1. Introduction

Document Reference No: KMPT.CorG.011.08
Replacing document: KMPT.CorG.011.07
Target audience: All staff and volunteers Trust wide
Author: Compliance and Assurance Manager
Group responsible for developing document: Trust Wide Patient Safety and Mortality Review Group
Status: Authorised
Authorised/Ratified By: Trust Wide Patient Safety and Mortality Review Group
Authorised/Ratified On: May 2019
Date of implementation: May 2019
Review date: May 2022
Review: This document will be reviewed prior to review date if a legislative change or other event otherwise dictates.
Distribution date: June 2019
Number of pages: 14
Contact point for queries: kmpt.policies@nhs.net
Copyright: Kent and Medway NHS and Social Care Partnership Trust 2019

1.1 

The Trust recognises that learning can come from a variety of sources and so it is useful to routinely review all types of learning to ensure that this is embedded into local practice and to prevent recurrence of events that led to the learning in the first place.

1.2

Learning can also be shared from events that have taken place in other organisations and to that end the Trust is committed to working effectively with other bodies, whether external agencies who undertake assessments and reviews or other Trusts, to learn from these experiences. Best practice can also be obtained from other organisations which in turn avoids “reinventing the wheel”.

1.3 

A learning culture is promoted within the trust and any investigation is not intended to blame individuals but to seek the causal factors and share the lessons learned to prevent a reoccurrence of an incident or other negative

Patients and their carers/families for inpatient settings are informed of learning via notice boards which communicate where feedback has had a positive impact on the care in which they receive. The learning from experience page on KMPT’s website is used as a communication forum for those patients and their carers/families based in the