#WeNurses - Tuesday 20th September 2016 8pm (GMT Standard Time) Investigating & learning from deaths

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Hosted by WeNurses using #WeNurses

This chat is guest hosted by @CareQualityComm

The Health Secretary has asked CQC to undertake a review of the way in which NHS Trusts investigate deaths and learn from these investigations. This request was part of the Government’s response to the Mazars report, which was published in December 2015. NHS England commissioned Mazars to review the deaths of people with a learning disability or mental health problem in contact with Southern Health NHS Foundation Trust between April 2011and March 2015. This was in response to public concern following a series of deaths which the Trust had described as ‘expected’ and had not investigated, most notably Connor Sparrowhawk’s death in July 2013.

The government has asked the Care Quality Commission (CQC) to undertake a review “to look at how NHS trusts across the country investigate deaths to find out whether similar problems can be found elsewhere. We will look particularly closely at how trusts investigate and learn from deaths of people using learning disability or mental health services.” (CQC 2016)

Professor Sir Mike Richards, CQC’s Chief Inspector of Hospitals, stated:

“For most, the care provided has prolonged their life, eased their suffering and helped them to die with dignity. However, this is not the case for everybody. Every year thousands of people under the care of NHS trusts die prematurely because their treatment or care has not been as good as it could have been. Healthcare workers might have failed to identify an illness that could have been treated, not provided the advice that might have prevented an illness developing, not made a life-saving intervention with a person who is critically ill or made some other error that contributed to a premature death.”

This #WeNurses discussion aims to explore how we investigate and learn from deaths and will help to inform CQC’s review.  We will be asking some of the following questions:

  • Are there incidences where you have seen things done particularly well?
  • What would be the one thing you could change about the investigation process?

  • How well do you think learning disability is identified across different sectors – mental health / community / acute?

  • What do you see as the being the main barriers in being able to carry out investigations?
  • What do you think the main issues are in conducting investigations of patients with a learning disability and/or mental health condition?

  • How well do you think families are able to be involved in investigations/reviews and what would help to improve experiences of families?

  • How well do you think learning from deaths is disseminated through trusts/organisations? Do you have examples of good practice? If not, what would facilitate better sharing of learning?


For this discussion we will be joined by:

Victoria Bleazard, Head of Mental Health Policy, Care Quality Commission 

@VictoriBleazard 

Victoria is responsible for mental health strategy and policy within England’s health and social care regulator (Care Quality Commission), joining in 2015. This involves developing their approach for regulating mental healthcare in England, and overseeing the organisation’s statutory responsibilities to highlight the care of those detained under the Mental Health Act and Deprivation of Liberty Safeguards. She is currently leading a national review into how the NHS investigates – and learns from – the deaths of patients in its care following the Mazars review into Southern Health FT.

Victoria was previously with the membership and provider charity Rethink Mental Illness for seven years, directing their campaigns and communications department. She led campaigns which transformed legislation, funding and public awareness of mental health (including through our ‘Time to Change’ anti-stigma campaign).Victoria also led a national Psychosis Network of providers, and worked with NHS leaders to create incentives for improvements.

Dr George Julian, specialistadviser to CQC’s review of how the NHS investigates – and learns from –the deaths of patients in its care 

@GeorgeJulian

DrGeorge Julian is a freelance knowledge transfer consultant specialising in the application of research into practice. She started her research career looking at educational provision for profoundly disabled children and since then has conducted research in the fields of psychology, special education, early years education and social care. She now works with researchers, policy makers, care providers and sector-led improvement organisations. 

George is an avid user of social media, a regular blogger, an online activist and an advocate for digital engagement with research. George is one of the people behind the Justice for LB campaign and is currently a specialist adviser to CQC’s review of how the NHS investigates – and learns from – the deaths of patients in its care.





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 Chat Summary

 

This Twitter Chat on investigating and learning from deaths brought together people from many walks of life - from adult nurses, to MH and LD specialist nurses, from community nursing and even from the general public, there were many opinions shared throughout the hour long discussion.  This summary gives a flavour of some of the responses to the questions asked:

Question 1 explored if people had seen examples of good practice when investigating and learning from deaths:


Some good practice was shared - but also some concerns









 

Question 2 asked about the investigation process and family involvement and time scales featured highly in participants answers







Question 3 addressed how learning disability is addressed across all sectors 






 

Most people identified that in their experience it was inconsistent.

In Question 4 we asked about the barriers to carrying out investigations into deaths - there were a variety of barriers identified, however the word "blame" featured highly









Question 5 asked specifically about people with learning disabilities and / or mental health conditions 










For Question 6 thoughts turned to family involvement


 

And there was some discussion triggered around HCPs being too paternalistic




 

There were also lots of tweets about how important family involvement is





Towards the end of the discussion CQC shared more details about the review 







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@Garrykent5
23 September 2016 14:31
The involvement of




 #WeNurses transcript

 
@salsa442
20 September 2016 20:00
RT @WeMHNurses: Join us in just a few minutes for tonight's important chat on learning lessons from investigations #wenurses hashtag https:…
@KayFSheldon
20 September 2016 20:00
RT @WeMHNurses: Join us in just a few minutes for tonight's important chat on learning lessons from investigations #wenurses hashtag https:…
@WeNurses
20 September 2016 20:00
Hello and welcome to tonights #WeNurses discussion on investigating & learning from deaths Please do say hello if you are joining us
@Intl_Nurses
20 September 2016 20:00
RT @WeNurses: Tonights #WeNurses topic is a very sensitive subject - so please remember to tweet kindly & respectfully https://t.co/1GMe8V2…
@iahcp
20 September 2016 20:00
RT @WeNurses: Tonights #WeNurses topic is a very sensitive subject - so please remember to tweet kindly & respectfully https://t.co/1GMe8V2…
@kattstephens1
20 September 2016 20:00
RT @WeNurses: In 10 mins How can we involve families more in investigations into deaths? #WeNurses with @CareQualityComm > https://t.co/…
@WeNurses
20 September 2016 20:00
Tonight we are joined by @GeorgeJulian @VictoriBleazard and @CareQualityComm - welcome #WeNurses
@ross_6479_RNLD
20 September 2016 20:00
RT @WeNurses: Hello and welcome to tonights #WeNurses discussion on investigating & learning from deaths Please do say hello if you are j…
@salsa442
20 September 2016 20:00
Hi all, Sal here, looking forward to this chat #wenurses
@RebeccaCrossle2
20 September 2016 20:00
#WeNurses will be lurking in between story times
@VanessaRNMH
20 September 2016 20:00
I'll be over at @WeMHNurses for the next hr for the #WeNurses chat with the @CareQualityComm to talk about learning from investigations.
@evelyn_prodger
20 September 2016 20:00
@WeNurses hello#wenurses https://twitter.com/wenurses/status/778307758160568320
@janey513
20 September 2016 20:00
RT @WeNurses: Hello and welcome to tonights #WeNurses discussion on investigating & learning from deaths Please do say hello if you are j…
@AgencyNurse
20 September 2016 20:01
Hello Teresa here - evening everyone Important discussion #WeNurses
@CareQualityComm
20 September 2016 20:01
.@WeNurses Hello #WeNurses, thanks for having us.
@WeLDnurses
20 September 2016 20:01
We are here... wouldn't miss it for the world. so important #wenurses https://twitter.com/WeNurses/status/778307758160568320
@CareQualityComm
20 September 2016 20:01
RT @WeNurses: Tonight we are joined by @GeorgeJulian @VictoriBleazard and @CareQualityComm - welcome #WeNurses
@WeNurses
20 September 2016 20:01
Please do lurk away #WeNurses https://twitter.com/RebeccaCrossle2/status/778307945385824256
@ross_6479_RNLD
20 September 2016 20:01
@WeNurses evening all, Ross here #waves #wenurses
@NRCUK
20 September 2016 20:01
Back from #nursesactive (still going) for a learning from deaths #wenurses. Relevant to multiagency case review tool in production now.
@sharnshelley2
20 September 2016 20:01
RT @WeNurses: Tonight we are joined by @GeorgeJulian @VictoriBleazard and @CareQualityComm - welcome #WeNurses
@LearnPEOLC
20 September 2016 20:01
@WeNurses #WeNurses hi there sarah here and from @WeEOLC
@KWebbNurse
20 September 2016 20:01
@WeNurses #wenurses I wonder whether tweeps who make digital stories might offer advice on how to crystallise the essence of the story?
@chrishattoncedr
20 September 2016 20:01
RT @WeNurses: Hello and welcome to tonights #WeNurses discussion on investigating & learning from deaths Please do say hello if you are j…
@janey513
20 September 2016 20:01
@WeNurses looking forward to the conversations #WeNurses
@samabdulla
20 September 2016 20:01
Evening all #WeNurses
@salsa442
20 September 2016 20:01
RT @WeNurses: Tonight we are joined by @GeorgeJulian @VictoriBleazard and @CareQualityComm - welcome #WeNurses
@GeorgeJulian
20 September 2016 20:01
Hello everyone @WeNurses @VictoriBleazard @CareQualityComm #WeNurses great to see so many people here :)
@dmarsden49
20 September 2016 20:02
RT @WeLDnurses: We are here... wouldn't miss it for the world. so important #wenurses https://twitter.com/WeNurses/status/778307758160568320
@dmarsden49
20 September 2016 20:02
RT @AgencyNurse: Hello Teresa here - evening everyone Important discussion #WeNurses
@Cathy_55555
20 September 2016 20:02
@salsa442 #wenurses me too. Hello ?
@WeNurses
20 September 2016 20:02
So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0IYs8
@WeLDnurses
20 September 2016 20:02
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@WeEOLC
20 September 2016 20:02
@WeNurses #WeNurses hi there sarah @learnhospice here
@AgencyNurse
20 September 2016 20:02
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@CareQualityComm
20 September 2016 20:02
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@salsa442
20 September 2016 20:02
@Cathy_55555 Hiya, good to 'see' you #wenurses
@HealthUKTD
20 September 2016 20:02
RT @WeNurses: And its always worth remembering the NMC Social Media Guidance when tweeting > https://www.nmc.org.uk/standards/guidance/social-media-guidance #WeNurses https://t.c…
@WeMHNurses
20 September 2016 20:02
RT @VanessaLGarrity: I'll be over at @WeMHNurses for the next hr for the #WeNurses chat with the @CareQualityComm to talk about learning fr…
@salsa442
20 September 2016 20:02
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@Omnia_Practice
20 September 2016 20:02
RT @WeNurses: And its always worth remembering the NMC Social Media Guidance when tweeting > https://www.nmc.org.uk/standards/guidance/social-media-guidance #WeNurses https://t.c…
@dmarsden49
20 September 2016 20:02
Evening all, full @weldnurses team in the area for tonight's chat! #WeNurses
@Omnia_Practice
20 September 2016 20:02
RT @WeNurses: In 10 mins How can we involve families more in investigations into deaths? #WeNurses with @CareQualityComm > https://t.co/…
@Omnia_Practice
20 September 2016 20:02
RT @CareQualityComm: .@WeNurses Hello #WeNurses, thanks for having us.
@davidedrnurse
20 September 2016 20:03
#WeNurses https://twitter.com/WeMHNurses/status/778307236141666304
@WeNurses
20 September 2016 20:03
@GeorgeJulian @WeNurses @VictoriBleazard @CareQualityComm thanks for joining us #WeNurses
@LisaFox202
20 September 2016 20:03
Attempting my first twitter chat with @CareQualityComm to talk about leanring from investigations & mortality #WeNurses
@Jones23Emma
20 September 2016 20:03
@WeNurses ?????? hiyyaaa #WeNurses
@NursesRoar
20 September 2016 20:03
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@janey513
20 September 2016 20:03
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@chrishattoncedr
20 September 2016 20:03
@WeNurses Hi - I'll be looking to mainly lurk and learn from this chat #WeNurses
@Jones23Emma
20 September 2016 20:03
RT @WeNurses: Hello and welcome to tonights #WeNurses discussion on investigating & learning from deaths Please do say hello if you are j…
@WeNurses
20 September 2016 20:03
If you are joining #WeNurses this eve thats great! Do try to remember to add #wenurses to your tweets so we can all… https://twitter.com/i/web/status/778308594039226368
@Cathy_55555
20 September 2016 20:03
@salsa442 always a pleasure #WeNurses ??
@Richard39450952
20 September 2016 20:03
#WeNurses Hi and thanks for hosting this
@VictoriBleazard
20 September 2016 20:03
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@WeNurses
20 September 2016 20:03
Nice to have your perspective Sarah #WeNurses https://twitter.com/learnhospice/status/778308152458633217
@UCLanMH
20 September 2016 20:03
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@UCLanHealth
20 September 2016 20:03
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@ShaunLintern
20 September 2016 20:03
RT @WeNurses: Hello and welcome to tonights #WeNurses discussion on investigating & learning from deaths Please do say hello if you are j…
@salsa442
20 September 2016 20:03
RT @WeNurses: If you are joining #WeNurses this eve thats great! Do try to remember to add #wenurses to your tweets so we can all see them…
@munro_sara
20 September 2016 20:04
RT @ShaunLintern: @Cleverestcookie @elinlowri @felly500 #wenurses has a good chat at 8pm. Learning from death.
@ihal_talk
20 September 2016 20:04
Evening from IHaL #wenurses
@GeorgeJulian
20 September 2016 20:04
@dmarsden49 yayyyy, love the @WeLDnurses crew #WeNurses #CQCDeathsReview
@ShaunLintern
20 September 2016 20:04
@WeNurses Im joining for first time in a long time. Good topic tonight #WeNurses
@WeNurses
20 September 2016 20:04
Hello and welcome #WeNurses https://twitter.com/LisaFox202/status/778308531762200576
@evelyn_prodger
20 September 2016 20:04
Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@ShaunLintern
20 September 2016 20:04
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@GeorgeJulian
20 September 2016 20:04
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@salsa442
20 September 2016 20:04
RT @evelyn_prodger: Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@Han2buttonmoon
20 September 2016 20:04
RT @WeNurses: And its always worth remembering the NMC Social Media Guidance when tweeting > https://www.nmc.org.uk/standards/guidance/social-media-guidance #WeNurses https://t.c…
@DonnaEGlover
20 September 2016 20:04
#WeNurses Hi. I'm lurking, possibly chatting.
@Cathy_55555
20 September 2016 20:04
@chris_dlamini @WeLDnurses @WeNurses Good evening #WeNurses
@WeNurses
20 September 2016 20:04
RT @GeorgeJulian: @dmarsden49 yayyyy, love the @WeLDnurses crew #WeNurses #CQCDeathsReview
@Jones23Emma
20 September 2016 20:04
@WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@RN_Abigail
20 September 2016 20:04
Hello, I'm Abi and I'm a student nurse and I will be lurking and observing on this one! #wenurses
@WeNurses
20 September 2016 20:05
@chrishattoncedr lurkers always welcome #Wenurses
@CareQualityComm
20 September 2016 20:05
RT @evelyn_prodger: Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@samabdulla
20 September 2016 20:05
Poor treatment and deaths of PWLD in acute care contributed to development of acute liaison role. A vital service #wenurses
@Jones23Emma
20 September 2016 20:05
RT @WeNurses: If you are joining #WeNurses this eve thats great! Do try to remember to add #wenurses to your tweets so we can all see them…
@gracenglorydan
20 September 2016 20:05
Hi, sadly i would say not nearly enough! #CanDoBetter ?? #WeNurses @CareQualityComm https://twitter.com/wenurses/status/778308376690393088
@opaaluk
20 September 2016 20:05
Following #WeNurses chat with v limited wifi, want to flag vital role advocacy can play in supporting carer involvement #advocacyworks
@WeNurses
20 September 2016 20:05
welcome along @abigailstdnurse lovely to have you lurking or joining :) #wenurses
@Han2buttonmoon
20 September 2016 20:05
RT @evelyn_prodger: Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@Gyles
20 September 2016 20:05
#wenurses Hi - Gyles Glover dropping in from the learning disabilities observatory
@evelyn_prodger
20 September 2016 20:05
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@WeNurses
20 September 2016 20:05
@ShaunLintern welcome Shaun #WeNurses
@gracenglorydan
20 September 2016 20:05
RT @WeNurses: Tonight we are joined by @GeorgeJulian @VictoriBleazard and @CareQualityComm - welcome #WeNurses
@munro_sara
20 September 2016 20:05
When there is full openness, honesty and shared commitment to learn #WeNurses
@Cathy_55555
20 September 2016 20:05
@WeNurses #wenurses In some areas of placements as a student ldn yes. Depended on practioners attitude
@janey513
20 September 2016 20:06
@WeNurses I think it all depends on the initial approach sets the tone for the investigation&the learning that comes next #WeNurses
@AgencyNurse
20 September 2016 20:06
Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@KWebbNurse
20 September 2016 20:06
@WeNurses #wenurses I have been panel member in multidisciplinary team review. We all took evidence & didn't split into disciplines - good ??
@gracenglorydan
20 September 2016 20:06
RT @evelyn_prodger: Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@janey513
20 September 2016 20:06
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@WeLDnurses
20 September 2016 20:06
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@NRCUK
20 September 2016 20:06
Are you about @SueGMBE am sure you would find this #wenurses useful https://twitter.com/NRCUK/status/778308127032827904
@evelyn_prodger
20 September 2016 20:06
This is so important, fear can be a real barrier #wenurses @Jones23Emma https://twitter.com/jones23emma/status/778308969848864768
@helen_laverty
20 September 2016 20:06
#WeNurses hi from rainy Lincoln
@helen_laverty
20 September 2016 20:06
RT @samabdulla: Poor treatment and deaths of PWLD in acute care contributed to development of acute liaison role. A vital service #wenurses
@GeorgeJulian
20 September 2016 20:06
@Cathy_55555 bet students get an interesting perspective from multiple trusts #WeNurses #CQCDeathsReview @WeNurses
@sfstringwell
20 September 2016 20:07
RT @keeling_michael: A date for the diary @WeNurses #wenurses this #whywedoresearch tweetchat maybe of interest to some of your followers h…
@RebeccaCrossle2
20 September 2016 20:07
#WeNurses identifying the cohort important to begin process #flagging to ensure clear and concise review can happen not all trusts do
@WeNurses
20 September 2016 20:07
#Wenurses https://twitter.com/sandyra1961/status/778308751992430592
@CareQualityComm
20 September 2016 20:07
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@AgencyNurse
20 September 2016 20:07
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@WeNurses
20 September 2016 20:07
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@PublicHealthCns
20 September 2016 20:07
@WeNurses #wenurses Tes- when everyone respects each other, the different roles played, & when there is a genuine desire to improve & learn
@WeNurses
20 September 2016 20:07
RT @Cathy_55555: @WeNurses #wenurses In some areas of placements as a student ldn yes. Depended on practioners attitude
@LearnPEOLC
20 September 2016 20:07
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@salsa442
20 September 2016 20:07
@KWebbRCN @WeNurses I've done this too #wenurses
@WeLDnurses
20 September 2016 20:07
Does good look different across fields? #WeNurses
@KayFSheldon
20 September 2016 20:07
I'm lurking too, & mostly listening :) #WeNurses
@ShaunLintern
20 September 2016 20:07
@WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@munro_sara
20 September 2016 20:07
Helps to bring together everyone involved to all hear each other's roles, perspectives, contribution to care provided, inc family #WeNurses
@Cathy_55555
20 September 2016 20:07
@GeorgeJulian @WeNurses #WeNurses absolutely. Eye opener and very helpful to improve how i make decisions personally
@Richard39450952
20 September 2016 20:08
#WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparent - you hope it is
@NRCUK
20 September 2016 20:08
There is a move towards investigating cases (with and without death) by many areas that fall bellow SCR - think this positive #wenurses
@LearnPEOLC
20 September 2016 20:08
@AgencyNurse @WeNurses #WeNurses I was just thinking something similar in terms of well/bad from whose perspective..??
@GeorgeJulian
20 September 2016 20:08
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@AgencyNurse
20 September 2016 20:08
Is this service available in all settings ? #WeNurses https://twitter.com/samabdulla/status/778309073548767234
@samabdulla
20 September 2016 20:08
@WeLDnurses I worry settling for good means good enough. We should be looking for excellence #wenurses
@GeorgeJulian
20 September 2016 20:08
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@Omnia_Practice
20 September 2016 20:08
RT @evelyn_prodger: Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@Omnia_Practice
20 September 2016 20:08
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@evelyn_prodger
20 September 2016 20:08
@AgencyNurse #wenurses good looks like fair, inclusive, open which a focus on learning not scapegoating https://twitter.com/agencynurse/status/778309334950379520
@Luvphotosme
20 September 2016 20:08
#wenurses Hello my name is Jacqueline. I will be observing this discussion.
@WeNurses
20 September 2016 20:08
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@lynnewalsall
20 September 2016 20:08
Hi everyone Lynne from Walsall here #WeNurses
@ross_6479_RNLD
20 September 2016 20:08
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@munro_sara
20 September 2016 20:08
RT @GeorgeJulian: @Cathy_55555 bet students get an interesting perspective from multiple trusts #WeNurses #CQCDeathsReview @WeNurses
@WeMHNurses
20 September 2016 20:08
Hi #wenurses @VanessaLGarrity from #wemhns joining the chat tonight
@AMWWFC2009
20 September 2016 20:08
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@chrishattoncedr
20 September 2016 20:08
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@WeNurses
20 September 2016 20:08
RT @PublicHealthStR: @WeNurses #wenurses Tes- when everyone respects each other, the different roles played, & when there is a genuine des…
@ShaunLintern
20 September 2016 20:08
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@VictoriBleazard
20 September 2016 20:08
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@WeNurses
20 September 2016 20:08
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@gracenglorydan
20 September 2016 20:08
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@chrishattoncedr
20 September 2016 20:08
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@salsa442
20 September 2016 20:09
@AgencyNurse Sadly no, there's real wide variation across the country - some hospitals have no service at all :( #wenurses
@AgencyNurse
20 September 2016 20:09
Agree - there are many perspectives here ... so much to consider #Wenurses https://twitter.com/learnhospice/status/778309809628147712
@VictoriBleazard
20 September 2016 20:09
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@WeNurses
20 September 2016 20:09
#wenurses https://twitter.com/janey513/status/778309705835970561
@salsa442
20 September 2016 20:09
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@itsneverbecky
20 September 2016 20:09
@WeNurses seen montgly newsletter emailed to all staff, 1 sentence explaining the incident & 1 what staff should take from it #WeNurses
@CareQualityComm
20 September 2016 20:09
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@ross_6479_RNLD
20 September 2016 20:09
@WeNurses have seen this interweaved into uni learning and out in practice too #wenurses
@VictoriBleazard
20 September 2016 20:09
RT @evelyn_prodger: Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@Cathy_55555
20 September 2016 20:09
@chris_dlamini @WeLDnurses @WeNurses well I have promoted this oppotunity to 1401 to get involved so maybe watch this space ??#wenurses
@WeNurses
20 September 2016 20:09
@Gyles hi and welcome #WeNurses
@WeMHNurses
20 September 2016 20:09
RT @WeNurses: If you are joining #WeNurses this eve thats great! Do try to remember to add #wenurses to your tweets so we can all see them…
@cpresponder
20 September 2016 20:09
Evening from Gavin - Resuscitation Officer #WeNurses
@LearnPEOLC
20 September 2016 20:09
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@salsa442
20 September 2016 20:09
RT @evelyn_prodger: @AgencyNurse #wenurses good looks like fair, inclusive, open which a focus on learning not scapegoating https://t.co/md…
@KWebbNurse
20 September 2016 20:09
@ShaunLintern @WeNurses #wenurses not all deaths are in clinical areas though #safeguarding poses particular challenges
@WeLDnurses
20 September 2016 20:09
Does this include non-professional roles? #wenurses https://twitter.com/PublicHealthStR/status/778309597383761921
@lynnewalsall
20 September 2016 20:09
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@MelvinWar2004
20 September 2016 20:09
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@gracenglorydan
20 September 2016 20:09
And involving families only works if willing to admit when failed/could do better in care? #WeNurses… https://twitter.com/i/web/status/778310253456809984
@AgencyNurse
20 September 2016 20:10
Although this is broad - i think you have a point - compassion vital #WeNurses https://twitter.com/cpresponder/status/778309885658267648
@MindOurMinds
20 September 2016 20:10
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@munro_sara
20 September 2016 20:10
No one individual ever has the full picture so helps to understand the gaps and identify learning to prevent reoccurrence #WeNurses
@livinginhope
20 September 2016 20:10
RT @WeNurses: #wenurses https://twitter.com/janey513/status/778309705835970561
@AgencyNurse
20 September 2016 20:10
RT @salsa442: @AgencyNurse Sadly no, there's real wide variation across the country - some hospitals have no service at all :( #wenurses
@WeNurses
20 September 2016 20:10
RT @salsa442: @AgencyNurse Sadly no, there's real wide variation across the country - some hospitals have no service at all :( #wenurses
@MindOurMinds
20 September 2016 20:10
RT @PublicHealthStR: @WeNurses #wenurses Tes- when everyone respects each other, the different roles played, & when there is a genuine des…
@livinginhope
20 September 2016 20:10
RT @AgencyNurse: Agree - there are many perspectives here ... so much to consider #Wenurses https://twitter.com/learnhospice/status/778309809628147712
@munro_sara
20 September 2016 20:10
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@WeNurses
20 September 2016 20:10
Do you think expectations are set, tricky to cover this beyond local knowledge/exp we know! #wenurses https://twitter.com/Richard39450952/status/778309774702174209
@JoinedU1
20 September 2016 20:10
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@GeorgeJulian
20 September 2016 20:10
@evelyn_prodger @Jones23Emma interested in this, what you think leads to fear? Is it always there or more in some situations? #WeNurses
@WeMHNurses
20 September 2016 20:10
If you are around tonight, please join our chat at #WeNurses and share your thoughts on learning from investigations #mentalhealth
@LearnPEOLC
20 September 2016 20:10
@Richard39450952 #WeNurses I think that is a v impt point as process may need navigating not just outputs or outcomes
@WeNurses
20 September 2016 20:10
RT @munro_sara: When there is full openness, honesty and shared commitment to learn #WeNurses
@samabdulla
20 September 2016 20:10
@AgencyNurse I don't know about south of the wall, all our health boards (bar one) have them in place #wenurses
@MindOurMinds
20 September 2016 20:10
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@itsneverbecky
20 September 2016 20:10
@WeNurses seen monthly newsletter emailed to all staff, 1 sentence explaining each incident & 1 what staff should take from it #WeNurses
@munro_sara
20 September 2016 20:10
RT @evelyn_prodger: @AgencyNurse #wenurses good looks like fair, inclusive, open which a focus on learning not scapegoating https://t.co/md…
@Besleybean
20 September 2016 20:10
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@jimgblair
20 September 2016 20:10
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@gracenglorydan
20 September 2016 20:10
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@GeorgeJulian
20 September 2016 20:11
RT @samabdulla: Poor treatment and deaths of PWLD in acute care contributed to development of acute liaison role. A vital service #wenurses
@WeLDnurses
20 September 2016 20:11
this is interesting! #wenurses https://twitter.com/MsNaughtyCheese/status/778310443345543170
@FaiisaOmar
20 September 2016 20:11
RT @samabdulla: Poor treatment and deaths of PWLD in acute care contributed to development of acute liaison role. A vital service #wenurses
@MindOurMinds
20 September 2016 20:11
@WeNurses Probably not covering anything up - being fully truthful so the family can be at peace. #WeNurses
@AgencyNurse
20 September 2016 20:11
Interesting question ... i would say yes - according to the needs #WeNurses https://twitter.com/WeLDnurses/status/778309658893312002
@munro_sara
20 September 2016 20:11
RT @KWebbRCN: @ShaunLintern @WeNurses #wenurses not all deaths are in clinical areas though #safeguarding poses particular challenges
@BPotter38
20 September 2016 20:11
Can't get the hang of chats but I am here listening/reading & thinking... #WeNurses important topic! #CQCDeathsReview
@KayFSheldon
20 September 2016 20:11
RT @WeMHNurses: If you are around tonight, please join our chat at #WeNurses and share your thoughts on learning from investigations #menta…
@salsa442
20 September 2016 20:11
RT @WeLDnurses: this is interesting! #wenurses https://twitter.com/MsNaughtyCheese/status/778310443345543170
@itsneverbecky
20 September 2016 20:11
@WeNurses (although that was all serious/untoward incidents, not only deaths) #WeNurses
@dmarsden49
20 September 2016 20:11
@RebeccaCrossle2 Great point. Not sure if @chrishattoncedr is here but he'd be banging on about @NHSImprovement risk framework #wenurses
@FaiisaOmar
20 September 2016 20:11
RT @WeMHNurses: If you are around tonight, please join our chat at #WeNurses and share your thoughts on learning from investigations #menta…
@LearnPEOLC
20 September 2016 20:11
@evelyn_prodger @AgencyNurse #WeNurses I wonder also if 'learning' stops at saying ppl will do- how to implement & monitor learning?
@ShaunLintern
20 September 2016 20:11
@KWebbRCN @WeNurses In whatever setting the earlier openness is started the less likely I get involved tbh #WeNurses
@Jones23Emma
20 September 2016 20:11
@GeorgeJulian @evelyn_prodger scared you've done everything you can #WeNurses
@RebeccaCrossle2
20 September 2016 20:11
#WeNurses all mortality review boards should patient/ carer representation as standard # whatgoodlookslike
@MindOurMinds
20 September 2016 20:11
@WeNurses Thinking of cases of forged Care Plans in past after deaths. Justice required #WeNurses
@WeNurses
20 September 2016 20:11
Thanks Shaun - is family involvement a key issue here ? #WeNurses https://twitter.com/ShaunLintern/status/778309697317330945
@lynnewalsall
20 September 2016 20:11
RT @samabdulla: @WeLDnurses I worry settling for good means good enough. We should be looking for excellence #wenurses
@janey513
20 September 2016 20:12
@AgencyNurse @cpresponder @CareQualityComm @WeNurses to all not forgetting the staff we have a duty to support them throughout #wenurses
@GeorgeJulian
20 September 2016 20:12
@gracenglorydan can see where you're coming from here Dan, altho some of #MedX discussions think the reluctance with staff too #WeNurses
@WeLDnurses
20 September 2016 20:12
@AgencyNurse Would a standardised approach across fields work? #WeNurses
@PublicHealthCns
20 September 2016 20:12
@WeLDnurses @WeNurses #WeNurses I think it has to, otherwise omitting recognition of the input of these roles this is a lack of respect
@lynnewalsall
20 September 2016 20:12
RT @salsa442: @AgencyNurse Sadly no, there's real wide variation across the country - some hospitals have no service at all :( #wenurses
@dmarsden49
20 September 2016 20:12
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@Cathy_55555
20 September 2016 20:12
@chris_dlamini @WeNurses #WeNurses i think depends on individual families and how involved and supportive they are of their loved ones care
@munro_sara
20 September 2016 20:12
Harder to get consistent engagement across different organisational boundaries often due to fear of blame and scapegoating #WeNurses
@UCLanMH
20 September 2016 20:12
RT @WeMHNurses: If you are around tonight, please join our chat at #WeNurses and share your thoughts on learning from investigations #menta…
@MindOurMinds
20 September 2016 20:12
RT @WeNurses: Hello and welcome to tonights #WeNurses discussion on investigating & learning from deaths Please do say hello if you are j…
@lynnewalsall
20 September 2016 20:12
RT @WeMHNurses: If you are around tonight, please join our chat at #WeNurses and share your thoughts on learning from investigations #menta…
@salsa442
20 September 2016 20:12
RT @RebeccaCrossle2: #WeNurses all mortality review boards should patient/ carer representation as standard # whatgoodlookslike
@GeorgeJulian
20 September 2016 20:12
@samabdulla @WeLDnurses damn straight we should #WeNurses
@KWebbNurse
20 September 2016 20:12
#WeNurses I'd avoid any talk of learning lessons during investigations into death - relatives are less interested in future, bereaved now.
@lynnewalsall
20 September 2016 20:12
RT @ross_6479: @WeNurses have seen this interweaved into uni learning and out in practice too #wenurses
@WeMHNurses
20 September 2016 20:12
RT @KWebbRCN: @ShaunLintern @WeNurses #wenurses not all deaths are in clinical areas though #safeguarding poses particular challenges
@munro_sara
20 September 2016 20:12
RT @WeNurses: Do you think expectations are set, tricky to cover this beyond local knowledge/exp we know! #wenurses https://twitter.com/Richard39450952/status/778309774702174209
@WeNurses
20 September 2016 20:12
Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@salsa442
20 September 2016 20:12
RT @WeNurses: Thanks Shaun - is family involvement a key issue here ? #WeNurses https://twitter.com/ShaunLintern/status/778309697317330945
@evelyn_prodger
20 September 2016 20:12
@GeorgeJulian #wenurses fear may be personality trait, be based on prior experience or the Unknown, not always pres… https://twitter.com/i/web/status/778310914705686528
@Teeman27
20 September 2016 20:12
Important that irrespective of the nature of death, if families want answers we have to have a system that accommodates #WeNurses
@WeLDnurses
20 September 2016 20:12
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@ShaunLintern
20 September 2016 20:12
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@davidedrnurse
20 September 2016 20:12
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@UCLanHealth
20 September 2016 20:12
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@paintoolkit2
20 September 2016 20:12
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@UCLanMH
20 September 2016 20:13
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@itsneverbecky
20 September 2016 20:13
@WeLDnurses @WeNurses I was impressed with the openess & being succinct means people are likely to engage IMO #WeNurses
@Jones23Emma
20 September 2016 20:13
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@CareQualityComm
20 September 2016 20:13
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@HazelWnhs
20 September 2016 20:13
#WeNurses Sorry I'm late. Catching up
@NRCUK
20 September 2016 20:13
this is more multi agency related cases related provision of care @cpresponder @CareQualityComm #wenurses
@salsa442
20 September 2016 20:13
@WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@Cathy_55555
20 September 2016 20:13
@chris_dlamini @WeNurses #wenurses additionall..dependent on professional who communicates with family and where their standards are
@ross_6479_RNLD
20 September 2016 20:13
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@JohnBaker_Leeds
20 September 2016 20:13
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@JohnBaker_Leeds
20 September 2016 20:13
RT @WeMHNurses: If you are around tonight, please join our chat at #WeNurses and share your thoughts on learning from investigations #menta…
@LearnPEOLC
20 September 2016 20:13
@MsNaughtyCheese @WeNurses #WeNurses like that- I think my soap box currently is taking learning Into practice in a visible & sustained way
@lynnewalsall
20 September 2016 20:13
RT @samabdulla: Poor treatment and deaths of PWLD in acute care contributed to development of acute liaison role. A vital service #wenurses
@WeLDnurses
20 September 2016 20:13
RT @salsa442: @WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@ShaunLintern
20 September 2016 20:13
RT @gracenglorydan: And involving families only works if willing to admit when failed/could do better in care? #WeNurses @CareQualityComm h…
@thatdbemethatd
20 September 2016 20:13
#WeNurses good to see people engaging with this tricky but important issue #CQCDeathsReview
@JoinedU1
20 September 2016 20:13
#wenurses Have CQC Inherited the old MHAC act remit of "safeguarding the interests of detained patients'
@chrishattoncedr
20 September 2016 20:13
@dmarsden49 @RebeccaCrossle2 @NHSImprovement Hi Daniel. Yes I am here - resisting banging on impulses... #WeNurses
@salsa442
20 September 2016 20:13
RT @KWebbRCN: #WeNurses I'd avoid any talk of learning lessons during investigations into death - relatives are less interested in future,…
@CareQualityComm
20 September 2016 20:13
RT @MsNaughtyCheese: @WeLDnurses @WeNurses I was impressed with the openess & being succinct means people are likely to engage IMO #WeNurses
@AgencyNurse
20 September 2016 20:13
Yes indeed - staff, families, friends carers #WeNurses https://twitter.com/janey513/status/778310763853250560
@CatherinePelley
20 September 2016 20:14
@WeNurses sorry I'm late looking forward to this chat #WeNurses
@CareQualityComm
20 September 2016 20:14
RT @salsa442: @WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@WeMHNurses
20 September 2016 20:14
@munro_sara How can we improve this ? #WeNurses
@WeMHNurses
20 September 2016 20:14
RT @Cathy_55555: @chris_dlamini @WeNurses #WeNurses i think depends on individual families and how involved and supportive they are of the…
@ShaunLintern
20 September 2016 20:14
@gracenglorydan @CareQualityComm @WeNurses Without a doubt this has to be there. A willingness to look in the mirror #WeNurses
@Cathy_55555
20 September 2016 20:14
@salsa442 @WeNurses #WeNurses totally agree. Transparency all the way. All people should be involved
@WeNurses
20 September 2016 20:14
lovely to have you @HazelWatsonNHSE no such thing as late to #WeNurses :)
@Jones23Emma
20 September 2016 20:14
@WeNurses more #support #wenurses
@HeatherBain9
20 September 2016 20:14
RT @WeMHNurses: If you are around tonight, please join our chat at #WeNurses and share your thoughts on learning from investigations #menta…
@becksherrington
20 September 2016 20:14
@KWebbRCN I have experienced families wanting to feedback poor experiences wanting to make it better for future. Was difficult #WeNurses
@janey513
20 September 2016 20:14
@WeNurses engagement from all fields, nurses seem very open to making open, honest changes to practice. #WeNurses
@KWebbNurse
20 September 2016 20:14
RT @salsa442: @WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@KayFSheldon
20 September 2016 20:14
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@DrUmeshPrabhu
20 September 2016 20:14
RT @learnhospice: @MsNaughtyCheese @WeNurses #WeNurses like that- I think my soap box currently is taking learning Into practice in a visib…
@gracenglorydan
20 September 2016 20:14
@GeorgeJulian @ShaunLintern Completely agree. Our focus in NHS is to "heal and put right" maybe? Can't accept death? #WeNurses
@GeorgeJulian
20 September 2016 20:14
@WeLDnurses @PublicHealthStR @WeNurses does it include families too? #WeNurses #CQCDeathsReview
@salsa442
20 September 2016 20:14
@KWebbRCN I agree,the lessons can be shared with them at a later date, if that's what the family want, need support during invest #wenurses
@samabdulla
20 September 2016 20:14
Transparency and action need to be seen in a timely manner. Without context lessons impact reduced #WeNurses
@EdinburghWatch
20 September 2016 20:14
RT @samabdulla: Poor treatment and deaths of PWLD in acute care contributed to development of acute liaison role. A vital service #wenurses
@salsa442
20 September 2016 20:14
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@WeNurses
20 September 2016 20:14
A really interesting point - do families know what good looks like ? #WeNurses https://twitter.com/Richard39450952/status/778309774702174209
@itsneverbecky
20 September 2016 20:14
@WeNurses it takes far too long & have always heard of reports constantly being re-written/amended which adds to this #wenurses
@ShaunLintern
20 September 2016 20:14
@WeNurses Without a doubt. Families often know more than NHS gives credit. They can help with the learning. Fresh eyes. #WeNurses
@JoinedU1
20 September 2016 20:15
#wenurses HOW do CQC fulfill their MH remit?
@lynnewalsall
20 September 2016 20:15
RT @BPotter38: Can't get the hang of chats but I am here listening/reading & thinking... #WeNurses important topic! #CQCDeathsReview
@sheffnurse
20 September 2016 20:15
RT @WeNurses: Tonights #WeNurses topic is a very sensitive subject - so please remember to tweet kindly & respectfully https://t.co/1GMe8V2…
@JoinedU1
20 September 2016 20:15
RT @GrahameWhitF: #WeNurses good to see people engaging with this tricky but important issue #CQCDeathsReview
@lynnewalsall
20 September 2016 20:15
RT @RebeccaCrossle2: #WeNurses all mortality review boards should patient/ carer representation as standard # whatgoodlookslike
@RTunmore
20 September 2016 20:15
RT @WeNurses: How do we ensure learning re investigations into deaths is disseminated? #WeNurses in 25 mins > http://buff.ly/2cGROoG htt…
@WeLDnurses
20 September 2016 20:15
@GeorgeJulian @PublicHealthStR @WeNurses we think it should. #WeNurses
@dmarsden49
20 September 2016 20:15
@WeNurses the challenge with reviewing deaths in #pwld in a large hospital is the knowledge, skills and experience of M&M lead #wenurses
@becksherrington
20 September 2016 20:15
@evelyn_prodger @AgencyNurse good looks like openly listening and definitely not being defensive #WeNurses
@RebeccaCrossle2
20 September 2016 20:15
#WeNurses all trusts must include patients with learning disabilities who have died in mortality review process not all do
@ShaunLintern
20 September 2016 20:15
@sandyra1961 @WeNurses Thats their choice to make. No one will be upset to be offered the choice. They will if its denied them #WeNurses
@itsneverbecky
20 September 2016 20:15
@WeNurses I think a designated person to liase with the family & a standardised report framework with guidance would help? #WeNurses
@OfrahRn
20 September 2016 20:15
Integrity is key #WeNurses that is something that can't be taught from a process/ system or strategy https://twitter.com/wenurses/status/778310905822052352
@Public_Eye_XVA
20 September 2016 20:15
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@GeorgeJulian
20 September 2016 20:16
RT @learnhospice: @Richard39450952 #WeNurses I think that is a v impt point as process may need navigating not just outputs or outcomes
@munro_sara
20 September 2016 20:16
The focus on process and timescales #weNUrses https://twitter.com/wenurses/status/778310905822052352
@salsa442
20 September 2016 20:16
@WeNurses I think I'd like more family involvement and support for them, a robust process for this #WeNurses
@KWebbNurse
20 September 2016 20:16
#WeNurses You'd expect me to say this as a professional advocate, but pls ensure those being investigated understand & have representation!
@CatherinePelley
20 September 2016 20:16
@WeNurses #WeNurses the ability to get info from all parts of system and lack of judgment about the numbers of investigations
@WeLDnurses
20 September 2016 20:16
Is there lack of specialism? How do we combat this? #wenurses https://twitter.com/dmarsden49/status/778311658489913344
@ross_6479_RNLD
20 September 2016 20:16
@WeNurses I'm not so sure of the processes but think consistency and openness is important #wenurses
@AgencyNurse
20 September 2016 20:16
*sigh* yes #WeNurses https://twitter.com/MsNaughtyCheese/status/778311471172378624
@MaryDunningTU
20 September 2016 20:16
@WeNurses Yes, when the purpose has been articulated clearly 'learning lessons' Creating a safe place to examine the issues. #WeNurses
@gracenglorydan
20 September 2016 20:16
@ShaunLintern @CareQualityComm @WeNurses I'll never forget my amaze @DebHazeldine "if they had just said sorry ..." ???? #WeNurses #MidStaffs
@AgencyNurse
20 September 2016 20:16
RT @becksherrington: @evelyn_prodger @AgencyNurse good looks like openly listening and definitely not being defensive #WeNurses
@lynnewalsall
20 September 2016 20:16
RT @Cathy_55555: @salsa442 @WeNurses #WeNurses totally agree. Transparency all the way. All people should be involved
@Cathy_55555
20 September 2016 20:16
@WeNurses @salsa442 #wenurses More decisiveness and shorter time scales in making decisions.
@CareQualityComm
20 September 2016 20:16
RT @WeLDnurses: Is there lack of specialism? How do we combat this? #wenurses https://twitter.com/dmarsden49/status/778311658489913344
@HeatherBain9
20 September 2016 20:16
#wenurses I had a good experience re my dad, but was led by me as a nurse https://twitter.com/wenurses/status/778308376690393088
@livinginhope
20 September 2016 20:16
Staff need support too during investigation #WeNurses https://twitter.com/munro_sara/status/778309709103296512
@livinginhope
20 September 2016 20:16
RT @AgencyNurse: *sigh* yes #WeNurses https://twitter.com/MsNaughtyCheese/status/778311471172378624
@WeNurses
20 September 2016 20:16
Do others feel that this is a challenge ? #WeNurses https://twitter.com/dmarsden49/status/778311658489913344
@DonnaEGlover
20 September 2016 20:17
@RebeccaCrossle2 Why do you think that is? #WeNurses
@WeNurses
20 September 2016 20:17
RT @RebeccaCrossle2: #WeNurses all trusts must include patients with learning disabilities who have died in mortality review process not al…
@JoinedU1
20 September 2016 20:17
RT @salsa442: @WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@Cathy_55555
20 September 2016 20:17
@WeNurses @salsa442 #WeNurses perhaps fear exsists in assessment for LD population incase wrong decisions made. Confidence is key
@Teeman27
20 September 2016 20:17
Families have to have confidence that investigation is honest and transparent #WeNurses dedicated team helps to achieve this + builds skill
@salsa442
20 September 2016 20:17
@Cathy_55555 @WeNurses The time frame should be well set out for families and professionals at the start #wenurses
@JennytheM
20 September 2016 20:17
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@WeDocs
20 September 2016 20:17
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@WeMHNurses
20 September 2016 20:17
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@CareQualityComm
20 September 2016 20:17
RT @Teeman27: Families have to have confidence that investigation is honest and transparent #WeNurses dedicated team helps to achieve this…
@KWebbNurse
20 September 2016 20:17
#WeNurses also please remember, as difficult as it is when someone dies - you are not obliged to write a statement. Seek advice @theRCN !
@lynnewalsall
20 September 2016 20:17
RT @samabdulla: Transparency and action need to be seen in a timely manner. Without context lessons impact reduced #WeNurses
@PublicHealthCns
20 September 2016 20:17
@WeLDnurses @GeorgeJulian @WeNurses #wenurses agreed. If they want to be involved I think they should be supported in this
@gracenglorydan
20 September 2016 20:17
RT @WeNurses: Do others feel that this is a challenge ? #WeNurses https://twitter.com/dmarsden49/status/778311658489913344
@ShaunLintern
20 September 2016 20:17
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@JoinedU1
20 September 2016 20:17
RT @HazelWatsonNHSE: #WeNurses Sorry I'm late. Catching up
@HeatherBain9
20 September 2016 20:18
#wenurses and being open and looking at all perspectives, grief adds to the complexity https://twitter.com/shaunlintern/status/778309697317330945
@AgencyNurse
20 September 2016 20:18
Nice idea #WeNurses (Kind of one of those ideas you think ... why isnt this happening!!) https://twitter.com/MsNaughtyCheese/status/778311755034402816
@pauljonesking
20 September 2016 20:18
RT @Teeman27: Families have to have confidence that investigation is honest and transparent #WeNurses dedicated team helps to achieve this…
@AgencyNurse
20 September 2016 20:18
RT @OfrahMuflahi: Integrity is key #WeNurses that is something that can't be taught from a process/ system or strategy https://t.co/U3WyES…
@salsa442
20 September 2016 20:18
RT @GrahameWhitF: #WeNurses good to see people engaging with this tricky but important issue #CQCDeathsReview
@JoinedU1
20 September 2016 20:18
RT @KWebbRCN: #WeNurses I'd avoid any talk of learning lessons during investigations into death - relatives are less interested in future,…
@itsneverbecky
20 September 2016 20:18
@LisaFox202 @WeNurses all serious/untoward incidents so not just deaths but no not all deaths & yes good practice highlighted #WeNurses
@VictoriBleazard
20 September 2016 20:18
RT @Teeman27: Families have to have confidence that investigation is honest and transparent #WeNurses dedicated team helps to achieve this…
@GeorgeJulian
20 September 2016 20:18
@salsa442 @JoinedU1 @WeNurses out of interest Sally do you think Duty of Candour always applies or only in some situations? #WeNurses
@WeNurses
20 September 2016 20:18
RT @KWebbRCN: #WeNurses You'd expect me to say this as a professional advocate, but pls ensure those being investigated understand & have r…
@janey513
20 September 2016 20:18
@WeLDnurses @dmarsden49 @WeNurses confidence maybe in completing process the skills are there. #WeNurses
@tweetsdistilled
20 September 2016 20:18
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@HealthUKTD
20 September 2016 20:18
RT @AgencyNurse: Can i add to this question please ... what does good look like ? #WeNurses https://twitter.com/WeNurses/status/778308376690393088
@HealthUKTD
20 September 2016 20:18
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@tweetsdistilled
20 September 2016 20:18
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@HealthUKTD
20 September 2016 20:18
RT @evelyn_prodger: Yes, when open and honest with family involved from the start and throughout @WeNurses #WeNurses https://twitter.com/wenurses/status/778308376690393088
@HealthUKTD
20 September 2016 20:18
RT @Jones23Emma: @WeNurses when everyone gets #supported and good #Debriefs #WeNurses
@HealthUKTD
20 September 2016 20:18
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@HealthUKTD
20 September 2016 20:18
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@MaryDunningTU
20 September 2016 20:18
@WeNurses Asking family how they would like to be involved, be creative in how we can include people #WeNurses
@dmarsden49
20 September 2016 20:18
@AgencyNurse @WeNurses #wenurses having been involved in @ekhuft review, I'm assured by our review & have a better idea of what is required
@samabdulla
20 September 2016 20:19
@WeLDnurses Don't just say, there will be lessons learnt. Tell us what you are going to do. Timelines, real plans. #WeNurses
@KWebbNurse
20 September 2016 20:19
RT @livinginhope: Staff need support too during investigation #WeNurses https://twitter.com/munro_sara/status/778309709103296512
@Gyles
20 September 2016 20:19
@JoinedU1 #wenurses Good Question. When MH is combined with so much else the fpcus is much less visible even if the work is being done
@GeorgeJulian
20 September 2016 20:19
@PublicHealthStR @WeLDnurses @WeNurses I'm never sure how a full picture can be compiled without families tbh #WeNurses
@StephanieRossLN
20 September 2016 20:19
@WeLDnurses HI, good to join you. Do we need to be be more inclusive of other organisations and individuals in the review process.#wenurses
@WeMHNurses
20 September 2016 20:19
Nurses, Service users and carers in mental health, what are your thoughts? #wenurses https://twitter.com/wenurses/status/778310905822052352
@CatherinePelley
20 September 2016 20:19
@MsNaughtyCheese @WeNurses I like standardised approach but can risk forgetting the individual who died #WeNurses
@salsa442
20 September 2016 20:19
@GeorgeJulian @JoinedU1 @WeNurses I think it always applies,but the application needs 2 be situation specific if that makes sense #wenurses
@ShaunLintern
20 September 2016 20:19
@WeNurses Make it faster a disseminate the learning further than inmediate team or ward involved. #wenurses
@JoinedU1
20 September 2016 20:19
Who blames and who scapegoats? #wenurses https://twitter.com/munro_sara/status/778310822279913472
@PublicHealthCns
20 September 2016 20:19
I would make more emotional support available to all those involved #WeNurses https://twitter.com/wenurses/status/778310905822052352
@Richard39450952
20 September 2016 20:19
#WeNurses Can I suggest for Mental Health Trusts and organisations looking after L/D then Independent Medical Exaniners should be appointed
@gracenglorydan
20 September 2016 20:19
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@evelyn_prodger
20 September 2016 20:19
#WeNurses a key thing is length of time, needs to be thorough but distance between event & outcome can lessen opp t… https://twitter.com/i/web/status/778312712556257281
@gracenglorydan
20 September 2016 20:19
RT @salsa442: @WeNurses I think I'd like more family involvement and support for them, a robust process for this #WeNurses
@itsneverbecky
20 September 2016 20:19
@NRCUK @WeNurses in my exp it was having to explain clinical issues to people witgout critical care backgrounds #WeNurses
@KWebbNurse
20 September 2016 20:19
@AgencyNurse @MsNaughtyCheese @WeNurses #cuts #wenurses
@WeDocs
20 September 2016 20:19
Chatting now via #wenurses are @CareQualityComm regarding Investigating & learning from deaths with @VictoriBleazard @GeorgeJulian DO JOIN
@dmarsden49
20 September 2016 20:20
@AgencyNurse @WeNurses Am still not at the stage of knowing what good looks like though #WeNurses
@salsa442
20 September 2016 20:20
RT @WeNurses: A really interesting point - do families know what good looks like ? #WeNurses https://twitter.com/Richard39450952/status/778309774702174209
@AgencyNurse
20 September 2016 20:20
#Wenurses https://twitter.com/OfrahMuflahi/status/778312732873519104
@BellaElwell
20 September 2016 20:20
RT @Teeman27: Families have to have confidence that investigation is honest and transparent #WeNurses dedicated team helps to achieve this…
@CareQualityComm
20 September 2016 20:20
RT @WeDocs: Chatting now via #wenurses are @CareQualityComm regarding Investigating & learning from deaths with @VictoriBleazard @GeorgeJu…
@WeNurses
20 September 2016 20:20
RT @Teeman27: Families have to have confidence that investigation is honest and transparent #WeNurses dedicated team helps to achieve this…
@chrishattoncedr
20 September 2016 20:20
RT @Richard39450952: #WeNurses Can I suggest for Mental Health Trusts and organisations looking after L/D then Independent Medical Exaniner…
@MrsGracePoole
20 September 2016 20:20
@salsa442 @GeorgeJulian @JoinedU1 @WeNurses can't think why it wouldn't apply. #WeNurses
@WeLDnurses
20 September 2016 20:20
RT @Richard39450952: #WeNurses Can I suggest for Mental Health Trusts and organisations looking after L/D then Independent Medical Exaniner…
@KWebbNurse
20 September 2016 20:20
RT @JoinedU1: Who blames and who scapegoats? #wenurses https://twitter.com/munro_sara/status/778310822279913472
@CareQualityComm
20 September 2016 20:20
RT @GeorgeJulian: Completely agree with avoiding the language; think families do care re learning but only if it actually happens #WeNurses…
@evelyn_prodger
20 September 2016 20:20
@KWebbRCN #WeNurses very important that staff are supported, easy to forget within processes https://twitter.com/kwebbrcn/status/778311808637669376
@JoinedU1
20 September 2016 20:21
SPOT ON and forgetting to submit key documents for inquest! #wenurses https://twitter.com/MindOurMinds/status/778310700187979776
@GeorgeJulian
20 September 2016 20:21
RT @WeNurses: Are we ready for QUESTION 2 ? Here it is #WeNurses https://t.co/RKj0G18kgc
@munro_sara
20 September 2016 20:21
Staff also need support on how to deal with patient death, and how to support families after too #wenurses https://twitter.com/kwebbrcn/status/778311808637669376
@salsa442
20 September 2016 20:21
RT @ross_6479: @WeNurses I'm not so sure of the processes but think consistency and openness is important #wenurses
@JoinedU1
20 September 2016 20:21
RT @MindOurMinds: @WeNurses Thinking of cases of forged Care Plans in past after deaths. Justice required #WeNurses
@WeNurses
20 September 2016 20:21
Very interesting question #WeNurses https://twitter.com/GeorgeJulian/status/778312384754614272
@CatherinePelley
20 September 2016 20:21
@KWebbRCN @WeNurses need to clarify difference from learning from death and having to respond to a potential performance concern. #WeNurses
@alexander_minh
20 September 2016 20:21
@WeNurses @Richard39450952 #WeNurses If orgs r following good practice, families should be fully informed about what 'good' is, from outset
@itsneverbecky
20 September 2016 20:21
@CatherinePelley there will also be the personal story & clinical nuance but standard paperwork would make it quicker IMO #WeNurses
@Cathy_55555
20 September 2016 20:21
@AgencyNurse @WeNurses @salsa442 #wenurses sometimes not. But there are occasions where decisions are dragged out too long in my opinion.
@WeNurses
20 September 2016 20:21
RT @MaryDunningTU: @WeNurses Asking family how they would like to be involved, be creative in how we can include people #WeNurses
@CallMeMoNow
20 September 2016 20:21
RT @KWebbRCN: #WeNurses also please remember, as difficult as it is when someone dies - you are not obliged to write a statement. Seek advi…
@157Tracey
20 September 2016 20:21
RT @GeorgeJulian: Completely agree with avoiding the language; think families do care re learning but only if it actually happens #WeNurses…
@LisaFox202
20 September 2016 20:21
@WeNurses Are we using investigation and mortality review interchangably? What part is language playing here? #wenurses
@WeMHNurses
20 September 2016 20:21
@munro_sara Yes, can seem like the system is set up for competitiveness, rather than collaboration. #WeNurses
@VictoriBleazard
20 September 2016 20:21
RT @ShaunLintern: @WeNurses Make it faster a disseminate the learning further than inmediate team or ward involved. #wenurses
@munro_sara
20 September 2016 20:21
RT @livinginhope: Staff need support too during investigation #WeNurses https://twitter.com/munro_sara/status/778309709103296512
@itsneverbecky
20 September 2016 20:21
RT @GeorgeJulian: Completely agree with avoiding the language; think families do care re learning but only if it actually happens #WeNurses…
@LynneBowers2
20 September 2016 20:21
#wenurses Acute setting tends not to have PWLD expertise. Needs education. Parity of esteem https://twitter.com/weldnurses/status/778311826182402048
@WeMHNurses
20 September 2016 20:21
#wenurses https://twitter.com/munro_sara/status/778312431881838592
@AgencyNurse
20 September 2016 20:21
@Cathy_55555 @WeNurses @salsa442 yes - guess this is where transparency comes in #WeNurses
@WeEOLC
20 September 2016 20:22
Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@ShaunLintern
20 September 2016 20:22
@MsNaughtyCheese @WeNurses Family liaison officers interesting idea. But could be uses to put them 'over there' so to speak? #WeNurses
@WeNurses
20 September 2016 20:22
RT @ShaunLintern: @WeNurses Make it faster a disseminate the learning further than inmediate team or ward involved. #wenurses
@gracenglorydan
20 September 2016 20:22
RT @WeNurses: Very interesting question #WeNurses https://twitter.com/GeorgeJulian/status/778312384754614272
@munro_sara
20 September 2016 20:22
RT @GeorgeJulian: @PublicHealthStR @WeLDnurses @WeNurses I'm never sure how a full picture can be compiled without families tbh #WeNurses
@dmarsden49
20 September 2016 20:22
@salsa442 @KWebbRCN Are there issues of duty of candour here? #WeNurses
@salsa442
20 September 2016 20:22
@MrsGracePoole @GeorgeJulian @JoinedU1 @WeNurses Me neither,but we must use compassion and tailor response to meet indiv need #wenurses
@NRCUK
20 September 2016 20:22
hmmm @MsNaughtyCheese #WeNurses beyond family, who would need this explaining, surely other HCPs respect eachother's disciplins input?
@AgencyNurse
20 September 2016 20:22
RT @PublicHealthStR: I would make more emotional support available to all those involved #WeNurses https://twitter.com/wenurses/status/778310905822052352
@HeatherBain9
20 September 2016 20:22
@alana_hunter @WeNurses #wenurses definitely as I went into professional mode and understood different perspectives
@DebHazeldine
20 September 2016 20:22
@gracenglorydan @ShaunLintern @CareQualityComm @WeNurses could have prevented me going through further years of pain. #midstaffs. #WeNurses
@ShaunLintern
20 September 2016 20:22
RT @evelyn_prodger: #WeNurses a key thing is length of time, needs to be thorough but distance between event & outcome can lessen opp to le…
@OfrahRn
20 September 2016 20:22
Agree @evelyn_prodger @KWebbRCN #WeNurses #candourappliestostafftoo
@WeNurses
20 September 2016 20:22
RT @Richard39450952: #WeNurses Can I suggest for Mental Health Trusts and organisations looking after L/D then Independent Medical Exaniner…
@VictoriBleazard
20 September 2016 20:22
RT @WeEOLC: Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@LynneBowers2
20 September 2016 20:22
#WeNurses Best information for investigation when everyone appropriately supported. Fear distorts https://twitter.com/kwebbrcn/status/778311808637669376
@JoinedU1
20 September 2016 20:22
Sorry forgot hashtag #wenurses Truth may hurt but lies hurt more! https://twitter.com/ShaunLintern/status/778310665127727104
@WeLDnurses
20 September 2016 20:22
RT @LynneBowers2: #wenurses Acute setting tends not to have PWLD expertise. Needs education. Parity of esteem https://twitter.com/weldnurses/status/778311826182402048
@evelyn_prodger
20 September 2016 20:23
@Teeman27 #WeNurses especially when seen as independent from service, this can be important to families https://twitter.com/teeman27/status/778312106294861824
@kerriannmackay
20 September 2016 20:23
Clinican engagement, clinical pressure making it increasingly difficult to find for these process to be given time they deserve #WeNurses
@KWebbNurse
20 September 2016 20:23
@JoinedU1 @munro_sara #wenurses all #nurses accountable to @nmcnews Blame & retribution focus unhelpful. Accountability & mitigation better
@JenKenward
20 September 2016 20:23
RT @CareQualityComm: Join #WeNurses and contribute to the #CQCDeathsReview https://twitter.com/WeNurses/status/778301456445235200
@Hearing4Kids
20 September 2016 20:23
RT "RT learnhospice: MsNaughtyCheese WeNurses #WeNurses like that- I think my soap box currently is taking learning Into practice in a visi…
@CareQualityComm
20 September 2016 20:23
RT @LynneBowers2: #WeNurses Best information for investigation when everyone appropriately supported. Fear distorts https://twitter.com/kwebbrcn/status/778311808637669376
@salsa442
20 September 2016 20:23
@dmarsden49 @KWebbRCN If it's agreed with the family what and when they want info I see no issue? #wenurses
@157Tracey
20 September 2016 20:23
RT @JoinedU1: Sorry forgot hashtag #wenurses Truth may hurt but lies hurt more! https://twitter.com/ShaunLintern/status/778310665127727104
@WeNurses
20 September 2016 20:23
Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@DonnaEGlover
20 September 2016 20:23
RT @WeEOLC: Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@smclrk
20 September 2016 20:23
Agree and it can sound unintentionally like a brush off #WeNurses https://twitter.com/GeorgeJulian/status/778312964923387904
@CareQualityComm
20 September 2016 20:23
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@CatherinePelley
20 September 2016 20:23
@MsNaughtyCheese agree but sometimes it can stifle the story. Skilled investigators get this right #wenurses
@WeLDnurses
20 September 2016 20:23
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@janey513
20 September 2016 20:23
@KWebbRCN @WeNurses key to have support within trust as well this encourages engagement with learning not isolation #WeNurses
@WeEOLC
20 September 2016 20:23
RT @LisaFox202: @WeNurses Are we using investigation and mortality review interchangably? What part is language playing here? #wenurses
@WeNurses
20 September 2016 20:23
thanks for joining @cpresponder if you add #wenurses to your tweets everybody following the # can see them :) Don't want your tweets missed!
@AgencyNurse
20 September 2016 20:23
RT @GeorgeJulian: Completely agree with avoiding the language; think families do care re learning but only if it actually happens #WeNurses…
@WeMHNurses
20 September 2016 20:23
Yes important point - distinguishing between and dealing with individual conduct vs systems issues. #wenurses https://twitter.com/catherinepelley/status/778313066563993601
@livinginhope
20 September 2016 20:23
RT @PublicHealthStR: I would make more emotional support available to all those involved #WeNurses https://twitter.com/wenurses/status/778310905822052352
@ross_6479_RNLD
20 September 2016 20:24
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@JoinedU1
20 September 2016 20:24
#wenurses I totally agree! https://twitter.com/RebeccaCrossle2/status/778310681267466241
@ShaunLintern
20 September 2016 20:24
RT @WeEOLC: Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@salsa442
20 September 2016 20:24
RT @PublicHealthStR: I would make more emotional support available to all those involved #WeNurses https://twitter.com/wenurses/status/778310905822052352
@WeLDnurses
20 September 2016 20:24
Is learning disability identified? #wenurses https://twitter.com/WeNurses/status/778313650364903424
@lynnewalsall
20 September 2016 20:24
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@JoinedU1
20 September 2016 20:24
RT @RebeccaCrossle2: #WeNurses all mortality review boards should patient/ carer representation as standard # whatgoodlookslike
@MaryDunningTU
20 September 2016 20:24
@Amy_5haw @WeNurses It is a fair culture we should strive for as accountability for actions important not keen on blame #wenurses
@VictoriBleazard
20 September 2016 20:24
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@JoinedU1
20 September 2016 20:24
RT @BPotter38: Can't get the hang of chats but I am here listening/reading & thinking... #WeNurses important topic! #CQCDeathsReview
@itsneverbecky
20 September 2016 20:24
@ShaunLintern @WeNurses everything we do "could" be used for bad purposes, can't stop us from trying? #WeNurses
@alexander_minh
20 September 2016 20:24
@WeNurses @Richard39450952 #WeNurses Advocacy services should also be available to families, if the NHS is following best practice
@becksherrington
20 September 2016 20:24
RT @WeEOLC: Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@KarenEv50275887
20 September 2016 20:24
RT @JoinedU1: Sorry forgot hashtag #wenurses Truth may hurt but lies hurt more! https://twitter.com/ShaunLintern/status/778310665127727104
@WeMHNurses
20 September 2016 20:24
#WeNurses https://twitter.com/teeman27/status/778313766555508736
@JoinedU1
20 September 2016 20:24
RT @MindOurMinds: @WeNurses Probably not covering anything up - being fully truthful so the family can be at peace. #WeNurses
@ShaunLintern
20 September 2016 20:24
RT @salsa442: @WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@VictoriBleazard
20 September 2016 20:24
RT @janey513: @KWebbRCN @WeNurses key to have support within trust as well this encourages engagement with learning not isolation #WeNurses
@KayFSheldon
20 September 2016 20:24
RT @WeLDnurses: Is learning disability identified? #wenurses https://twitter.com/WeNurses/status/778313650364903424
@samabdulla
20 September 2016 20:24
@WeNurses I would say that it's not that LD isn't noticed, but it's feared. #wenurses
@munro_sara
20 September 2016 20:24
RT @PublicHealthStR: I would make more emotional support available to all those involved #WeNurses https://twitter.com/wenurses/status/778310905822052352
@WeNurses
20 September 2016 20:24
RT @LisaFox202: @WeNurses Are we using investigation and mortality review interchangably? What part is language playing here? #wenurses
@KWebbNurse
20 September 2016 20:25
@becksherrington #WeNurses definitely if relatives offer, but initially focus should be on understanding what why how not learning lessons
@LouiseEHoward1
20 September 2016 20:25
RT @WeNurses: Tonights #WeNurses topic is a very sensitive subject - so please remember to tweet kindly & respectfully https://t.co/1GMe8V2…
@WeMHNurses
20 September 2016 20:25
RT @alexander_minh: @WeNurses @Richard39450952 #WeNurses Advocacy services should also be available to families, if the NHS is following be…
@LynneBowers2
20 September 2016 20:25
#WeNurses Need to support staff to be interviewed ASAP (not waiting for next shift). Address Culture of corporate f… https://twitter.com/i/web/status/778314066980958208
@janey513
20 September 2016 20:25
@Amy_5haw @MaryDunningTU @WeNurses clearly defining at the beginning the "team" working together to learn? #WeNurses
@salsa442
20 September 2016 20:25
@MsNaughtyCheese @NRCUK @WeNurses This can be really challenging in my exp #wenurses
@CatherinePelley
20 September 2016 20:25
@KWebbRCN skilled investigators get this right. Managed bereaved, staff affected and find the way to articulate the lessons #WeNurses
@JoinedU1
20 September 2016 20:25
RT @GeorgeJulian: Completely agree with avoiding the language; think families do care re learning but only if it actually happens #WeNurses…
@GeorgeJulian
20 September 2016 20:25
@ShaunLintern @MsNaughtyCheese @WeNurses I love @sarasiobhan blog re this and comments about Barry https://mydaftlife.com/2014/04/08/too-never-ever-for-neverland/ #WeNurses
@WeMHNurses
20 September 2016 20:25
RT @JoinedU1: #wenurses I totally agree! https://twitter.com/RebeccaCrossle2/status/778310681267466241
@GraemeDixon5
20 September 2016 20:25
Hi all, joining this late. My interests are related to policing, look to learn, don't look to blame, but what is the reality? #WeNurses
@CallMeMoNow
20 September 2016 20:25
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@DebHazeldine
20 September 2016 20:25
@WeNurses how long it takes. Being unable to grieve for many years is not something I can really put into words. #WeNurses
@JoinedU1
20 September 2016 20:25
RT @learnhospice: @Richard39450952 #WeNurses I think that is a v impt point as process may need navigating not just outputs or outcomes
@chrishattoncedr
20 September 2016 20:25
@munro_sara @WeMHNurses Need independence from health and social care organisations directly involved in the person's death? #WeNurses
@lynnewalsall
20 September 2016 20:25
RT @samabdulla: @WeNurses I would say that it's not that LD isn't noticed, but it's feared. #wenurses
@WeNurses
20 September 2016 20:25
RT @LynneBowers2: #wenurses Acute setting tends not to have PWLD expertise. Needs education. Parity of esteem https://twitter.com/weldnurses/status/778311826182402048
@JoinedU1
20 September 2016 20:25
RT @samabdulla: Poor treatment and deaths of PWLD in acute care contributed to development of acute liaison role. A vital service #wenurses
@evelyn_prodger
20 September 2016 20:25
#wenurses variable but improving https://twitter.com/wenurses/status/778313650364903424
@BeverleyHunter1
20 September 2016 20:25
#WeNurses we mustn't forget primary care https://twitter.com/wenurses/status/778313650364903424
@KWebbNurse
20 September 2016 20:25
RT @evelyn_prodger: @KWebbRCN #WeNurses very important that staff are supported, easy to forget within processes https://twitter.com/kwebbrcn/status/778311808637669376
@KWebbNurse
20 September 2016 20:25
RT @munro_sara: Staff also need support on how to deal with patient death, and how to support families after too #wenurses https://t.co/DdS…
@itsneverbecky
20 September 2016 20:26
@NRCUK it was more having to explain to CCG, perhaps we need an NHS glossary?? #WeNurses
@munro_sara
20 September 2016 20:26
RT @WeMHNurses: @munro_sara Yes, can seem like the system is set up for competitiveness, rather than collaboration. #WeNurses
@GeorgeJulian
20 September 2016 20:26
RT @Richard39450952: #WeNurses Can I suggest for Mental Health Trusts and organisations looking after L/D then Independent Medical Exaniner…
@WeMHNurses
20 September 2016 20:26
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@WeDocs
20 September 2016 20:26
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@DonnaEGlover
20 September 2016 20:26
@samabdulla @WeNurses why feared? #WeNurses
@WeNurses
20 September 2016 20:26
A good point #WeNurses https://twitter.com/BeverleyHunter1/status/778314246706913281
@jotalbotbowen
20 September 2016 20:26
RT @WeDocs: Chatting now via #wenurses are @CareQualityComm regarding Investigating & learning from deaths with @VictoriBleazard @GeorgeJu…
@munro_sara
20 September 2016 20:26
RT @WeEOLC: Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@gracenglorydan
20 September 2016 20:26
Yes - these are people, families, loved ones, broken ones!! #WeAllMatter #WeNurses @CareQualityComm https://twitter.com/wemhnurses/status/778313253344710656
@MaryDunningTU
20 September 2016 20:26
@janey513 @Amy_5haw @WeNurses Agree, learning has a purpose & place #WeNurses
@salsa442
20 September 2016 20:26
@GeorgeJulian They need evidence changes have happened and this can take time #wenurses
@ShaunLintern
20 September 2016 20:26
@MsNaughtyCheese @WeNurses True. But need to ensure families arent told they are not allowed to contact CEO etc if they feel need #WeNurses
@JoinedU1
20 September 2016 20:26
#WeNurses Evidence of learning needs to be on website!
@lynnewalsall
20 September 2016 20:26
we need to treat / work with all people as equals - making reasonable adjustments as required #WeNurses
@dmarsden49
20 September 2016 20:26
@WeLDnurses @WeNurses it the Morbidity and Mortality Reviews are key & not all leads will have #pwld experience to judge #wenurses
@DebHazeldine
20 September 2016 20:26
RT @ShaunLintern: @KWebbRCN @WeNurses In whatever setting the earlier openness is started the less likely I get involved tbh #WeNurses
@alison_wardley
20 September 2016 20:26
RT @WeEOLC: Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@WeEOLC
20 September 2016 20:26
#WeNurses g8 quote Lesley Fallowfield said something similar in truth hurts but deceit hurts more… https://twitter.com/i/web/status/778314526265663495
@JoinedU1
20 September 2016 20:27
RT @Richard39450952: #WeNurses For families it is usually their first NHS death - you have no idea if the investigation is good, transparen…
@Omnia_Practice
20 September 2016 20:27
RT @LynneBowers2: #WeNurses Best information for investigation when everyone appropriately supported. Fear distorts https://twitter.com/kwebbrcn/status/778311808637669376
@Omnia_Practice
20 September 2016 20:27
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@lynnewalsall
20 September 2016 20:27
RT @MsNaughtyCheese: @NRCUK it was more having to explain to CCG, perhaps we need an NHS glossary?? #WeNurses
@RebeccaCrossle2
20 September 2016 20:27
#WeNurses using the NHS IT systems and sharing data leaves no excuses for not identifying pwld that's what coding is for #sharingsavelives
@WeMHNurses
20 September 2016 20:27
How well do we identify learning disabilities within mental health? #wenurses https://twitter.com/wenurses/status/778313650364903424
@chrishattoncedr
20 September 2016 20:27
RT @samabdulla: @WeNurses I would say that it's not that LD isn't noticed, but it's feared. #wenurses
@JoinedU1
20 September 2016 20:27
RT @WeNurses: So lets get started with the first question (our questions this evening are in the pictures) #WeNurses https://t.co/fJRDC0…
@salsa442
20 September 2016 20:27
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@ShaunLintern
20 September 2016 20:27
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@becksherrington
20 September 2016 20:27
@JoinedU1 @ShaunLintern @KWebbRCN @WeNurses I will never forget this saying part of my nurse training my real duty of candour #WeNurses
@157Tracey
20 September 2016 20:27
RT @Richard39450952: #WeNurses Can I suggest for Mental Health Trusts and organisations looking after L/D then Independent Medical Exaniner…
@munro_sara
20 September 2016 20:27
In my experience better to have staff involved meet with family, especially when been long term input #WeNurses https://twitter.com/shaunlintern/status/778313334085091328
@LynneBowers2
20 September 2016 20:27
RT @HeatherBain9: #wenurses and being open and looking at all perspectives, grief adds to the complexity https://twitter.com/shaunlintern/status/778309697317330945
@VictoriBleazard
20 September 2016 20:27
RT @BeverleyHunter1: #WeNurses we mustn't forget primary care https://twitter.com/wenurses/status/778313650364903424
@CareQualityComm
20 September 2016 20:27
RT @WeMHNurses: How well do we identify learning disabilities within mental health? #wenurses https://twitter.com/wenurses/status/778313650364903424
@janey513
20 September 2016 20:27
@KWebbRCN some families very focused on ensuring the lessons are learnt. #WeNurses
@AceJody
20 September 2016 20:27
@WeNurses #WeNurses the length of time taken sometimes to complete is too long causing more distress in often very difficult circumstances.
@WeMHNurses
20 September 2016 20:27
RT @gracenglorydan: Yes - these are people, families, loved ones, broken ones!! #WeAllMatter #WeNurses @CareQualityComm https://t.co/W2tJSZ…
@PublicHealthCns
20 September 2016 20:27
@LeggKerri #wenurses agreed we need to make time and space for people involved to prioritise this as it is so important
@GeorgeJulian
20 September 2016 20:27
@salsa442 absolutely, and in many many cases no learning happens as PHSO review found, so families remain rightly unhappy #WeNurses
@Gyles
20 September 2016 20:27
#wenurses Sam are you sure? GPs don't record LD in about 80% of the people who have it https://twitter.com/samabdulla/status/778314018889076736
@NRCUK
20 September 2016 20:27
Or do you need part of your feedback to be in layman's terms as a summary? @MsNaughtyCheese #wenurses Is feedback not standardised?
@samabdulla
20 September 2016 20:27
@DonnaEGlover @WeNurses the no of people I've encountered who have said they just don't know what to do for person with LD is huge #wenurses
@lynnewalsall
20 September 2016 20:27
RT @WeEOLC: #WeNurses g8 quote Lesley Fallowfield said something similar in truth hurts but deceit hurts more http://r.search.yahoo.com/_ylt=A9mSs3dRjeFXTSQAWImA3YlQ;_ylu=X3oDMTByaW11dnNvBGNvbG8DaXIyBHBvcwMxBHZ0aWQDBHNlYwNzcg--/RV=2/RE=1474428369/RO=10/RU=http%3a%2f%2fpmj.sagepub.com%2fcontent%2f16%2f4%2f297.short/RK=0/RS=e8p.lVO9YhLkibNvtZ8n3Jh6sjY- https…
@WeNurses
20 September 2016 20:27
Interesting point - what does everyone else feel ? #WeNurses https://twitter.com/samabdulla/status/778314018889076736
@dmarsden49
20 September 2016 20:28
RT @WeMHNurses: Nurses, Service users and carers in mental health, what are your thoughts? #wenurses https://twitter.com/wenurses/status/778310905822052352
@KWebbNurse
20 September 2016 20:28
@dmarsden49 @salsa442 #wenurses of course duty of candour applies, but having a well meaning nurse say lessons can be learned needs timing??
@itsneverbecky
20 September 2016 20:28
@GeorgeJulian @learnhospice @WeNurses that's why my soap box is change that isn't made to prove its worth, need follow up/audit? #WeNurses
@rt_sen
20 September 2016 20:28
RT @WeLDnurses: Is learning disability identified? #wenurses https://twitter.com/WeNurses/status/778313650364903424
@janey513
20 September 2016 20:28
@KWebbRCN listening to families early on would help us get this right for them #WeNurses
@WeEOLC
20 September 2016 20:28
RT @JoinedU1: #WeNurses Evidence of learning needs to be on website!
@AgencyNurse
20 September 2016 20:28
RT @salsa442: @GeorgeJulian They need evidence changes have happened and this can take time #wenurses
@becksherrington
20 September 2016 20:28
@JoinedU1 that's a great idea #honesty #transparency #WeNurses
@WeNurses
20 September 2016 20:28
RT @JoinedU1: #WeNurses Evidence of learning needs to be on website!
@kerriannmackay
20 September 2016 20:28
Flagging LD patients is not standardised across sites, makes way we then treat different. #WeNurses
@AgencyNurse
20 September 2016 20:28
RT @lynnewalsall: we need to treat / work with all people as equals - making reasonable adjustments as required #WeNurses
@KayFSheldon
20 September 2016 20:28
@salsa442 @GeorgeJulian I wonder if caution is needed with 'lessons learned' promises? Can be v hard to sustain across systems. #WeNurses
@VanessaRNMH
20 September 2016 20:28
Without doubt, I think there's much room for improvement in mental health #wenurses https://twitter.com/wenurses/status/778313650364903424
@livinginhope
20 September 2016 20:28
@NorthwayRuth @BobGates19 @DaveMarsland1 think you are the experts on this #WeNurses https://twitter.com/wenurses/status/778313650364903424
@AgencyNurse
20 September 2016 20:29
RT @WeEOLC: #WeNurses g8 quote Lesley Fallowfield said something similar in truth hurts but deceit hurts more http://r.search.yahoo.com/_ylt=A9mSs3dRjeFXTSQAWImA3YlQ;_ylu=X3oDMTByaW11dnNvBGNvbG8DaXIyBHBvcwMxBHZ0aWQDBHNlYwNzcg--/RV=2/RE=1474428369/RO=10/RU=http%3a%2f%2fpmj.sagepub.com%2fcontent%2f16%2f4%2f297.short/RK=0/RS=e8p.lVO9YhLkibNvtZ8n3Jh6sjY- https…
@salsa442
20 September 2016 20:29
RT @lynnewalsall: we need to treat / work with all people as equals - making reasonable adjustments as required #WeNurses
@samabdulla
20 September 2016 20:29
@Gyles @WeNurses is that to do with systems rather than not knowing? Recent discussion here re flagging on GP records. #WeNurses
@Cathy_55555
20 September 2016 20:29
@WeNurses #wenurses broad question. Depends on the place and staff etc..
@KWebbNurse
20 September 2016 20:29
@PublicHealthStR @WeNurses #wenurses great point. Support is needed. Such a damaging, lonely time. Pls use @theRCN counselling support ??
@ShaunLintern
20 September 2016 20:29
RT @munro_sara: In my experience better to have staff involved meet with family, especially when been long term input #WeNurses https://t.c…
@GeorgeJulian
20 September 2016 20:29
@salsa442 @MrsGracePoole @JoinedU1 @WeNurses I've heard people talk about 'invoking the Duty of Candour' ie not all investigations #WeNurses
@HazelWnhs
20 September 2016 20:29
#wenurses. Deaths that warrant investigation not 'incidents'. Should uncouple from SUI policy. Catastrophic impact can get lost in other SUI
@chrishattoncedr
20 September 2016 20:29
@WeLDnurses @WeNurses Hugely variable - least worst source are GP registers for QOF purposes #WeNurses
@DonnaEGlover
20 September 2016 20:29
@samabdulla @WeNurses :-( #WeNurses
@CareQualityComm
20 September 2016 20:29
RT @PublicHealthStR: I would make more emotional support available to all those involved #WeNurses https://twitter.com/wenurses/status/778310905822052352
@JoinedU1
20 September 2016 20:29
RT @becksherrington: @JoinedU1 that's a great idea #honesty #transparency #WeNurses
@VictoriBleazard
20 September 2016 20:29
RT @LeggKerri: Flagging LD patients is not standardised across sites, makes way we then treat different. #WeNurses
@DebHazeldine
20 September 2016 20:29
RT @ShaunLintern: @WeNurses Make it faster a disseminate the learning further than inmediate team or ward involved. #wenurses
@maria_m_roberts
20 September 2016 20:29
@NRCUK @MsNaughtyCheese @WeNurses Volume of investigations and skilled people with time to do them is a problem. #WeNurses
@CareQualityComm
20 September 2016 20:29
RT @KWebbRCN: @PublicHealthStR @WeNurses #wenurses great point. Support is needed. Such a damaging, lonely time. Pls use @theRCN counsellin…
@GraemeDixon5
20 September 2016 20:29
Q3 is a great question! But maybe worth expanding to other services too?? #WeNurses
@WeLDnurses
20 September 2016 20:29
RT @chrishattoncedr: @WeLDnurses @WeNurses Hugely variable - least worst source are GP registers for QOF purposes #WeNurses
@lynnewalsall
20 September 2016 20:29
RT @Gyles: #wenurses Sam are you sure? GPs don't record LD in about 80% of the people who have it https://twitter.com/samabdulla/status/778314018889076736
@DebHazeldine
20 September 2016 20:29
RT @ShaunLintern: @WeNurses Ive seen good and bad. What defined good was involving families early on in investigations #WeNurses
@AlresfordBear
20 September 2016 20:29
@JoinedU1 @WeEOLC Or other forms of public access as well. #wenurses
@gracenglorydan
20 September 2016 20:29
RT @WeMHNurses: How well do we identify learning disabilities within mental health? #wenurses https://twitter.com/wenurses/status/778313650364903424
@Jones23Emma
20 September 2016 20:29
@GeorgeJulian @evelyn_prodger done everything right and not missed anything #wenurses
@salsa442
20 September 2016 20:29
If only the IT systems were able to share data... This has frustrated me for years #wenurses https://twitter.com/RebeccaCrossle2/status/778314555885776896
@GeorgeJulian
20 September 2016 20:29
@DonnaEGlover @salsa442 @JoinedU1 @WeNurses dont start me off on that right now, some appalling examples out there #WeNurses
@salsa442
20 September 2016 20:29
RT @WeMHNurses: How well do we identify learning disabilities within mental health? #wenurses https://twitter.com/wenurses/status/778313650364903424
@WeNurses
20 September 2016 20:29
RT @LeggKerri: Flagging LD patients is not standardised across sites, makes way we then treat different. #WeNurses
@BornTooSoonKH
20 September 2016 20:30
RT @WeMHNurses: How well do we identify learning disabilities within mental health? #wenurses https://twitter.com/wenurses/status/778313650364903424
@munro_sara
20 September 2016 20:30
That would be an appalling way to treat families #WeNurses https://twitter.com/shaunlintern/status/778314410150490112
@AgencyNurse
20 September 2016 20:30
RT @VanessaLGarrity: Without doubt, I think there's much room for improvement in mental health #wenurses https://twitter.com/wenurses/status/778313650364903424
@VictoriBleazard
20 September 2016 20:30
RT @HazelWatsonNHSE: #wenurses. Deaths that warrant investigation not 'incidents'. Should uncouple from SUI policy. Catastrophic impact can…
@JoinedU1
20 September 2016 20:30
RT @WeEOLC: #WeNurses g8 quote Lesley Fallowfield said something similar in truth hurts but deceit hurts more http://r.search.yahoo.com/_ylt=A9mSs3dRjeFXTSQAWImA3YlQ;_ylu=X3oDMTByaW11dnNvBGNvbG8DaXIyBHBvcwMxBHZ0aWQDBHNlYwNzcg--/RV=2/RE=1474428369/RO=10/RU=http%3a%2f%2fpmj.sagepub.com%2fcontent%2f16%2f4%2f297.short/RK=0/RS=e8p.lVO9YhLkibNvtZ8n3Jh6sjY- https…
@lynnewalsall
20 September 2016 20:30
RT @chrishattoncedr: @WeLDnurses @WeNurses Hugely variable - least worst source are GP registers for QOF purposes #WeNurses
@WeMHNurses
20 September 2016 20:30
@KayFSheldon @salsa442 @GeorgeJulian Yes and really important that action plans are audited to see whether changes have been made #WeNurses
@MrsGracePoole
20 September 2016 20:30
Mental health can identify LD. But then what? #WeNurses https://twitter.com/wemhnurses/status/778314574475001856
@UCLanMH
20 September 2016 20:30
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@WeEOLC
20 September 2016 20:30
@KayFSheldon @salsa442 @GeorgeJulian #WeNurses would it help to break down in more detail actions so they are monitored, measured & reported
@WeMHNurses
20 September 2016 20:30
RT @MrsGracePoole: Mental health can identify LD. But then what? #WeNurses https://twitter.com/wemhnurses/status/778314574475001856
@UCLanHealth
20 September 2016 20:30
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@Jones23Emma
20 September 2016 20:30
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@GeorgeJulian
20 September 2016 20:30
@KayFSheldon @salsa442 completely agree Kay, hard to identify, hard to make happen, hard to sustain but still promised #WeNurses
@WeNurses
20 September 2016 20:31
#WeNurses https://twitter.com/davidedrnurse/status/778315483930095617
@lynnewalsall
20 September 2016 20:31
RT @GraemeDixon5: Q3 is a great question! But maybe worth expanding to other services too?? #WeNurses
@dmarsden49
20 September 2016 20:31
@WeMHNurses @WeNurses Have a Learning Disability lead Consultant and Consultant Nurse in each Trust to review each LD death. #wenurses
@WeLDnurses
20 September 2016 20:31
@MrsGracePoole Good question, identify additional need...what do you do with that? #wenurses
@Teeman27
20 September 2016 20:31
Q3 not well at all, we have a fully implemented EHR and diagnosis is not well recorded for a lot of patients. #WeNurses
@GraemeDixon5
20 September 2016 20:31
@salsa442 @RebeccaCrossle2 would be great if other public service related IT could share too!! #WeNurses
@KWebbNurse
20 September 2016 20:31
@cpresponder always in my opinion, though style of delivery changes #wenurses #dutyofcandour
@salsa442
20 September 2016 20:31
@WeNurses I have come across this 'fear' so many times in my career. #wenurses
@Luvphotosme
20 September 2016 20:31
RT @LynneBowers2: #WeNurses Best information for investigation when everyone appropriately supported. Fear distorts https://twitter.com/kwebbrcn/status/778311808637669376
@DebHazeldine
20 September 2016 20:31
RT @salsa442: @WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@munro_sara
20 September 2016 20:31
Or maybe not understood, not truly recognised people with LD overall have worse outcomes for many reasons #WeNurses https://twitter.com/samabdulla/status/778314018889076736
@fatattacknow
20 September 2016 20:31
#WeNurses but someone who knows the HC/SS systems will be important to know what might have gone wrong?! https://twitter.com/chrishattoncedr/status/778314190704484352
@WeEOLC
20 September 2016 20:31
RT @salsa442: If only the IT systems were able to share data... This has frustrated me for years #wenurses https://twitter.com/RebeccaCrossle2/status/778314555885776896
@WeNurses
20 September 2016 20:31
We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@chrishattoncedr
20 September 2016 20:31
@WeLDnurses @WeNurses Reviews need to routinely be across different health and social care organisations #WeNurses
@Teeman27
20 September 2016 20:31
Also difficulty of multiple diagnosis and which one takes priority and need. #WeNurses
@CareQualityComm
20 September 2016 20:31
RT @MrsGracePoole: Mental health can identify LD. But then what? #WeNurses https://twitter.com/wemhnurses/status/778314574475001856
@maria_m_roberts
20 September 2016 20:32
@KWebbRCN @theRCN But in some circumstances you must eg Coroner and remember the Code! #WeNurses
@LisaFox202
20 September 2016 20:32
Do we learn new things from investigation or confirm the known issues? #wenurses
@WeNurses
20 September 2016 20:32
any suggested to counter act this @salsa442 #wenurses https://twitter.com/salsa442/status/778315613806727168
@ihal_talk
20 September 2016 20:32
RT @salsa442: If only the IT systems were able to share data... This has frustrated me for years #wenurses https://twitter.com/RebeccaCrossle2/status/778314555885776896
@DonnaEGlover
20 September 2016 20:32
the thought of learning disability being feared makes me incredibly sad. People are people. #wenurses
@KayFSheldon
20 September 2016 20:32
@WeMHNurses @salsa442 @GeorgeJulian I'm thinking more of when the action plan has been completed & people move on. #wenurses
@VictoriBleazard
20 September 2016 20:32
RT @salsa442: @WeNurses I have come across this 'fear' so many times in my career. #wenurses
@WeNurses
20 September 2016 20:32
An important point #Wenurses https://twitter.com/Teeman27/status/778315765078433792
@becksherrington
20 September 2016 20:32
@samabdulla @WeNurses is that a societal issue too? #WeNurses
@WeLDnurses
20 September 2016 20:32
RT @WeNurses: We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@WeDocs
20 September 2016 20:32
RT @WeNurses: We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@WeMHNurses
20 September 2016 20:32
RT @WeNurses: We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@CareQualityComm
20 September 2016 20:32
RT @WeNurses: We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@MrsGracePoole
20 September 2016 20:32
@GeorgeJulian @salsa442 @JoinedU1 @WeNurses invoking is a strange choice of word. Suggests you can choose not to? Bizarre. #WeNurses
@OfrahRn
20 September 2016 20:32
#WeNurses keepforgetting# 2nite :( https://twitter.com/ofrahmuflahi/status/778315436412764164
@WeNurses
20 September 2016 20:32
Good question #WeNurses https://twitter.com/LisaFox202/status/778315795617251328
@Jones23Emma
20 September 2016 20:32
@WeNurses #wenurses not really sure, depends on area, need specialist input to help identify, #training #education important to help
@GeorgeJulian
20 September 2016 20:32
Are people reluctant to state a time frame in case they miss it? #CQCDeathsReview #WeNurses https://twitter.com/salsa442/status/778312124246462464
@sarahthesheepu
20 September 2016 20:32
RT @MrsGracePoole: Mental health can identify LD. But then what? #WeNurses https://twitter.com/wemhnurses/status/778314574475001856
@munro_sara
20 September 2016 20:32
@chrishattoncedr @WeMHNurses debatable and depends. Balance between objectivity and ownership of change #WeNurses
@WeMHNurses
20 September 2016 20:32
@dmarsden49 Do you think mental health nurses need to be more knowledgeable & skilled re people with learning disabilities too #wenurses
@AgencyNurse
20 September 2016 20:32
RT @DonnaEGlover: the thought of learning disability being feared makes me incredibly sad. People are people. #wenurses
@VictoriBleazard
20 September 2016 20:32
RT @chrishattoncedr: @WeLDnurses @WeNurses Reviews need to routinely be across different health and social care organisations #WeNurses
@UCLanMH
20 September 2016 20:32
RT @WeMHNurses: Nurses, Service users and carers in mental health, what are your thoughts? #wenurses https://twitter.com/wenurses/status/778310905822052352
@CareQualityComm
20 September 2016 20:33
What do you see as the main barriers to being able to carry out investigations into deaths? #WeNurses https://twitter.com/WeNurses/status/778315743779782656
@salsa442
20 September 2016 20:33
@WeNurses For me it's about education of all health professionals as well as learning through exp with support of LDN #wenurses
@itsneverbecky
20 September 2016 20:33
This, absolutely this #WeNurses https://twitter.com/wemhnurses/status/778315417056120832
@NRCUK
20 September 2016 20:33
that's one for you @maria_oaktree :) #wenurses https://twitter.com/WeNurses/status/778315743779782656
@ross_6479_RNLD
20 September 2016 20:33
@WeNurses not so well in placements I went on outside of LD, or in my personal experiences, but lots learned cross fields at uni #wenurses
@VictoriBleazard
20 September 2016 20:33
RT @LisaFox202: Do we learn new things from investigation or confirm the known issues? #wenurses
@samabdulla
20 September 2016 20:33
@becksherrington @WeNurses I think so. Getting better and huge steps have been made but still heaps of room for improvement. #wenurses
@WeNurses
20 September 2016 20:33
RT @Jones23Emma: @WeNurses #wenurses not really sure, depends on area, need specialist input to help identify, #training #education importa…
@WeMHNurses
20 September 2016 20:33
RT @MsNaughtyCheese: This, absolutely this #WeNurses https://twitter.com/wemhnurses/status/778315417056120832
@KWebbNurse
20 September 2016 20:33
@CatherinePelley #wenurses???? great point. We need skilled investigators. Not every nurse is equipped.
@WeLDnurses
20 September 2016 20:33
RT @NRCUK: that's one for you @maria_oaktree :) #wenurses https://twitter.com/WeNurses/status/778315743779782656
@dspritely
20 September 2016 20:33
RT @RebeccaCrossle2: #WeNurses using the NHS IT systems and sharing data leaves no excuses for not identifying pwld that's what coding is f…
@ihal_talk
20 September 2016 20:33
RT @DonnaEGlover: the thought of learning disability being feared makes me incredibly sad. People are people. #wenurses
@gracenglorydan
20 September 2016 20:33
RT @WeEOLC: #WeNurses g8 quote Lesley Fallowfield said something similar in truth hurts but deceit hurts more http://r.search.yahoo.com/_ylt=A9mSs3dRjeFXTSQAWImA3YlQ;_ylu=X3oDMTByaW11dnNvBGNvbG8DaXIyBHBvcwMxBHZ0aWQDBHNlYwNzcg--/RV=2/RE=1474428369/RO=10/RU=http%3a%2f%2fpmj.sagepub.com%2fcontent%2f16%2f4%2f297.short/RK=0/RS=e8p.lVO9YhLkibNvtZ8n3Jh6sjY- https…
@chrishattoncedr
20 September 2016 20:33
@WeLDnurses @WeNurses Gaps/omissions/refusal of support as important to understand as what a service did #WeNurses
@ross_6479_RNLD
20 September 2016 20:33
RT @WeNurses: We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@ShaunLintern
20 September 2016 20:33
@WeNurses Fear of blame by staff. Unhealthy focus on reputation management at senior level. Refusal to accept mistakes happen. #wenurses
@LearnPEOLC
20 September 2016 20:33
RT @WeNurses: Good question #WeNurses https://twitter.com/LisaFox202/status/778315795617251328
@KayFSheldon
20 September 2016 20:33
@GeorgeJulian @salsa442 Maybe main (but not only) aim of investigations should be to provide answers to families? #wenurses
@alison_wardley
20 September 2016 20:33
@WeNurses #wenurses identified?? but knowing options/support to meet needs?
@WeMHNurses
20 September 2016 20:33
RT @KWebbRCN: @CatherinePelley #wenurses???? great point. We need skilled investigators. Not every nurse is equipped.
@GeorgeJulian
20 September 2016 20:34
@WeMHNurses @munro_sara Completely agree Sara and not convinced stands up to any real scrutiny either! #WeNurses #CQCDeathsReview
@CareQualityComm
20 September 2016 20:34
RT @MsNaughtyCheese: This, absolutely this #WeNurses https://twitter.com/wemhnurses/status/778315417056120832
@lynnewalsall
20 September 2016 20:34
RT @CareQualityComm: What do you see as the main barriers to being able to carry out investigations into deaths? #WeNurses https://t.co/3TA…
@Cathy_55555
20 September 2016 20:34
@WeNurses #wenurses possible co-morbidities so difficult to reason cause of death? Also is there enough transparency?
@WeMHNurses
20 September 2016 20:34
RT @GeorgeJulian: @WeMHNurses @munro_sara Completely agree Sara and not convinced stands up to any real scrutiny either! #WeNurses #CQCDeat…
@AgencyNurse
20 September 2016 20:34
Good question - i think so yes ! However surely its worse to state no time frame ? #WeNurses https://twitter.com/GeorgeJulian/status/778315975737348096
@VictoriBleazard
20 September 2016 20:34
RT @CareQualityComm: What do you see as the main barriers to being able to carry out investigations into deaths? #WeNurses https://t.co/3TA…
@GraemeDixon5
20 September 2016 20:34
@RebeccaCrossle2 @salsa442 I really believe we need to be less insular, sharing can only be a good thing! #WeNurses
@Luvphotosme
20 September 2016 20:34
@WeNurses #WeNurses Re Q3 - can you define 'identified' please?
@CQCpressoffice
20 September 2016 20:34
RT @CareQualityComm: What do you see as the main barriers to being able to carry out investigations into deaths? #WeNurses https://t.co/3TA…
@WeMHNurses
20 September 2016 20:34
RT @KayFSheldon: @GeorgeJulian @salsa442 Maybe main (but not only) aim of investigations should be to provide answers to families? #wenurses
@HealthUKTD
20 September 2016 20:34
RT @WeEOLC: Really good chat on @WeNurses #WeNurses re investigating deaths- really recommend following
@HealthUKTD
20 September 2016 20:34
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@HealthUKTD
20 September 2016 20:34
RT @salsa442: @WeNurses I think it should be, we have a duty of candour, we have a duty to be honest and open with families #wenurses
@HealthUKTD
20 September 2016 20:34
RT @JoinedU1: #WeNurses Evidence of learning needs to be on website!
@MaryDunningTU
20 September 2016 20:34
@WeNurses The emotional impact, the feeling of loss, acknowledging people have human emotions, fear of blame, people angry. #WeNurses
@HealthUKTD
20 September 2016 20:34
RT @BeverleyHunter1: #WeNurses we mustn't forget primary care https://twitter.com/wenurses/status/778313650364903424
@tweetsdistilled
20 September 2016 20:34
RT @WeNurses: Here is QUESTION 3 (we have touched on some of this already) #WeNurses https://t.co/MEPlEpE5kU
@KWebbNurse
20 September 2016 20:34
@janey513 #wenurses absolutely but first they want to understand how and why their loved one died, not hear us talk about lessons learned
@evelyn_prodger
20 September 2016 20:34
@dmarsden49 #Wenurses need to ensure process for other vulnerable people eg frail, elderly with dementia equitable https://twitter.com/dmarsden49/status/778315583083470849
@AgencyNurse
20 September 2016 20:34
I think us adult nurses need more understanding across all fields #WeNurses https://twitter.com/WeMHNurses/status/778316030456242176
@LearnPEOLC
20 September 2016 20:34
#WeNurses agreed- if change doesn't happen what's the point https://twitter.com/georgejulian/status/778313408890466304
@RebeccaCrossle2
20 September 2016 20:34
#WeNurses investigations appear to be medic heavy with lack of nursing and specialist services not to mention parent and carers
@kerriannmackay
20 September 2016 20:34
Q4. Not usually an MDT approach, usually in an M&M forums without input from nurses, AHP @WeNurses #WeNurses
@CatherinePelley
20 September 2016 20:35
@KWebbRCN totally agree. We have trained staff and a dedicated resource which helps make it work well for all involved #WeNurses
@AgencyNurse
20 September 2016 20:35
RT @CareQualityComm: What do you see as the main barriers to being able to carry out investigations into deaths? #WeNurses https://t.co/3TA…
@janey513
20 September 2016 20:35
@WeNurses @salsa442 I think support, debrief, 1:1 with all staff. Keep them involved&ask the whole team for ways to improve&learn #WeNurses
@AceJody
20 September 2016 20:35
@WeNurses @LisaFox202 #WeNurses Both, definitely! ??
@WeMHNurses
20 September 2016 20:35
RT @AgencyNurse: I think us adult nurses need more understanding across all fields #WeNurses https://twitter.com/WeMHNurses/status/778316030456242176
@salsa442
20 September 2016 20:35
@GeorgeJulian I'd say yes, we've all had to extend time frames at some point,but dates should b set & adhered 2 as far as poss IMO #wenurses
@LearnPEOLC
20 September 2016 20:35
@MsNaughtyCheese @GeorgeJulian @WeNurses #WeNurses soap boxes United!
@itsneverbecky
20 September 2016 20:35
@ShaunLintern @WeNurses create a proper role with clear guidance? #WeNurses
@Cathy_55555
20 September 2016 20:35
@WeNurses #wenurses to clarify...transparency in terms of declaring events directly prior to death
@WeNurses
20 September 2016 20:35
RT @chrishattoncedr: @WeLDnurses @WeNurses Gaps/omissions/refusal of support as important to understand as what a service did #WeNurses
@Teeman27
20 September 2016 20:35
Q4 #WeNurses families can be angry as part of stages of bereavement and blame can be targeted at organisation and individuals.
@KayFSheldon
20 September 2016 20:35
@GeorgeJulian @salsa442 Read interesting article that investigating successes is more likely to lead to learning. Food 4 thought? #wenurses
@NRCUK
20 September 2016 20:35
that was kind of my thoughts @GeorgeJulian @MsNaughtyCheese #wenurses
@fatattacknow
20 September 2016 20:35
Yes but commissioners of services could write this into the contracts #WeNurses https://twitter.com/wemhnurses/status/778316030456242176
@maria_m_roberts
20 September 2016 20:35
@NRCUK @MsNaughtyCheese @WeNurses This is my daily work! Try to adjust to needs but volume and capacity is significant problem. #WeNurses
@ShaunLintern
20 September 2016 20:36
@MsNaughtyCheese @WeNurses Definitely could be done. #WeNurses
@samabdulla
20 September 2016 20:36
@wenurses One of the barrier IMO is too much silo working. Need better cross field collaboration #wenurses
@LearnPEOLC
20 September 2016 20:36
@salsa442 @GeorgeJulian #WeNurses & keep the conversation going about time frame
@WeMHNurses
20 September 2016 20:36
RT @fatattacknow: Yes but commissioners of services could write this into the contracts #WeNurses https://twitter.com/wemhnurses/status/778316030456242176
@GeorgeJulian
20 September 2016 20:36
RT @WeNurses: We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@chrishattoncedr
20 September 2016 20:36
@fatattacknow @munro_sara @WeMHNurses Yes, need both - but need authoritative independent person looking out for family interests? #WeNurses
@becksherrington
20 September 2016 20:36
@MrsGracePoole @GeorgeJulian @salsa442 @JoinedU1 @WeNurses dutyofcandour requires cultural change,for some perhaps this takes time #WeNurses
@smclrk
20 September 2016 20:36
RT @DonnaEGlover: the thought of learning disability being feared makes me incredibly sad. People are people. #wenurses
@KWebbNurse
20 September 2016 20:36
@maria_oaktree not without proper support from @theRCN though! Statements cannot be demanded without right of advocacy #wenurses #fear
@CallMeMoNow
20 September 2016 20:36
RT @Richard39450952: #WeNurses Can I suggest for Mental Health Trusts and organisations looking after L/D then Independent Medical Exaniner…
@itsneverbecky
20 September 2016 20:36
@GeorgeJulian @NRCUK not sure how much clinical experience & certainly critical care experience is on all CCGs #WeNurses
@CareQualityComm
20 September 2016 20:36
RT @samabdulla: @wenurses One of the barrier IMO is too much silo working. Need better cross field collaboration #wenurses
@lynnewalsall
20 September 2016 20:36
RT @RebeccaCrossle2: #WeNurses investigations appear to be medic heavy with lack of nursing and specialist services not to mention parent a…
@NRCUK
20 September 2016 20:36
what is the main workload @maria_oaktree @MsNaughtyCheese what one thing (or few things) taking up the most time? #wenurses
@PublicHealthCns
20 September 2016 20:36
@WeNurses #wenurses Poor record keeping, fear in staff, grief for many, and not enough time given to it
@salsa442
20 September 2016 20:36
@learnhospice @GeorgeJulian Absolutely key,good communication about if/why time frames are changing #wenurses
@Cathy_55555
20 September 2016 20:37
@MaryDunningTU @CareQualityComm @WeNurses #wenurses very true. Hard to digest often if an conclusion or understanding is not achieved
@CallMeMoNow
20 September 2016 20:37
RT @KayFSheldon: @GeorgeJulian @salsa442 Maybe main (but not only) aim of investigations should be to provide answers to families? #wenurses
@LearnPEOLC
20 September 2016 20:37
@KayFSheldon @GeorgeJulian @salsa442 #WeNurses good point too
@GeorgeJulian
20 September 2016 20:37
@samabdulla @DonnaEGlover @WeNurses maybe when ppl with LD die is double fear - of LD (not knowing) and of death #WeNurses #CQCDeathsReview
@salsa442
20 September 2016 20:37
RT @WeNurses: We are on to QUESTION 4 now #WeNurses https://t.co/ofZglij5NQ
@munro_sara
20 September 2016 20:37
Adhering to the timescale can become the focus rather than the person #WeNurses https://twitter.com/georgejulian/status/778315975737348096
@NRCUK
20 September 2016 20:37
is it the critical aspect you think particularly @MsNaughtyCheese ? @GeorgeJulian #wenurses
@RebeccaCrossle2
20 September 2016 20:37
@becksherrington @MrsGracePoole @GeorgeJulian @salsa442 @JoinedU1 @WeNurses #WeNurses yes and is very acheivable
@samabdulla
20 September 2016 20:37
@WeNurses sharing knowledge and working together to actually improve things rather than living in Groundhog Day #wenurses
@CallMeMoNow
20 September 2016 20:37
RT @JoinedU1: #WeNurses Evidence of learning needs to be on website!
@MrsGracePoole
20 September 2016 20:37
@becksherrington @GeorgeJulian @salsa442 @JoinedU1 @WeNurses why does it need time? #WeNurses
@munro_sara
20 September 2016 20:37
Yes #WeNurses https://twitter.com/wemhnurses/status/778316030456242176
@fatattacknow
20 September 2016 20:37
Service structures and Organisational lethargy towards certain groups ie MH/ LD #wenurses https://twitter.com/wenurses/status/778315743779782656
@GeorgeJulian
20 September 2016 20:37
RT @munro_sara: Adhering to the timescale can become the focus rather than the person #WeNurses https://twitter.com/georgejulian/status/778315975737348096
@ShaunLintern
20 September 2016 20:37
RT @Teeman27: Families have to have confidence that investigation is honest and transparent #WeNurses dedicated team helps to achieve this…
@VictoriBleazard
20 September 2016 20:37
@KayFSheldon @GeorgeJulian @salsa442 #WeNurses Have heard that too, pls share article #AppreciativeInquiry
@AgencyNurse
20 September 2016 20:37
Far worse to reputation to investigate badly or not at all !!#Wenurses (especially in todays connected world)… https://twitter.com/i/web/status/778317282305081344
@salsa442
20 September 2016 20:37
@WeNurses Fear of blame,guilt, time needed to properly investigate #wenurses
@LearnPEOLC
20 September 2016 20:38
@chrishattoncedr @fatattacknow @munro_sara @WeMHNurses #WeNurses say more?
@OpenAirEnd
20 September 2016 20:38
@WeNurses @WeMHNurses #WeNurses 1. Relatives grief / anger, 2. enormity of apportioning blame, 3. concern for the Institutional reputation
@samabdulla
20 September 2016 20:38
@GeorgeJulian @DonnaEGlover @WeNurses and sometimes not bothering to ask why #WeNurses
@CareQualityComm
20 September 2016 20:38
RT @AgencyNurse: Far worse to reputation to investigate badly or not at all !!#Wenurses (especially in todays connected world) #Wenurses ht…
@WeNurses
20 September 2016 20:38
RT @Cathy_55555: @WeNurses #wenurses possible co-morbidities so difficult to reason cause of death? Also is there enough transparency?
@salsa442
20 September 2016 20:38
RT @AgencyNurse: Far worse to reputation to investigate badly or not at all !!#Wenurses (especially in todays connected world) #Wenurses ht…
@Teeman27
20 September 2016 20:38
Q4 #wenurses I'll be the one to say #money if we want to investigate all deaths in service, work on £1,000 just for the investigators time.
@DonnaEGlover
20 September 2016 20:38
@fatattacknow but then they would need to monitor those contracts.... #WeNurses
@KWebbNurse
20 September 2016 20:38
@maria_oaktree if I had £1 for every nurse who did as they were told without taking advice and getting support I'd be rich, sadly #wenurses
@AgencyNurse
20 September 2016 20:38
RT @learnhospice: #WeNurses agreed- if change doesn't happen what's the point https://twitter.com/georgejulian/status/778313408890466304
@VictoriBleazard
20 September 2016 20:38
RT @fatattacknow: Yes but commissioners of services could write this into the contracts #WeNurses https://twitter.com/wemhnurses/status/778316030456242176
@CatherinePelley
20 September 2016 20:38
@GeorgeJulian @salsa442 @Cathy_55555 @WeNurses I think often people try to have same timescale for all rather than case by case #WeNurses
@LearnPEOLC
20 September 2016 20:38
@salsa442 @GeorgeJulian #WeNurses #relationships #keepontalking
@NRCUK
20 September 2016 20:38
anybody know @fatattacknow @CareQualityComm what percentage of investigations are LD/MH related? #wenurses
@DebHazeldine
20 September 2016 20:38
@WeNurses Reputation seen as priority,fear of blame, families need lessons 2 be learned & action to be taken to prevent repeating #WeNurses
@ShaunLintern
20 September 2016 20:38
@Teeman27 The new Healthcare Safety Investigation Branch will develop an exemplar model for investigation. Could help #WeNurses
@WeNurses
20 September 2016 20:38
Do others find this ? #Wenurses https://twitter.com/RebeccaCrossle2/status/778316519222706176
@WeMHNurses
20 September 2016 20:38
RT @munro_sara: Yes #WeNurses https://twitter.com/wemhnurses/status/778316030456242176
@WeNurses
20 September 2016 20:39
RT @LeggKerri: Q4. Not usually an MDT approach, usually in an M&M forums without input from nurses, AHP @WeNurses #WeNurses
@JoinedU1
20 September 2016 20:39
RT @KWebbRCN: @JoinedU1 @munro_sara #wenurses all #nurses accountable to @nmcnews Blame & retribution focus unhelpful. Accountability & mit…
@VictoriBleazard
20 September 2016 20:39
RT @munro_sara: Adhering to the timescale can become the focus rather than the person #WeNurses https://twitter.com/georgejulian/status/778315975737348096
@WeNurses
20 September 2016 20:39
RT @NRCUK: anybody know @fatattacknow @CareQualityComm what percentage of investigations are LD/MH related? #wenurses
@CHAHAsthma
20 September 2016 20:39
RT @WeNurses: And its always worth remembering the NMC Social Media Guidance when tweeting > https://www.nmc.org.uk/standards/guidance/social-media-guidance #WeNurses https://t.c…
@chrishattoncedr
20 September 2016 20:39
@munro_sara @WeMHNurses Yes, question is what happens if a service doesn't want to accept responsibility for deaths? #WeNurses
@gracenglorydan
20 September 2016 20:39
RT @WeNurses: Do others find this ? #Wenurses https://twitter.com/RebeccaCrossle2/status/778316519222706176
@LearnPEOLC
20 September 2016 20:39
@munro_sara @GeorgeJulian #WeNurses good point- focus on process rather than focus on person
@CallMeMoNow
20 September 2016 20:39
RT @AgencyNurse: Nice idea #WeNurses (Kind of one of those ideas you think ... why isnt this happening!!) https://twitter.com/MsNaughtyCheese/status/778311755034402816
@Teeman27
20 September 2016 20:39
@ShaunLintern #wenurses agree but focus is on acute trusts and maternity first.
@WeNurses
20 September 2016 20:39
RT @Teeman27: Q4 #WeNurses families can be angry as part of stages of bereavement and blame can be targeted at organisation and individuals.
@ShaunLintern
20 September 2016 20:39
RT @RebeccaCrossle2: #WeNurses investigations appear to be medic heavy with lack of nursing and specialist services not to mention parent a…
@GeorgeJulian
20 September 2016 20:39
@samabdulla @DonnaEGlover @WeNurses well yeh, time and again in some quarters #notfullyhuman #WeNurses #CQCDeathsReview
@CallMeMoNow
20 September 2016 20:39
RT @AgencyNurse: *sigh* yes #WeNurses https://twitter.com/MsNaughtyCheese/status/778311471172378624
@KirstyBethanO
20 September 2016 20:39
@WeNurses Not participating in the chat, but as a student mental health nurse it's fascinating to read everyone's perspectives #WeNurses
@itsneverbecky
20 September 2016 20:39
@WeNurses staff not understanding the process so it feels like a scary unknown to be avoided #WeNurses
@LisaFox202
20 September 2016 20:39
Mortality review should need to be seen as the final part care to the person who died and not something one step removed from it #wenurses
@WeMHNurses
20 September 2016 20:39
RT @OpenAirEnd: @WeNurses @WeMHNurses #WeNurses 1. Relatives grief / anger, 2. enormity of apportioning blame, 3. concern for the Instituti…
@salsa442
20 September 2016 20:39
@WeNurses IMExp investigations are nurse led,with smaller input from all other disciplines #wenurses
@janey513
20 September 2016 20:39
@KWebbRCN not always the case. First meeting with family always important to establish their priorities&go forward from their. #WeNurses
@AgencyNurse
20 September 2016 20:40
RT @samabdulla: @WeNurses sharing knowledge and working together to actually improve things rather than living in Groundhog Day #wenurses
@BeverleyHunter1
20 September 2016 20:40
#WeNurses in my view there a balance to be made to engage the family in a meaningful way rather than focus on timescales
@ihal_talk
20 September 2016 20:40
RT @Teeman27: Q4 #wenurses I'll be the one to say #money if we want to investigate all deaths in service, work on £1,000 just for the inves…
@AlanRosenbach
20 September 2016 20:40
this would help #WeNurses https://twitter.com/dmarsden49/status/778315583083470849
@NRCUK
20 September 2016 20:40
hmmm @maria_oaktree might be able to help with the suitable tools aspect :) maybe share contact details, have done it in CDOP #WeNurses
@WeLDnurses
20 September 2016 20:40
RT @AlanRosenbach: this would help #WeNurses https://twitter.com/dmarsden49/status/778315583083470849
@lynnewalsall
20 September 2016 20:40
perhaps we all strive to get things right all the time and fear admitting mistakes. Candour will be easier for some I guess #WeNurses
@ShaunLintern
20 September 2016 20:40
@RebeccaCrossle2 This could be rapidly improved. Other staff have much to offer #WeNurses
@Cathy_55555
20 September 2016 20:40
@CatherinePelley @GeorgeJulian @salsa442 @WeNurses #wenurses agreed;altho often i have seen timescales stretched due fear of decision making
@evelyn_prodger
20 September 2016 20:40
#WeNurses I don't think this is everywhere, depends on setting and strength of MDT https://twitter.com/wenurses/status/778317504829612032
@WeMHNurses
20 September 2016 20:40
RT @samabdulla: @WeNurses I would say that it's not that LD isn't noticed, but it's feared. #wenurses
@WeNurses
20 September 2016 20:40
Here is QUESTION 5 #WeNurses https://t.co/eUyCCMn03J
@RTunmore
20 September 2016 20:40
@GeorgeJulian @PublicHealthStR We @leder_team work with #NationalValuingFamiliesForum: http://nationalforums.co.uk/nvff #CQCDeathsReview #wenurses
@WeMHNurses
20 September 2016 20:40
RT @GeorgeJulian: @samabdulla @DonnaEGlover @WeNurses well yeh, time and again in some quarters #notfullyhuman #WeNurses #CQCDeathsReview
@ShaunLintern
20 September 2016 20:40
RT @WeNurses: Do others find this ? #Wenurses https://twitter.com/RebeccaCrossle2/status/778316519222706176
@dmarsden49
20 September 2016 20:40
@WeMHNurses Difficult for me to say. In my 8 years @ekhuft I've done little work with MHNurses. #WeNurses
@ihal_talk
20 September 2016 20:41
RT @AlanRosenbach: this would help #WeNurses https://twitter.com/dmarsden49/status/778315583083470849
@maria_m_roberts
20 September 2016 20:41
need to investigate to know if there is negligence.Expected v unexpected death but either can have probs #WeNurses https://twitter.com/richard39450952/status/778316414658674688
@Luvphotosme
20 September 2016 20:41
#wenurses @salasa442 - we have a long way to go for all IT issues and pt care improvement https://twitter.com/salsa442/status/778315246951882752
@AlanRosenbach
20 September 2016 20:41
People with LD/Autism/Mental health not high priority for investigation of deaths. #WeNurses https://twitter.com/WeNurses/status/778315743779782656
@WeLDnurses
20 September 2016 20:41
RT @WeNurses: Here is QUESTION 5 #WeNurses https://t.co/eUyCCMn03J
@GeorgeJulian
20 September 2016 20:41
RT @CareQualityComm: What do you see as the main barriers to being able to carry out investigations into deaths? #WeNurses https://t.co/3TA…
@Cathy_55555
20 September 2016 20:41
@LisaFox202 @salsa442 #wenurses absolutely agree
@janey513
20 September 2016 20:41
@LeggKerri @WeNurses is this method challenged? #WeNurses
@WeNurses
20 September 2016 20:41
Thanks for the fab link Robert #WeNurses https://twitter.com/RTunmore/status/778318018883514368
@salsa442
20 September 2016 20:41