This one-day professional documentation, record keeping and presenting evidence training course shows health and social care staff how to create clear, accurate and reliable records. You will learn how to write notes that are factual and easy to understand. You will also learn how to prepare strong witness statements and how your records are used in investigations, inquests and regulatory hearings.
The day has two parts.
Section 1 covers professional documentation. This includes record keeping, daily notes, statements and simple ways to check the quality of your work.
Section 2 covers how to give oral evidence. You will take part in a safe, supported exercise where a healthcare lawyer and inquest advocate ask you questions. You will get personal feedback to help you build confidence and improve your presentation skills.
No live or active cases are discussed.
What you will learn on our Professional Documentation, Record Keeping and Presenting Evidence Training
- Understand why high-quality records are essential for care, safety, accountability and legal scrutiny
- Write clear, factual and defensible clinical notes and witness statements
- Give confident oral evidence in formal settings
- Prepare strong, well-structured witness statements that support learning and transparency
- Use simple tools to critique and improve your own documentation
- Critically analyse evidence and avoid common pitfalls
- Understand how inquests and regulatory hearings work, including procedures, expectations and practicalities
- Distinguish between the roles of an expert witness and a witness of fact
- Recognise your personal responsibilities when giving evidence
- Manage lawyers’ questioning techniques while maintaining professional composure
Course format & logistics
- Duration: One full day (virtual or in-person)
- Format: Interactive workshop with practical exercises
- CPD-accredited and tailored for NHS and care settings
- Includes: Templates, structures and take-home tools
- Public course format and fee: virtual £200 + vat per person
- In-house course format and fee: virtual £2500 + vat and in-person £3500 + vat
Why this course is different
This professional documentation, record keeping and presenting evidence training turns record-keeping into a practical, usable skill—not just a compliance requirement. Delegates learn how their documentation directly supports patient care, investigations and accountability.
Testimonials
The cross-examination experience—delivered by a healthcare lawyer and inquest advocate—gives participants a safe environment to practise giving evidence, understand scrutiny and build confidence. You leave with realistic skills you can apply immediately in statements, hearings and everyday documentation.
“It will help me to prepare my staff should they need to be a witness. I will use the things I’ve learned to improve documentation amongst the team too.”
Ward Manager
“So many skills learned that can be transferred over into so many different elements of my role”
Nurse
Useful links
Article – How to keep good clinical records
Healthwatch – commentary on record keeping
quick links
