Browse resources for Safety and Learning
Case story
Understanding the risk of maternal and neonatal hyponatraemia
This case story is fictional but based on real events and lessons learnt through cases referred to NHS Resolution’s Early Notification scheme. We are sharing the experience to improve the quality of care provided to all patients, families and staff.
Case story
Care of mother and baby post-delivery delayed cord clamping and recognition of the deteriorating newborn
Case story
Learning lessons in maternity from a recent Supreme Court ruling
This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff.
Guide
Inquests: A guide for health providers
Attending a Coroner’s court to give evidence can be worrying if this is something you have never done before, or if you have previously had a challenging experience. NHS Resolution has produced three films to help prepare staff called to give evidence at an inquest. …
Leaflet
Insights from assault claims
£53.4 million will be spent to settle 1,255 of the 3,227 claims made for assault received by NHS Resolution between 2013 and 2018. This is equivalent to employing 1,700 registered nurses for one year. 1,225 claims received between 1 April 2013 and 31 March 2018 …
Case story
Intermittent auscultation (IA) of the fetal heart rate in the second stage of labour
This case story is fictional but is a reflection of cases submitted to the NHS Resolution Early Notification scheme. The purpose is to share the experience of those involved to help prevent similar occurrences happening to patients, families and staff. It should prompt organisations to …
Report
Being fair report
A just and learning culture is the balance of fairness, justice, learning – and taking responsibility for actions. It is not about seeking to blame the individuals involved when care in the NHS goes wrong. It is also not about an absence of responsibility and …
Leaflet
Being fair
A just and learning culture is the balance of fairness, justice, learning – and taking responsibility for actions. It is not about seeking to blame the individuals involved when care in the NHS goes wrong. It is also not about an absence of responsibility and …
