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Root Cause Analysis (RCA) has become the primary source of investigation for serious incidents within secondary care, having been shown to provide positive results for all stakeholders. However, the CQC found that only 8% of the investigation reports it reviewed, showed evidence of a clearly structured methodology.

This interactive training course provides in-depth guidance for hospitals that are looking to develop and implement their RCA methodology.

Tailored towards secondary care professionals, a combination of case studies and workshops allows you to share experiences with like-minded delegates and gain expert advice on RCA investigations and reporting. Leave the day with the confidence to implement your developed RCA methodology.

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Learning Outcomes

  • Learn how to best prepare for an RCA investigation and who should be involved
  • Understand how to classify a serious incident from the outset
  • Consider all the elements of an RCA investigation and how to eliminate bias
  • Discover the impact of an RCA investigation on all stakeholders
  • Develop a full proof toolkit for reporting on an RCA investigation
All the Understanding ModernGov courses are Continuing Professional Development (CPD) certified, with signed certificates available upon request for event.

Enquire About In-House Training

To speak to someone about a bespoke training programme, please contact us:
0800 542 9414
[email protected]


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09:15 - 09:45


09:45 - 10:00

Chair’s Welcome and Clarification of Learning Objectives

10:00 - 10:45

Preparing for a Root Cause Analysis Investigation

• When do incidents need reporting and investigating?
• Key characteristics of a structured approach to investigation
• Identifying and involving stakeholders
• What does a good Root Cause Analysis (RCA) investigation look like?
• Milestones and meeting high quality standards
• Thinking about learning from the outset

10:45 - 11:00

Morning Break

11:00 - 12:00

Classification of Serious Incidents

  • Mapping out unintended and intended acts and omissions
  • Identifying contributing factors
  • How to approach malicious and reckless acts
  • Referring serious incidents to the General Medical Council
12:00 - 13:00

Case Study: Carrying out an RCA Investigation

  •  Key stages of the process
  • Tips for investigators
  •  Data gathering and triangulating evidence
  • Interviewing practice
  • Value of timelines
  • Analysing problems and contributory factors
  • Developing recommendations
13:00 - 13:45


13:45 - 14:30

Evaluating the ‘Human’ Impact of an RCA Investigation

  • Duty of candour and the responsibility of healthcare professionals
  • Evaluating and understanding the negativity around RCA
  • Safeguarding and mental capacity for healthcare professionals
  • Mitigating the psychological impact of an investigation for the victim’s family
  • Assessing and reducing the effect of an investigation on healthcare professionals
  • Carrying out an ethical and thorough investigation
  • When a case ends up in the court corners or crown court
  • Case study: the surgeon who left the industry following an RCA investigation
14:30 - 14:45

Afternoon Break

14:45 - 16:00

Workshop: A Guide to Writing an RCA Report

In this session, delegates will work with the trainer in small groups to refine their report writing strategies.

  • Examine examples of RCA reports
  • Work through best and bad practice examples
  • Develop your own plans for improving practice


16:00 - 16:15

Feedback, Evaluation & Close


etc. Venues – Marble Arch, London

Garfield House 86 Edgware Road, London, W2 2EA