NHS Resolution’s Safety and Learning team are hosting a virtual forum to explain the key themes from our latest reports which led to claims in the Emergency Department in England between 2014 and 2018. Recognising the unprecedented challenges and diversity of clinical presentations seen in emergency departments our forum focuses on four high volume clinical areas: fatalities, missed fractures, falls and pressure ulcers.

Clinical themes extracted from our claims data can provide a unique insight to enhance safety and patient experience and strengthen evidence to improve and redesign practices. Claim numbers for emergency medicine have risen in recent years perhaps relative to increased number of attendances but we have identified areas to improve service. The purpose of the forum is to share insight and promote spread of experiential learning in collaboration with Royal Colleges of Emergency Medicine and Nursing to inform service and best practice pathways.

Programme chair: Justine Sharpe, Safety and Learning Lead (London)

Speakers:

Summary of clinical findings and recommendations of NHS Resolution Emergency Medicine claims:

- High value and fatality claims in ED - Dr Denise Chaffer, Director of Safety and Learning

- Missed fracture claims in ED - Tim Shurlock, Safety and Learning Lead (South)

- Hospital acquired pressure ulcers and falls. Bev Hunt, Safety and Learning Lead (Mediation)

Panel discussion:

How have the findings of the reports fed into national health strategy and improvement work in the wider NHS and are there examples of local improved urgent care pathways?

Chair: Dr Alex Crowe, Deputy Director for Incentive Schemes and Academic Partnerships

• Dr Denise Chaffer, Director of Safety and Learning

• Bev Hunt, Safety and Learning Lead (Mediation)

• Katherine Henderson, President of Royal College of Emergency Medicine

• Royal College of Nursing

How to access the forum

Registration is via Eventbrite portal. This virtual forum will be hosted on Microsoft Teams once you have registered. Please place a diary hold in your electronic calendar. The link will be emailed before the event. Please report any difficulties experienced to nhsr.safety@nhs.net before the event.

You will need:

• a laptop or tablet with a working webcam

• to check that all equipment and broadband is in working order prior to the forum

• a quiet environment where you are unlikely to be disrupted for 70 minutes

Please avoid:

Please do not record the forum. This is in line with GDPR guidance, and to encourage open discussion.

Future forum dates and topics will be released shortly

NHS Resolution-Safety and Learning Emergency Department (ED) Virtual Forum