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Functioning as a team? (2002)

National CEPOD has repeatedly emphasised the need for the development of multi-professional and multidisciplinary teams to provide optimum care for the most seriously ill patients. In this report, based on deaths within three days of an intervention, NCEPOD looks at how far team working has developed and, most particularly, at weaknesses in the systems which create barriers to change.

Changing the way we operate (2001)

This report provides a stark comparison of the changing medical scene over the past decade. It demonstrates that patients being subjected to emergency surgery are both older and sicker than they were ten years ago. In turn, this has a profound impact on the service provision necessary to deal with these clinical problems.

Then and now (2000)

The Department of Health report on learning from adverse events, 'An Organisation with a Memory', commented upon the serious difficulty in establishing the rate of change when good practice recommendations are made by National Confidential Enquiries. This report, therefore, covering a period of almost ten years enables us to evaluate some of the changes that have occurred, but possibly more particularly to highlight the issues where changes have been less than adequate and certainly the rate of change has been unacceptably slow.

Percutaneous transluminal coronary angioplasty (2000)

This is a small survey by NCEPOD standards, but one of great importance, and demonstrates the value of the acquisition of reliable data by clinicians involved, and the importance of recording this on a national level to assess the quality of outcomes.

Interventional vascular radiology and interventional neurovascular radiology (2000)

Significant advances in interventional techniques, particularly in vascular and neurovascular radiology, in the last decade have led NCEPOD to explore the morbidity and mortality associated with such procedures. In view of the frequency with which these minimally invasive techniques are being carried out, it is important that the consequences of such interventions should be investigated.

Extremes of Age (1999)

This report concentrates on the extremes of age. In detail there are obvious differences between the groups, yet many of the lessons to be drawn from this study span the age difference.