Learning from Adverse Events in Maternity Services – Now Online

Learning from Adverse Events in Maternity Services – Now Online (with limited spaces)

Following quite an unprecedented year, we’ve had to shake up what we usually do and offer our training online. We’re so excited with the feedback we’ve had so far, and are even more pleased to be able to add to the list of what we can offer.

We piloted our ‘Learning from Adverse Events in Maternity Services’ course last February in London, just as news of the “novel Coronavirus” was starting to gain momentum – it feels like a different lifetime.

Since piloting the course, we’ve seen more reports into maternity care stating the need for improved local investigations – most recently the hard-hitting Ockenden Review. This is why the ‘Learning from Adverse Events in Maternity Services’ course is an imperative part of our training offering for 2021.

We currently only have one course which is not fully booked, taking place on the 1st and 2nd March online. Click here to read more and to book.

About the course

“In an often uncertain, confusing and intimidating area of maternity, this course plugs the gaps with its holistic approach. After attending the course I feel sufficiently equipped to confidently navigate the process of learning from an adverse event in order to make improvements to the culture, systems and processes which will ultimately have a direct impact on patient safety and experience. The importance of sensitive and compassionate engagement with families was emphasised throughout and the course content highlighted how this should be done. This is where this course really is in a league of its own, you aren’t just told what you should be doing and why – you are told how to do it and just as importantly, how not to do it.” – Delegate Feedback

The course has been designed in collaboration with experts in system-thinking and human factors, and in collaboration with NHS Improvement (NHSI) and NHS Resolution (NHSR). It is aimed at all members of the maternity team including midwives, obstetricians, risk managers, maternity safety champions, bereavement support staff and all staff involved in quality/safety improvement.

Using a combination of formal talks, workshops, and interactive discussions the course provides training and guidance in the following areas:

  • An overview of the national guidance including reporting and notifications requirements.
  • Practical training on how to support staff following an adverse event, including ‘just culture’ principles and decision-making tools.
  • How to sensitively and compassionately engage with families throughout investigation processes, sharing the best practice model developed by HSIB.
  • Key principles of adverse event investigation, including Human Factors and System thinking and practice elements such as interview techniques, developing a timeline of events, developing effective improvement actions and report writing.
  • The 72-hour review process, including initial debrief, supporting staff, gathering information and notification/reporting requirements.
  • Hearing directly from an NHS organisation recognise as ‘outstanding’ by the CQC about their improvement journey, how progress was achieved and the barriers and challenges.
  • Practical workshops based a video case study so that delegates can practice and use the skills and knowledge gained during the course in practice.


Course feedback

Our first course took place in London at the end of February and was attended by over 50 maternity professionals from several trusts around the country.

The formal feedback received was extremely positive.

  • 97% of delegates ‘agreed’ or ‘strongly agreed’ that the course had met their learning objectives
  • 93% of delegates said that they intended to modify their practice as a result of the course


Comments from delegates included:

“Extremely informative and interesting 2 days. Excellent speakers – inspiring, thought provoking and will really make me change my clinical practice, how I view my practice and most importantly how I can make a difference to practice.”


 “Excellent. Some really good take home points and some pertinent things that I am really excited to take back to my practice.”




Online delivery 

This year has represented an unprecedented challenge for everyone working in our healthcare system and although we are hoping to be able to return to face to face delivery of our training courses over the next 12 months, we have taken a decision to offer this course on 1st and 2nd March online. We have worked hard to bring together an exceptional faculty to deliver the training and the online sessions will be engaging and interactive.

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