Shared Insights: Preparing and delivering organisational learning evidence in the Coroner’s Court
16 April 2024
During this session we explored the Coroner’s statutory duty to make a Prevention of Future Death Report, including practical tips on preparing organisational learning evidence for the Coroner and ensuring that your organisation is in the best position to provide assurance to the Coroner that learning has been identified and embedded following a death.
The session was chaired by Nicola Evans, Partner at °ÄÃÅÁùºÏ²Ê×ÊÁÏ.
We were delighted to welcome our three experienced speakers:
- Simon Tait, Head of Health, °ÄÃÅÁùºÏ²Ê×ÊÁÏ.
- Mara Tonks, Director of Midwifery, University Hospitals of Northamptonshire NHS Group, who shared her reflections on giving organisational learning evidence effectively and compassionately at inquest.
- Susan Jevons, Senior Quality Manager, East Midlands Ambulance Service. Sue spoke about the work she does at EMAS to identify relevant Prevention of Future Death Reports nationally and share the learning from those reports within her organisation, to proactively identify best practice and shape ongoing patient safety improvements within EMAS.
Shared Insights
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