WHEN THINGS GO WRONG THE RESPONSE MATTERS
We help you develop and implement a clear, proportionate approach to reviewing patient and service user safety incidents — one that reflects how your organisation delivers care, your governance arrangements and the needs of those who use your services.
UNDERSTAND
We start by understanding your current approach, your existing strengths, governance arrangements, service setting, patient or service user population, incident profile and organisational priorities.
BUILD CAPABILITY
Equip staff with the skills and confidence to review incidents effectively through training in incident review, systems thinking and open communication.
DESIGN
Develop your incident review framework and decision-making criteria, tailored to your services and governance.
IMPLEMENT
Introduce approaches such as Swarm Huddles and thematic review, embedding them into everyday practice and governance.
CHOOSE
Define how different review approaches will be selected — from Swarm Huddles and After Action Review to systems-based and thematic review.
SUPPORT
Access mentoring and review clinics for practical support with complex incidents and difficult review decisions.