The Clinical Outcome Review Programmes

Child death review database

The project is designed to specify the key elements required to develop a ‘national' database for England and Scotland to collect information from the Child Death Reviews which are carried out in England by Child Death Overview Panels (CDOPs) and from the Child Death Review process which is currently being developed in Scotland.

Child health outcome review programme

The programme will use both data linkage and case note review to build on the work of previous child health confidential enquiries which have highlighted a number of issues, in particular that children with chronic conditions, principally neurological, comprise the majority of deaths in children over one year.

Learning disability mortality review programme

The Learning Disability Mortality Review Programme (also know as LeDeR) was established to drive improvement in the quality of health and social care service delivery for people with learning disabilities (LD) by looking at why people with learning disabilities typically die much earlier than average. The programme has been commissioned by HQIP on behalf of NHS England and is being led by the University of Bristol's Norah Fry Research Centre.

Maternal, newborn & infant outcome review programme

Almost one in 100 UK births leads to a stillbirth or newborn death and up to 100 women die each year during or just after pregnancy. The programme investigates the deaths of women and their babies during or after childbirth, and also cases where women and their babies survive serious illness during pregnancy or after childbirth. The aim is to identify avoidable illness and deaths so the lessons learned can be used to prevent similar cases in the future leading to improvements in maternal and newborn care for all mothers and babies.

Medical and surgical outcome review programme

This programme began in 1988 as a National Confidential Enquiry into Perioperative Deaths with an aim to examine the quality of care delivery to surgical and anaesthetic patients who had died in hospital within 30 days of a surgical procedure. In 2002, the remit of the programme was extended to review the care received by medical patients as well as surgical patients. In addition, near-miss morbidity cases were included as well as cases of mortality. In 2011 responsibility for the commissioning and management of the programme transferred to HQIP.

Mental health outcome review programme: suicide and homicide

The Mental Health Clinical Outcome Review Programme is delivered by the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH). The inquiry examines suicide, and homicide committed by people who had been in contact with secondary and specialist mental health services in the previous 12 months and publishes this in an annual report.

National mortality case record review programme

The National Mortality Case Record Review (NMCRR) programme aims to develop and implement a standardised way of reviewing the case records of adults who have died in acute hospitals across England and Scotland by improving understanding and learning about problems and processes in healthcare associated with mortality, and also to share best practice. The NMCRR programme is a national collaborative project led by the Royal College of Physicians (RCP) in partnership with Yorkshire and Humber Academic Health Science Network’s Improvement Academy and Datix.