Prevention through Learning: working together to drive high-quality care

1Academy of Medical Royal Colleges and Faculties in Scotland. Learning from Serious Failings in Care: Main Report. May 2015. http://www.scottishacademy.org.uk/documents/final-learning-from-serious-failings-in-care-main-report-290615.pdf

2Scottish Government. NHS Scotland Quality Strategy - putting people at the heart of our NHS. May 2010. http://www.gov.scot/Resource/Doc/311667/0098354.pdf

3Scottish Government. Everyone Matters: 2020 Workforce Vision.2013. http://www.gov.scot/resource/0042/00424225.pdf

4Scottish Government. Realistic Medicine. Chief Medical Officer's Annual Report 2014-15. http://www.gov.scot/Resource/0049/00492520.pdf

5 Titcombe J. Joshua's Story: Uncovering the Morecambe Bay NHS Scandal. Leeds: Anderson Wallace; 2015.

6 Kirkup B. The Report of the Morecambe Bay investigation. March 2015. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/408480/47487_MBi_Accessible_v0.1.pdf

7Care Quality Commission. The state of health care and adult social care in England 2014/15. October 2015. http://www.cqc.org.uk/sites/default/files/20151221_cqc_state_of_care_report_web_accessible.pdf

8Royal College of Obstetricians &Gynaecologists. Each Baby Counts. June 2016. https://www.rcog.org.uk/globalassets/documents/guidelines/research-audit/rcog-each-baby-counts-report.pdf

9The Bristol Royal infirmary inquiry. Learning from Bristol: the report of the Public Inquiry into children's heart surgery at the Bristol Royal Infirmary 1984-95. July 2001. http://webarchive.nationalarchives.gov.uk/20090811143745/http:/www.bristol-inquiry. org.uk/final_ report/the_report.pdf

10 Francis R. (Chair). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. February 2013. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/279124/0947.pdf

11 Martin G S Siebert Howieson B The Changing Experience of Work of Consultants in NHS Scotland. University of Dundee and University of Glasgow; May 2015.

12 Andrews J Butler M. Trusted to Care: an independent review of the Prince of Wales Hospital and Neath Port Talbot Hospital at Abertawe Morgannwg University Health Board. May 2014. http://www.ambulance.wales.nhs.uk/assets/documents/2e459532-3f27-4fc6-8091-6445fb417a63635387689176252637.pdf

13 Xu J SL Murphy Kochanek KD Deaths: final data for 2013. National Vital Statistics Reports 2016; 64(2). https://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf

14 Weiser TG SE Regenbogen Thompson KD An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008; 372: 139-44.

15 Champagne C. How One Company Taught its Employees How to Be Happier, and What Happened Next. Fast Company 9 April 2013. https://www.fastcompany.com/1682068/how-one-company-taught-its-employees-how-to-be-happier-and-what-happened-next

16Department of Health. An organisation with a memory.2000. http://webarchive.nationalarchives.gov.uk/20130107105354/http:/www.dh.gov.uk/en/Publicationsandstatistics/publications/publicationspolicyandguidance/browsable/DH_4098184

17Inquiry call over deaths in childbirth at Crosshouse Hospital. BBC Scotland News 21 November 2016. http://www.bbc.co.uk/news/uk-scotland-scotland-politics-38043795

18Mums and babies died because of shameful neglect at two maternity hospitals - the secret report they didn’t want you to see. Manchester Evening News 23 November 2016. http://www.manchestereveningnews.co.uk/news/greater-manchester-news/pennine-acute-maternity-secret-report-12218989

19Five more ‘avoidable’ baby deaths in another Scottish maternity unit. The Telegraph 27 November 2016. http://www.telegraph.co.uk/news/2016/11/27/five-avoidable-baby-deaths-another-scottish-maternity-unit/

20Care Quality Commission. Learning, candour and accountability: a review of the way NHS Trusts review and investigate the deaths of patients in England. December 2016. http://www.cqc.org.uk/content/learning-candour-and-accountability