This page explains how incidents, mortalities, complaints, and best practice are reported, reviewed and shared across the Congenital Heart Disease (CHD) Network.
Refer to the Network Clinical Governance SOP for more information:
Important Dates
Meeting Details
Next meeting – date to be confirmed.
Professionals only via invitation. For queries/questions, please contact the network northwestchdnetwork@alderhey.nhs.uk
Clinical Governance Reporting Form
Complete this form every 6 months via Microsoft Forms, click here or scan the QR code below:
The report must include:
- Report all incidents where harm has occurred.
- Report all mortalities where paediatric cardiology or ACHD has been the cause of death.
- Lessons learnt and action plans
- Changes in practice to share across the Network
- Complaints reported via PALS
- Best practice and excellence examples
- Updates on audits or research
How to report an incident for discussion
- Report all Category C-D incidents
- Category B incidents may be reported if lessons are valuable
- Click here to complete the form to report the incident and send to: northwestchdnetwork@alderhey.nhs.uk
How to report a mortality for discussion
- Report all deaths where paediatric cardiology or ACHD was a cause of death
- Click here to complete the form to report the mortality and send to: northwestchdnetwork@alderhey.nhs.uk
Clinical Governance Reports
Below is the report for the last Clinical Governance meeting on 3rd July 2025:
Network Responsibilities
- Clinical Governance meetings will be held every 6 months
- Reporting dates will be shared every 6 months (2–3 months’ notice given)
- The Network will have oversight of all incidents in paediatric cardiology and adult congenital heart disease across the Network
- Will review all mortalities where paediatric cardiology or ACHD was a cause of death
- Will discuss incidents with a potential for or when actual harm has occurred that has implications for Network‑wide learning
- Will provide a one-page report with highlights of lessons learnt and actions agreed
- Will create detailed meeting notes available on request
- Will share lessons learnt and support providers to implement actions
- Will implement changes to pathways as agreed at the CHD Network Board and will share with providers
Provider Responsibilities
- Undertake local reviews of incidents, mortalities and complaints as normal
- Refer to coroner’s appropriately and wait for outcomes to be known before submission to the Network
- Nominate a named individual to submit clinical governance online reports every 6 months
- Provide contact details of the person attending the governance meeting
- Ensure no patient identifiable information is submitted
- Submit incidents and mortalities for discussion
- Share outcomes back to own provider hospital and team