Duty of Candour activity 2022/2023

During the reporting period, 4 events triggered the organisational Duty of Candour; table 1 below shows the breakdown of these in relation to the outcome of the event. 

During this period, no families requested to meet to discuss the findings of a DoC investigation. 

Table 1: Duty of Candour rationale 

Nature of unexpected or unintended incident where Duty of Candour applies 

Number

A person died.

1

A person suffered permanent lessening of bodily, sensory, motor, physiologic or intellectual functions.

0

Harm which is not severe harm but results or could have resulted in: 

 

An increase in the person’s treatment. 

2

Changes to the structure of the person’s body. 

1

The shortening of the life expectancy of the person. 

0

An impairment of the sensory, motor or intellectual functions of the person which has lasted, or is likely to last, for a continuous period of at least 28 days. 

0

The person experiencing pain or psychological harm which has been, or is likely to be, experienced by the person for a continuous period of at least 28 days. 

0

The person required treatment by a registered health professional in order to prevent: 

 

The person dying. 

0

An injury to the person which, if left untreated, would lead to one or more of the outcomes mentioned above. 

0

Total 

4

 

Regardless of DoC status, when adverse events occur, the appropriate team makes contact with patients and/or families to advise of an event and the investigation process.