Overall, the review panel felt that the reviews lacked consistency and thus quality was variable. Most reviews were of high quality, but others less so. The review panel considered all reviews to be sufficient for the purposes of learning and improvement, however we would expect future reviews to be carried out under the new AEM policy to be more consistent and of the same high quality as the best of the reviews examined in the exercise.
The review panel suggest that it would be good governance for NHS Tayside to undertake their own review on the impact of the AEM Policy on MH adverse event reviews in circa one year's time. This would provide the organisation with assurance that the new policy has achieved what has been promised.
6th October 2022
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