, including the Safety Engineering Initiative for Patient Safety, and a range of systems evaluation tools and techniques such as Observation practice, Swim Lane Analysis, Task Analysis and Failure Modes and Effects Analysis.

It is also intended for staff who are asked to conduct the review and evaluation of patient care and, management, around which a complex complaint has been made. Also where a patient has unexpectedly died, and a care assessment report is being compiled for the Coroner and thus the family advocate.

“My learning experience throughout this programme and what I will take with me in my work going forward is that I will always listen to the families and ensure I capture all the evidence from the complainants/families.”

Learning objectives

Participants will gain:

• clarity about what good looks like. Delivering your national requirements is important. However, doing so does not necessarily mean you have achieved an effective or credible approach, or one that meets the need of those affected, or the requirements of the Law. This programme will enable you to appreciate how you can evolve a proportionate and credible approach that enables achievement of national standards, your moral obligations and enables compliance with the law without conflation
• essential knowledge about investigation method
• insight to a range of systems focused investigation approaches, tools, and techniques
• clarity about the responsibility of a reviewer/investigator and the boundaries and challenges posed by this
• insights about how to design relevant key lines of enquiry
• ideas on how to achieve meaningful engagement of all involved throughout the learning review or investigation process
• insight into a tried and tested approach for information analysis so findings are triangulated, evidence based and credible
• a formulaic approach to constructing recommendations / safety improvement ideas
• clear guidance on best practice in the structure and characteristics of an effective action implementation plan guidance and expert tuition designed to enhance your written communication skills, so the messages you want to convey are clear, and understood

Delivery, Numbers of particpants and style:

• Delivery: This is a four day programme. Day 1 is delivered via Microsoft Teams, days two and three on client site, and day 4 via Microsoft Teams. We consider some onsite face to face time with participants is essential to optimise learning outcomes.
• All participants have access to a range of aide memoire podcasts.
• Numbers:Using our learning approach, it is possible to accommodate up to 30 persons in the workshop
• Style: Energetic and engaging. Technical sessions are regularly interspersed with small group reflective work and practical activity to maintain pace and engagement

What participants have said:

• “Greater understanding of what needs to be included (evidence/information gathered) greater understanding of how to write my findings greater understanding of systems approach and what needs to be reviewed and how” (2023) 
• “I think it has equipped me with the knowledge and skills to conduct reviews and investigations. I really enjoyed the report writing session” (2023)
• “Structuring reports around Key Lines of Enquiries, The Interviewing section was very helpful. More structured approach to investigation planning” (2024)
• “These sessions provide a platform for sharing experiences and best practices with fellow reviewers, allowing for a more comprehensive understanding of the task. They foster critical thinking and problem-solving skills, enabling me to better identify and address patient safety issues practically and effectively. It also promotes collaboration and networking, helping me build a valuable professional support system” (2024)
• Better understanding of purpose as well as process in reviews also how to triangulate and look for evidence to give a balanced opinion and a review does not write itself – you have to actively write it” (2024)

One or more onsite consolidation events, where required, can be provided. Following this programme there is also the option of coaching, mentorship, or the facilitation of an internal learning set for PSII trained staff.

Enquire about this programme

To discuss the detail of course content, delivery options and costs, contact Consequence UK.