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<p>Since its establishment in 2017, the national Learning from Deaths (LfD) Programme
Board has overseen significant progress across several areas, benefiting from the
inclusion of family representatives providing valued personal perspective and challenge.</p><p>This
includes national guidance (on ‘Learning from Deaths’ and ‘working with bereaved families
and carers’); greater scrutiny of the care provided to individuals with learning disabilities
and mental health needs; legislation to mandate avoidable mortality reporting by trusts,
as well as lessons learned and improvements made; and strengthened regulatory support
and oversight of providers, including by the Care Quality Commission (CQC) through
assessment of trusts learning from deaths as part of its inspection activity.</p><p>In
May 2019, the CQC published its review of the first year of trusts implementing the
LfD national guidance. The review highlighted that trusts are at different stages
of implementation, and we remain committed to enabling trusts to develop a strong
safety and learning culture when responding to deaths.</p><p> </p>
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