Duty of Candour and Being Open Latest

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Event occurs that requires communication in

line with Being Open

Safety Learning Event (SLE) confirmed as Near miss, no/low harm SLEs,
moderate/severe harm or death event. complaints and claims

Duty of Candour steps:


As soon as possible, within 10 days at the very latest, an Initial Being Open discussion with
open and honest verbal or face to face discussion must be patient, family or carer to include
held with the patient or their representative, to disclose the apology for any harm suffered and any
incident and share any facts known at that time. shortcomings in the delivery of care that
led to the patient SLE or complaint.
This conversation must include a genuine and sincere
apology for the occurrence and must be made by the lead
clinician responsible for the care. Decide what actions are required and
if follow up discussions are needed
The discussion must be followed up by a written letter to
the patient/ representative.
Undertake agreed actions and ensure the
It should detail what was said, what will happen next and following is completed on Datix:
inviting the patient/representative to contribute to the • The chronology of clinical events and other
terms of reference for the investigation, if applicable. relevant facts
• Details of the patient’s and/or their
The conversation must be recorded in the patient’s records family/carer concerns
and letter attached to the SLE on Datix. • A summary of the factors that contributed
to the incident
Relevant level of investigation • Information on what has been and will be
undertaken according to SI Process done to avoid recurrence of the incident
and how these improvements will be
When investigation has been ‘signed off’ as closed by the monitored
Trust, the appropriate Division must offer a copy of the • Any lessons learnt
final investigation report to the patient/ representative • Any required follow up care and how /
within 10 working days, ideally at a meeting with the where / by whom this will be provided
patient/relatives or carer. • Carry out follow up discussion with
patient, family or carer where required.

Ensure appropriate feedback is given to relevant


staff

All documentation relating to Duty of Candour


and Being Open discussions/written
communications is required to be attached to the
relevant SLE or Complaint on Datix.

Duty of Candour and Being Open Policy


Version: 8.1
Issue Date: 25 September 2019
Review Date: 24 December 2022 (unless requirements change) Page 5 of 18

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