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Involving families in investigating the deaths of learning disabled people #WCMTLD

20 Feb 2017 - No Comments

I am incredibly excited to share that I have been awarded a Winston Churchill Memorial Trust Travelling Fellowship 2017. The WCMT fellowship will cover my costs to travel to Canada, Australia and New Zealand for six weeks in total to look at what currently happens in those countries in relation to involving families, and learning […]

In praise of FOI Officers

06 Feb 2017 - No Comments

This blog post is offered as a small attempt to focus and highlight a positive, at a time when it feels like the world could do with some more positivity, and evidence based fact. Last week I made 235 Freedom of Information requests. I know, I know, Jack Straw would be having a fit if he […]

Actually bringing about change #CQCDeathsReview

31 Jan 2017 - No Comments

I can’t believe that I’m writing this blog post. I can’t believe that anything I’m about to say should need saying, so I’m going to try and keep it short. I’ve written a couple of previous blogs about my experience of the #CQCDeathsReview and my last ended with a section that shared the header of […]

Reflections on working with CQC on #CQCDeathsReview

09 Jan 2017 - 1 Comment

In mid December 2016 the CQC Deaths Review was published. To coincide I published my own scoping review Family involvement in, and experience of, death investigations by the NHS and I blogged some initial thoughts about it here and some thoughts on potential learning here and here. I promised that I’d blog some thoughts about the experience […]

How can we improve things 2 #CQCDeathsReview

16 Dec 2016 - 1 Comment

A couple days ago I posted How can we improve things #CQCDeathsReview and wandered off twitter and email for 36 hours. It’s been a roller coaster week, bizarre in many ways, trying to keep on top of the media coverage since the review published, wanting to engage with people who offered their perspectives, and reeling […]

How can we improve things #CQCDeathsReview

14 Dec 2016 - 2 Comments

This is a bold title on this blog post, and I’m sitting her before 7am, before coffee, the day after the #CQCDeathsReview published tapping my keyboard – so bear with me, hopefully the discussion and comments will add to whatever I can offer. At the last ERG (Expert Reference Group) someone raised the concern that once […]

No learning, no candour and no accountability #CQCDeathsReview

13 Dec 2016 - 2 Comments

The CQC Deaths Review publishes today. You can download and read the report here. It makes for a gut churning read. The headline message is that the NHS is failing to identify deaths that need investigating, failing to investigate properly (when investigations happen) and failing to learn lessons, improve care or prevent future deaths. It […]

What the Donkey Sanctuary could teach the #NHS and #socialcare

23 Oct 2016 - 1 Comment

Disclaimer: this blog post may just be a very simple cover to share pics of donkeys, but hopefully the words might make sense too, if not enjoy the donks  I am very fortunate to live about half an hour from the Donkey Sanctuary headquarters at Sidmouth and consequently when I’m looking for a day out, […]

Action plans: complete misnomer when it comes to learning from deaths?

21 Oct 2016 - No Comments

It’s twelve months today since the second Verita investigation into the circumstances of LB’s death was published. I wrote this blog post a year ago, 10 reasons why I can’t support the Verita 2 conclusions and sadly since then I’ve become more convinced that I was right to mistrust it, not less (which is what I […]

Unofficial #NHS guide to all things inquest

16 Oct 2016 - 1 Comment

Alternative title, not to be used publicly: how to protect your reputation at all costs When a patient dies  Don’t bother apologising or the family might get the wrong idea and try to sue us. Assign as much as possible to ‘natural causes’, especially if they’re using mental health services, have a physical disability or are learning […]

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