Learning from Deaths Policy

Kent and Medway NHS and Social Care Partnership Trust believes that concentrating attention on the factors that cause deaths will impact positively on all persons who use services, reducing complications, length of stay and readmission rates through improving pathways of care, reducing variability of care delivery, and early recognition and escalation of concerns.

Publication date:: 31 January 2021
Date range:: January 2021- September 2022

17. Exceptions

17.2

Cases are not subject to Structured Judgement Review if the patient had a diagnosis of a learning disability as these are reviewed by the Learning Disabilities Mortality Review Group (LeDeR), and if serious incident criteria is met as this will be investigation by means of a Root Cause Analysis.

Download as a PDF

Contents

0. Tracking
1. Introduction
2. Who does this policy apply to?
3. Purpose
4. Associated Trust policies and procedures
5. Duties
6. Principles
7. Initial review following a death section 1
8. Section 2 Structured Judgement review
9. Involving the family
10. Working with other organisations
11. Training and support
12. Supporting staff
13. Record retention
14. Equality impact assessment
15. Human rights
16. Monitoring compliance with and effectiveness of this document
17. Exceptions
Appendix A - Structured judgement review flow chart
Appendix B - Forms
Appendix cC Learning disabilities mortality review (LEDER)