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External reviews

There are a number of nationally-defined priorities which require onward referral for investigation or review by another team which (in 2024/25) are:

  • Incidents which meet the ‘Each Baby Counts’ and maternal deaths criteria – Maternity and Newborn Safety Investigation programme (MNSI)
  • All perinatal and maternal deaths – MBRRACE (Mothers and Babies: Reducing risk through Audits and Confidential Enquiries)
  • Mental health-related homicides by persons in receipt of mental health services or within six months of their discharge - relevant NHS England and NHS Improvement regional independent investigation team
  • Child deaths - child death panels
  • Deaths of persons with learning disabilities - LeDeR (Learning Disabilities Mortality Review programme)
  • Incidents in screening programmes - Public Health England’s regional Screening Quality Assurance Service and commissioners of the service
  • Deaths of patients in custody, in prison or on probation where healthcare is/was NHS funded and delivered through an NHS contract - Prison and Probation Ombudsman.