CUK Conference EARLY BIRD PRICE 2015

Improving Moderate and Serious Incident Investigations
Including Root Cause Analysis and Systems Analysis
Conference dates:
2nd and 3rd December 2015
£415.00 plus VAT (Early bird rate)
Cost:
£445.00 plus VAT (Normal rate)
Bed and Breakfast £55.00
Dinner, Bed and Breakfast - £73.00
Book the accomodation directly with the
venue first come first served.
The Derby Conference
Centre (DCC)
(www.thederbyconferencecentre.com)
Consequence UK (CUK) is an established and respected independent company that works exclusively with
NHS and Social Care organisations. Its specialist field is investigating and learning from adverse events
resulting in moderate to severe or catastrophic harm. Its managing director Maria Dineen was a key contributor to
the National Patient Safety Agency’s (NPSA’s) original investigation model and framework for investigating adverse
events in England. Her ‘how to’ investigate manual ‘Six Steps to RCA’ is a referenced text in the recently revised
SI framework for England.
CUK has been training NHS and Social Care professionals in ‘how to investigate effectively’ using systems
analysis principles (including root cause analysis) since 2002, making CUK one of the longest standing providers
of investigation training to the NHS since the inception of the NPSA.
Why is this workshop important?
This workshop will:
Adverse Incidents are part and parcel of everyday life
in all NHS Trusts, private providers and Social Care
organisations. Some incidents occur in spite of our very
best efforts, and some because we made a mistake.
•
Give you clarity about ‘what a good investigation’
comprises
•
Provide you with information and practice
experience across a range of tools and techniques
you can utilise across different investigation types
•
Provide you with a structured process, that enables
you to make sensible decisions about when and
where to stop an investigation, and when and where
‘root cause analysis’ is required
•
Set out the core features you ought to include in
your recommendations
We need to know what we are doing when we conduct
an investigation and we need clarity of purpose.
•
Set out the key features of a meaningful action
implementation plan
Filling in an investigation template, constructing a
‘timeline’ and ‘doing a fishbone’ does not deliver the
above points.
•
Explore with you ‘the effective investigation report’
- what must it achieve?
•
Provide opportunity to focus on the meaningful
delivery of Duty of Candour
To enable us to:
•
•
Provide patients, clients, families and victims, with
answers to sensible questions (thus meeting Duty of
Candour in full)
Optimise our learning and safety improvement
opportunities
What our clients say about CUK workshops
•
A very worthwhile workshop that was informative & that should be available for all staff undertaking RCA
(Pennine Acute NHS T 2015)
•
Lifts the perspective of the purpose & potential of investigations to a new level (Wigan CCG 2015)
•
I feel I have a more comprehensive understanding of RCA processes to enable me to more
effectively undertake CIR'S (Hampshire County Council, Safeguarding Adults 2014)
•
The facilitator has energy. Myths will be busted & eyes will be open to different
approaches... Because they exist (Warrington CCG 2015)
•
It will help you understand the RCA process more fully & help provide structure/clarity and provided useful tools
(NHS Tayside 2015)
•
Content analysis of 'howlers' & using source data to analyse them (Leicestershire and Rutland
Serious Case Review Board 2014)
•
Excellent learning opportunity. As a lead investigator it equips you with the right tools & knowledge
(NHS England-North Learning Event 2015)
•
Opportunity to learn skills which are transferable across many different aspects of role not just incident
investigation (North Devon Healthcare NHS Trust 2015)
•
Excellent facilitation, lots of live/real life scenarios & clear understanding from an early stage of reviewing
& report writing (Combat Stress 2013)
Who should attend:
This workshop is intended for NHS and Social Care staff, staff working in a private health facility and Registered
Care Home Managers who are required to act as ‘lead investigation officers’ following all moderate to serious
incidents including: ‘never events’, mental health, homicide, domestic homicide, safeguarding children and
vulnerable adult investigations.
This workshop also has merit for managers who either ‘instruct’ others to investigate, or undertake the
quality assurance review of the investigation and its report.
The Workshop Facilitators and Guest Speakers:
Maria Dineen
Managing Director Consequence UK Ltd.
Wendy Huxley Marko
WHM Risk Ltd and Associate Consequence
UK LTD.
Peter Walsh
Chief Executive - Action Against Medical
Accidents (AvMa)
Trisha Lowe
Mother of Hazel, who died as a consequence of
suicide in 2014.
BOOKING FORM
Improving Moderate and Serious Incident Investigations
How to Book: Call: 01684 572455
Email: [email protected]
Date:
Address: Consequence UK Ltd, PO Box 336,
Malvern, WR14 9GN
The Midlands - Derby
Venue:
2nd - 3rd December 2015
The Derby Conference Centre
London Road, Alvaston, Derby
Derbyshire DE24 8UX
Your Details:
Address:
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Special Dietary Requirements:
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Payment
Please note, your place on this workshop is only guaranteed
Payment is accepted by bank transfer or credit
once full payment has been made and has credited to the
card. Your invoice will enable you to pay by credit
CUK account. You will not be admitted to the workshop
card or Bank Transfer.
unless payment has been received.
Fee Schedule:
£415.00 plus VAT (£498.00 inclusive) Must be booked
by 25 October 2015 **for bookings of 3+ delegates an
additional 4% discount will apply
£445.00 plus VAT (£534.00 inclusive)
Confirmation of your booking will be sent to you by
email on settlement of invoice
Discount Structure After 25 October 2015
5% discount if you settle your invoice by credit card
5% discount for 2 - 3 bookings with single invoice
10% discount for 3 or more bookings with single invoice
Cancellation and refunds
Included in the cost
1. Workshop facilitation.
2. Comprehensive delegate pack comprising: a copy of
‘Six Steps to RCA’ (as referenced in the revised SI
framework for England (2015) and a 30+ page delegate
workbook with key take out notes and space for your own.
3. Refreshments throughout the days and lunch on
both days
Please go to our website to view the programme
www.consequenceuk.com
A refund, less a 20% administration fee, will be made if cancellations are received, in writing, at least 4 weeks before the event.
We regret that any cancellation after this time cannot be refunded, and that refunds for non attendance at workshop or any part
there of cannot be made. However substitute delegates are welcome at any time.
© 2015 ConsequenceUK
Registered company name CONSEQUENCE UK LTD Company number 04574895 VAT 803 2187 60
www.consequenceuk.com