Root cause analysis training

An introduction to root cause analysis

  1. Training
    Any date to suit you.

    9.30am to 3.30pm.

    At your practice, neighbouring practice or other location.

    The Care Quality Commission are increasingly focusing their attention on ensuring that general practices are delivering safe and effective care to their patients. This work is part of on-going initiatives to protect patients that commenced almost twenty years ago with the establishment of the National Patient Safety Agency. In recent years there have been a number of high-profile cases, most notably Mid-Stafford Hospital, where patient care was not deemed been safe and appropriate. This led to the Berwick Report in 2013 and a plethora of subsequent initiatives to ensure that NHS organisations 1) place patient safety at the top of their agenda and 2) have robust mechanisms in place for reviewing patient safety incidents, mistakes and near misses.

    This one-day accredited course is aimed at all practice staff (managers, administrators and clinicians) as research studies advise us that patient safety is the core business of everyone in the team. The view that only clinicians are responsible for maintaining patient safety is now a truly outdated one. Historically, primary care teams have adopted significant event audit (SEA) to review their incidents and the course will briefly focus on what best practice in SEA looks like with examples of what CQC inspectors are looking for (i.e. high quality and unacceptable practice).

    The course will introduce root cause analysis (RCA) to learners. RCA is an internationally established technique used widely across the NHS and in other industries to help understand why something has not gone to plan. The course will include:
    • best practice in co-ordinating incident reviews and managing the process
    • guidance on various mapping techniques: narrative chronology, tabular timelines, etc
    • hands on experience of using analysis techniques: five whys, fishbone, change analysis
    • advice on how to make care/systems safer, e.g. process mapping and barrier analysis
    • an overview of human factors and why they are important
    • best practice in action planning and report writing.
    The training will also briefly cover duty of candour, just culture and review the latest NHS and healthcare initiatives in relation to improving patient safety. Learners will also be signposted to lots of useful materials and resources. The course will also focus on various quality improvement techniques that have the potential to improve the way the practice operates beyond ensuring it has appropriate systems in place to review incidents and minimise the likelihood of recurrence. Our belief is that while good practices will be using SEA, the outstanding practices will be utilising and incorporating RCA into their safety culture.

    The cost of the one-day course will be £650 plus expenses and VAT for up to 15 learners. We can deliver the training to single practices, or delegates from a number of practices.

    All costs include certificates of attendance for learners. Please note, the course is accredited to Level 3 (A-Level equivalent). Learners that would like to gain this additional accreditation will be charged £50 to cover marking costs and certification. Gaining the additional accreditation may be useful at a personal level (e.g. CPD/revalidation, etc.) and at the practice-level for demonstrating competence to external agencies such as the CQC, commissioners, etc.

    Bookings via Practice Index are charged at this discounted rate. Normal course cost is £800 plus expenses and VAT.

    Course run by
    Clinical Audit Support Centre Ltd (

    Please note: If the aforementioned trainer is not available on the day, a suitable replacement trainer will be supplied. For remote parts of the UK, additional travel costs maybe incurred. If so, this will be made clear to you before you book the training.