Reviewing the care of people who die in hospital

Case note/record reviews are carried out in different circumstances.  Firstly, case note/record reviews are routinely carried out in NHS Trusts on a proportion of all their deaths to learn, develop and improve healthcare, as well as when a problem in care may be suspected.

A clinician (usually a doctor), who was not directly involved in the care your loved one received, will look carefully at their case notes.  They will look at each aspect of their care and how well it was provided.  When a routine review finds any issues with a patient’s care, we contact their family to discuss this further.

Secondly, we also carry out case note/record reviews when a significant concern is raised with us about the care we provided to a patient.  We consider a “significant concern” to mean:-

  1. any concerns raised by the family that cannot be answered at the time; or
  2. anything that is not answered to the family’s satisfaction or which does not reassure them.

This may happen when a death is sudden, unexpected, untoward or accidental.  When a significant concern has been raised, we will undertake a case note/record review for your loved one and share our findings with you.

At The Mid Yorkshire Hospitals NHS Trust we are committed to providing high quality care for all our patients and their families.  We hope that you feel the experience of care provided to your loved one was positive.  However, if this is not the case, you will be given an opportunity to share any worries you may have when you speak with our Bereavement Team.

If, at this time, you are unable to share your concerns and think of something later that you would like to discuss with us, you can share this by contacting our Patient, Advice and Liaison Service (PALS).  The PALS team will assist by identifying the best person to hear and act on your feedback.  All concerns will be listened to carefully and if needed, may result in a more thorough investigation of the care that was provided.  You will be kept informed of any investigations that are undertaken.

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