Mortality governance is a statutory process undertaken throughout the NHS. Many trusts already have a process for reviewing serious incidents and inpatient or mental health deaths through existing national and local audits or through the newly established Patient Safety Incident Response Framework (PSIRF) which emphasises the importance of thematically reviewing relevant evidence. However, the focus on learning has changed significantly since the Learning from Deaths Guidance was issued in March 2017 .
At Niche we support our clients to learn from deaths by a better understanding and helping them improve all aspects of mortality governance from reporting through to practice improvement. Please download our article to find out more.