National Mortality Case Record Review Programme

The National Mortality Case Record Review Programme aims to develop and implement a standardised methodology for reviewing the case records of adults who have died in acute hospitals across England and Scotland, as well as improve understanding and learning about problems and processes in healthcare that are associated with mortality.

What we are doing

The National Mortality Case Record Review (NMCRR) Programme contract was awarded to the Royal College of Physicians (RCP) in February 2016 and is funded by NHS Improvement and commissioned by the Healthcare Quality Improvement partnership (HQIP). The RCP collaborates with two partners to deliver the NMCRR Programme: the Improvement Academy (IA) in Bradford and Datix.

In January 2017 we completed the pilot phase of the programme; a full report and a summary are available to download.

We are currently implementing the RCP National Mortality Review tool (on-line platform) in Trusts and Health Boards throughout England and Scotland. We are actively recruiting Trusts and Health Boards wishing to implement the tool; please email: mortality@rcplondon.ac.uk to express your interest. The platform is supported by Datix and is free of charge to all Trusts and Health Boards wishing to implement.

Following the publication of Learning from Deaths by the National Quality Board in March 2017 our approach to training in England changed. In an effort to ensure that capacity and capability exists to train hospital mortality reviewers more quickly, we have facilitated training sessions aimed at training tier one trainers. These trainers will sit locally as a resource for Trusts to access to train hospital mortality reviewers.

A list of tier one trainers, their locations and contact details is available in the programme resources below. Training sessions are currently due to end mid-February, however we encourage enquiries from Trusts and AHSNs interested in scheduling additional sessions. Please email Clare Wade, programme manager for the National Mortality Case Record Review on clare.wade@rcplondon.ac.uk

  • Our PDF newsletters can be found under NMCRR programme resources along with a number of additional supporting materials.
  • The programme is mentioned within the National Quality Board – National Guidance on Learning from Deaths.
  • The National Mortality Case Record Review programme is commissioned by the Healthcare Quality Improvement Partnership (HQIP) and funded by NHS Improvement.

What we have produced

The National Mortality Case Record Review's annual report describes the programme's aims and objectives, along with its development and implementation.

The National Mortality Case Record Review (NMCRR) toolkit has been developed to support trusts in implementing a standardised way of reviewing the case records of adults who have died in acute hospitals across England and Scotland.

The NMCRR programme has been working with other nationally commissioned mortality review programmes and confidential enquiries to explore sharing intelligence and collaboration opportunities.
The NMCRR aims to improve understanding and learning about problems and processes in healthcare associated with mortality, and also to share best practice.
Watch our seminar 'Keeping patients safe – learning from mortality reviews to improve patient safety.'
The National Mortality Case Record Review Programme offers SJR training for colleagues in Scotland.
The WEAHSN set out to encourage and support a collaborative approach to the mortality review process across NHS trusts in the west of England.