Whilst our staff work tirelessly to deliver safe, high quality healthcare, it is important that we continuously provide clear direction and guidance to ensure a coordinated approach to identifying, review and responding to death of all patients who die under our management or care.
One of the key aims of our new policy is to promote transparency in learning from death, ensuring we have appropriate engagement in place for family/carers involvement where wished.
Our Policy describes the framework for identifying, investigating and learning from death. Ensuring findings are reported both within and outside the organisation, in order to facilitate wider improvement across health and social care.
During April 2018, sadly four patient deaths have been reported by the trust. One of
these was in prison, the other three are children, one of which was an
The trust offers services which are often part of a care system involving more
than one provider, for example General Practitioners, social care, and hospital
based care. It is therefore not always immediately possible to identify where
any problems in care (if there are any) have occurred.
In keeping with our policy, all deaths which occur in prison and all child deaths
must be reported, whether expected or not, and the four deaths have been
reviewed accordingly. There is no indication at this stage the deaths were
caused by any acts or omissions of Bridgewater staff.
All deaths in custody are referred to the Prisons and Probation Ombudsman for
review and all child deaths are reviewed by local Child Death Overview Panels.
Any learning from these reviews will be brought back into our review processes
and shared accordingly with relevant staff.