In October 2014 Mazars was commissioned by NHS England to review the deaths of people with a learning disability or mental health issue in contact with Southern Health NHS Foundation Trust between April 2011 and March 2015. Following the publication of our report in December 2015 the Secretary of State commissioned CQC to review how other NHS Trusts report and investigate deaths across the country. Mazars’ Health and Social Care Advisory team, part of the firm’s Public Services unit, has been working closely with CQC as part of the Expert Advisory Group set up for the review.
Commenting on the publication released today, Mary-Ann Bruce, Director of Health at Mazars says: “We are proud to be part of the expert advisory group that has driven the report and its recommendations. The report is a significant step forward in understanding better the challenges of identifying, reporting and investigating deaths across health and social care and in recognising the enhancements needed in order to improve services by learning from deaths. We fully support the recommendations. We particularly welcome any action that ensures that families are treated with respect and transparency when affected by death in care.”
She continues: “Greater transparency and education are vital. We welcome the proposed single mortality assurance framework for all NHS Trusts and urge wider social and health care organisations to engage with and learn from the recommendations set out. It is of vital importance that all organisations recognise that the spotlight on people with mental health needs and learning disabilities is needed due to significant premature death rates and the current lack of visibility of these groups of people in mortality investigations. Improving service delivery across multiple organisations is why all agencies must work together.”
"Mazars have welcomed the engagement of a number of NHS organisations and local authorities who have worked with us this year to understand in detail the changes they need to make. This has developed the thinking on how best to improve the focus on learning from deaths even further with some early good practice emerging."
“We hope families will take some comfort that this must now be a national priority and the experiences of families will continue to be an area for focus”
Access the report here: http://www.cqc.org.uk/LearningCandourAccountability
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