Jo Adams is a 74yr old lady who has been admitted to a short stay ward with abdominal pain secondary due to constipation. Jo lives alone and is independent with ADLs. Usually, uses single point stick to aid her in walking. After handover, you went to see and find her on the ground calling for help. After assessment Jo is found to have no injuries and she explains that she tried to stand up and lost her balance. Open Disclosure requires planning on the part of the organisation. This includes thinking about how the incident will be presented to the patient (or their family), who does the disclosing, who apologises, how and whether the patient or family members will be offered ex gratia forms of support (follow up treatment, tests, and so forth). Discuss within your group following questions: • Does this incident require Open Disclosure (OD) and why? • How would you initiate OD? • What level-response is appropriate for this situation and why? • Who should be included in the OD meeting? • Explain the steps that should be involved as per the chosen level of response. • What could be included as follow up measures to support the patient/family?