Learning from deaths

These reviews help us understand the care provided before a patient died and identify any opportunities to learn and improve.

How we review deaths

Every unexpected death is examined through our established review process, which looks at:

• the care a patient received in the days leading up to their death
• whether any problems or delays may have contributed
• what learning we can share across our teams to improve future care

This process follows national guidance and forms a core part of how we monitor safety and quality.

What we publish

As part of our public Board meetings, we publish quarterly information on:

• the total number of in‑patient deaths
• the number of deaths that have been reviewed
• findings from completed reviews
• any themes or learning identified

This helps us understand where we are performing well and where further improvement may be needed.

Each year we publish an Annual Quality Report, which includes:

• information about patient safety
• details on the effectiveness of treatments
• a fuller explanation of our mortality review process
• how learning from deaths is used to improve care

You can find our Annual Quality Report in the Board Papers section of our website.