Coroners preventing future deaths reports - improving learning for mental health services

Thursday 10 August 2023

Thursday 10 August 2023

Overview of this webinar


Every death involving a mental health patient is a tragedy. Where Coroners in an inquest identify issues associated with such a death where they believe that there are actions that could and should be undertaken to reduce the risk of a similar occurrence, they are required to issue a Preventing Future Deaths Report.

This webinar will focus on the purpose of these Reports, how they impact on psychiatrists and mental health services and what are the opportunities going forward to improve their effectiveness. There will be an opportunity to hear from the Deputy Chief Coroner for England and Wales, from psychiatrists who have a specific interest on this issue and then be part of a discussion about how we might work together in the future.


Overview of the session - Trudi Seneviratne
Purpose of a Preventing Future Deaths Report - Derek Winter, Deputy Chief Coroner
Preventing Future Deaths Report - A Psychiatrist perspective - Rachel Gibbons
Collaborating to improve learning from Preventing Future Deaths Reports (Open Discussion)

Closing Remarks and Next Steps - Trudi Seneviratne

View the Q&A report from the webinar




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