Incident Management Policy and Procedure 652.0 KB - Oxleas NHS ...

to the Senior Officer within HR who deals with such allegations. Advice can be sought from the TrustLead for Safeguarding children.Child Death ReviewFrom April 1 st 2008 Local Safeguarding Children Boards (LSCB) have responsibility for followinginterrelated processes for reviewing child deaths, (either of which can trigger a Serious Case Review).These processes will ensure that all child deaths are reviewed by a panel and that unexpected deathsare followed up by a rapid response team. Further details can be found as Appendix VI.Where a child dies unexpectedly, staff who have been working with the child or the family may becontacted by a member of the rapid response team and asked to provide relevant information.All child deaths need to be reported to the lead for Health within each of the LSCBs. Where staffbecome aware of a child death they should report this to ensure that the appropriate review processhas been put in place. Staff can contact the Trust’s Named Professionals for Safeguarding Childrenand share information about the child death; this will be passed onto the appropriate health lead withinthe LSCB.Safeguarding AdultsThe incident policy guidelines should also be read in conjunction with multi-agency adult protectionmanuals. The local authority is the lead agency for conducting the investigations and the IncidentManager /directorate lead will be required to liaise with the relevant borough lead. Normally, theinvestigation of any incidents involving Oxleas staff will proceed in accordance with Oxleas’ ownpolicies and procedures. The local authority borough leads may undertake an independentinvestigation if the circumstances warrant.Staff should always refer to the Oxleas Safeguarding procedures and local multi-agencyprocedures which can be accessed on the Trust intranet and which include details of localleads.Medication errorsMedication errors should be reported via the trust incident reporting system. Details of medicationerrors are collected via Datix and these are reviewed by the pharmacy lead for medication safety, whoreceives these routinely via DatixWeb. Where themes emerge or there are lessons that can be learnt,information related to the errors reported and how these can be avoided in future are shared in themost appropriate way. Individual strategies are agreed at the Medicines Management Committeeand/or Patient Safety Group and dissemination may for example be through the pharmacy newsletter,junior doctor induction or targeted presentations to nursing staff.6