NHS Resolution Mental Health Seminar

Weightmans London
Starts: 26/11/2018 13:30 - 17:00
+44 (0) 345 073 9900

This event has now finished.

Please note, this event is now full but please check our events page for any future events that may be of interest.

This event is an opportunity to hear from Dr Alice Oates (Darzi clinical fellow and psychiatrist) on her NHS Resolution report – “Learning from suicide related claims - a thematic review of NHS Resolution data”, from Tracey Herlihey of HSIB on its role in mental health investigations and from Dewi Ap-Thomas (Weightmans partner) on the coronial process and inquests.

Dr Alice Oates' report makes nine recommendations for system-wide quality improvements in mental health services, including the investigations that follow incidents. Coroners will be likely to review the report as part of their coronial investigations and whilst carrying out their duty to issue a Coroner’s Regulation 28 Report (Prevention of Future Death Reports – PFD).

Expect interactive discussion, debate and reflections on national practice, as well as participating in shared learning from harm. Delegates will have the opportunity to hear, compare, discuss and share with each other; the practical implications of implementing recommendations, as well as ways to improve staff support.

This seminar will cover:

  • Dr Alice Oates – nine recommendations to improve patient safety
  • Opportunities and barriers for implementing the recommendations
  • Reducing harm: Work collaboratively together to improve patient safety
  • Learning from Inquests – How best to prepare?
  • Limiting  investigations variation – How can this be achieved?
  • HSIB: The added value of HSIB in mental health investigations - What can be expected?
  • Human Factors/Just Culture

Is this event for you?

This event will benefit; Heads of Legal, Governance Leads, Medical and Nursing Directors, as well as clinicians and nurses working in mental health services and those working in A&E departments dealing with mental health patients. The invitation is to the full team. It has been designed with the aim of reducing avoidable harm and claims being brought against the NHS.

This is a free event, however places are limited and interest in our previous safety and learning events has been very high. Attendance is determined on a ‘first-come’ ‘first-serve’ basis – so don’t delay!


 1:30pm - 2:00pm Registration 
 2:00pm - 5:00pm Event
 5:00pm Finish

Further details

This event is part of a wider initiative by Weightmans to help assist Trusts in reducing avoidable harm by sharing with each other and learning from experiences on a day-to-day basis, understanding and pulling together all of the various NHS initiatives.

Confirmed speakers include:

  • Dr Alice Oates – ST5 South London and Maudsley NHS Foundation Trust  and author of  'Learning from suicide-related claims - A Thematic Review'.
  • Dewi Ap-Thomas - Weightmans Partner - Head of Regulatory and Inquests - specialist healthcare inquest and health & safety lawyer.
  • Tracey Herlihey PhD CPsychol CErgHF | Head of Safety Intelligence - Healthcare Safety Investigation Branch (HSIB).


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