Is anybody ‘Learning’ from Deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020

Abstract

AbstractIntroductionThe imperative to learn when a patient dies due to problems in care is absolute. In 2017, the Learning from Deaths (LfDs) framework, a countrywide patient safety programme, was launched in the National Health Service (NHS) in England. NHS Secondary Care Trusts (NSCTs) are legally required to publish quantitative and qualitative information relating to deaths due to problems in care within their organisation, including any learning derived from these deaths.MethodAll LfDs report from 2017 – 2020 were reviewed and evaluated, quantitatively and qualitatively using sequential content and reflexive thematic analysis, through a critical realist lens.ResultsThe majority of NSCTs have identified learning, actions and, to a lesser degree, assessed the impact of these actions. The most frequent learning relates to missed/delayed/uncoordinated care and communication/cultural issues. System issues and lack of resources feature infrequently. There is significant variation amongst NSCTs as to what ‘learning’ in this context actually means and a lack of oversight combining patient safety initiatives.DiscussionEngagement of NSCTs with the LfDs programme varies significantly. Learning as a result of the LfDs programme is occurring. The significance or value of this learning in preventing future patient deaths remains unclear. Consensus about what constitutes effective learning with regards to patient safety needs to be defined and agreed upon.