Serious incidents and root cause analysis workshop

Practice Managers Association
Delivery Method: Face-to-face

Don’t miss opportunity to work with leading specialists in a series of full day workshops specifically focused on the ‘business’ aspects of General Practice.

  • General Practitioners
  • Practice Managers
  • Senior Practice Nurses
  • GP Administrator Managers


This workshop has been designed to be practical and easily digestible for those with responsibility for the Management, Reporting and Investigating of Serious Incidents within the Primary Care sector. The day is facilitated by experts in both Incident Management and Investigation and will be very interactive. It will be both detailed and practical and will seek to provide clarity and an objective/practical approach to Serious Incidents and the learning they provide.

Workshop Outcomes

Following the workshop we would expect the delegates, to have a good understanding of the principle requirements around serious incidents and feel confident to report them appropriately. They would also be able to conduct local, practice-based root cause analysis investigations or participate in externally lead RCAs

Workshop Agenda

Below is an outline of the proposed agenda, if you have any questions please get in touch.

09.30Introduction and Welcome – Open Forum – your challenges and concerns
9.45Overview of the Programme & Objectives
  • What is Root Cause analysis and what we need to know
10.00Principles of Incident Management
  • What are Serious Incidents
  • Serious Incident Framework
  • Principles of General Incident Management
  • What is a ‘Root Cause’
  • Learning from Incidents
11.00Types of Incidents
  • Types of incidents
  • Identification and recording
  • Incident Grading
  • Duty of Candour
11.20Understanding the steps
  • Once a Serious incident has occurred
  • Immediate post incident action
  • Who needs to be informed
12.00The Investigation Process
  • The Investigation Team
  • The 3 stages
    • Information
    • Questions
    • Analysis
13.00Lunch & Networking
13.45Stage 1 – Information
  • Staff and witnesses
  • Documents and records
  • Policies, Requirements and guidelines
  • Best Practice
14.15Stage 2 – Identifying Questions
  • Chronology
  • Process Mapping
15.15Stage 3 – Questions
  • The 5 Whys
  • Fishbone analysis
16.00Learning from Incidents
  • System, process and organisational factors
  • The Human
16.30Summary of day and Close
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