Wendy Eyles
PFD Report
All Responded
Ref: 2026-0153
All 1 response received
· Deadline: 13 May 2026
Coroner's Concerns (AI summary)
A lack of protocol for patients receiving both NHS and private psychiatric care leads to poor communication regarding medication changes, risking patient safety due to uncoordinated treatment.
View full coroner's concerns
One of the findings of the the Patient Safety Incident Investigation (PSII) was that “.. there is no protocol for patients open to private and NHS psychiatry at Northamptonshire Healthcare Foundation Trust. The Psychiatrist’s role in patient care is to review and recommend appropriate medication and it is problematic if two Consultants are overseeing this at the same time. It can cause confusion and detriment to the patient if medication changes are not communicated between parties and represents a risk to patient safety… It is notable that CMHT operational managers from across the service differ in their views on the appropriateness of a patient being open to NHS and private services at the same time..”. It also emerged at Inquest that a NHS Consultant may not be aware that the patient is also receiving private psychiatry. Where the GP is notified of private psychiatry, it does not trigger a notification to NHS mental health services. Notification of the dual treatment may then be entirely dependent upon the information being shared by the patient.
Responses
Action Planned
• The Trust is developing a new private care protocol to guide clinicians on how to approach circumstances when a patient is accessing care from a private healthcare provider. • The protocol will operate within the existing policy framework, linked to existing policies and procedures for information sharing and record keeping. • Work to develop this new protocol is underway and will be completed by the end of this month, applying to new and existing patients. (AI summary)
• The Trust is developing a new private care protocol to guide clinicians on how to approach circumstances when a patient is accessing care from a private healthcare provider. • The protocol will operate within the existing policy framework, linked to existing policies and procedures for information sharing and record keeping. • Work to develop this new protocol is underway and will be completed by the end of this month, applying to new and existing patients. (AI summary)
View full response
Dear Mr Shah
Regulation 28 Report Concerning Wendy Siobhan Eyles
Thank you for your Report to Prevent Future Deaths (‘Report’) dated 22 December 2025 concerning the death of Wendy Siobhan Eyles on 31 October 2024. Before responding to the matters of concern you have included within your Report, I would like to express my condolences to Ms Eyles’ family and loved ones.
The matters of concern in your Report centre on the safeguards in place when a patient is receiving NHS and private psychiatric care simultaneously. Specifically, you highlighted the lack of a protocol within the Trust when, and the lack of a notification trigger if/when a GP becomes aware that, a patient is receiving private and NHS care.
You have asked the Trust to provide details of action taken, or proposed to be taken, or to explain why no action is proposed. Accordingly, please find below our response to your concerns detailing the actions we will take.
Protocol for patients receiving NHS and private psychiatry Patient safety is of paramount importance to NHFT. We understand that there are risks to a patient’s safety when they are receiving private psychiatric care alongside our own treatment plan. To manage these risks, we are developing a new private care protocol.
Cont’d/…
Date: 12 February 2026
Trust Headquarters: St. Mary’s Hospital, London Road, Kettering, NN15 7PW
This new private care protocol will guide clinicians throughout the organisation on how to approach circumstances when it becomes known that their patient is accessing care from a private healthcare provider. It will operate within our existing policy framework, linked to existing policies and procedures for information sharing and record keeping. Work to develop this new protocol is underway and will be completed by the end of this month. Once in place it will apply to new and existing patients. Please let me know if you would like to receive a copy of the protocol and I shall arrange for it to be sent to you.
While recognising the improvement this new protocol will deliver, it is important to remember that neither the patient themselves nor a private healthcare provider is obliged to inform us when they are receiving private psychiatric care.
Sharing information when patients are accessing private psychiatry I note that you sent a copy of your Report to the Northamptonshire Integrated Care Board (NICB), as the body responsible for commissioning primary care services from GPs.
Since receiving your Report, we have been in dialogue with the NICB about the steps we can take to facilitate an appropriate exchange of information with NHFT when a GP becomes aware their patient is simultaneously receiving NHS and private psychiatric care. In their response to your Report, the NICB will confirm the specific actions they have taken to encourage the GPs they commission to notify us when a patient is receiving private psychiatric care while adhering to information governance requirements.
I hope the content of this letter fully addresses the concerns you raised in your Report and provides assurance on the steps we will take to prevent future deaths. Please contact me if you have any questions about this letter or require further information.
Regulation 28 Report Concerning Wendy Siobhan Eyles
Thank you for your Report to Prevent Future Deaths (‘Report’) dated 22 December 2025 concerning the death of Wendy Siobhan Eyles on 31 October 2024. Before responding to the matters of concern you have included within your Report, I would like to express my condolences to Ms Eyles’ family and loved ones.
The matters of concern in your Report centre on the safeguards in place when a patient is receiving NHS and private psychiatric care simultaneously. Specifically, you highlighted the lack of a protocol within the Trust when, and the lack of a notification trigger if/when a GP becomes aware that, a patient is receiving private and NHS care.
You have asked the Trust to provide details of action taken, or proposed to be taken, or to explain why no action is proposed. Accordingly, please find below our response to your concerns detailing the actions we will take.
Protocol for patients receiving NHS and private psychiatry Patient safety is of paramount importance to NHFT. We understand that there are risks to a patient’s safety when they are receiving private psychiatric care alongside our own treatment plan. To manage these risks, we are developing a new private care protocol.
Cont’d/…
Date: 12 February 2026
Trust Headquarters: St. Mary’s Hospital, London Road, Kettering, NN15 7PW
This new private care protocol will guide clinicians throughout the organisation on how to approach circumstances when it becomes known that their patient is accessing care from a private healthcare provider. It will operate within our existing policy framework, linked to existing policies and procedures for information sharing and record keeping. Work to develop this new protocol is underway and will be completed by the end of this month. Once in place it will apply to new and existing patients. Please let me know if you would like to receive a copy of the protocol and I shall arrange for it to be sent to you.
While recognising the improvement this new protocol will deliver, it is important to remember that neither the patient themselves nor a private healthcare provider is obliged to inform us when they are receiving private psychiatric care.
Sharing information when patients are accessing private psychiatry I note that you sent a copy of your Report to the Northamptonshire Integrated Care Board (NICB), as the body responsible for commissioning primary care services from GPs.
Since receiving your Report, we have been in dialogue with the NICB about the steps we can take to facilitate an appropriate exchange of information with NHFT when a GP becomes aware their patient is simultaneously receiving NHS and private psychiatric care. In their response to your Report, the NICB will confirm the specific actions they have taken to encourage the GPs they commission to notify us when a patient is receiving private psychiatric care while adhering to information governance requirements.
I hope the content of this letter fully addresses the concerns you raised in your Report and provides assurance on the steps we will take to prevent future deaths. Please contact me if you have any questions about this letter or require further information.
Part of a Series
2 separate reports were issued from this inquest, each sent to different organisations.
-
2025-0641
Sent to: Northamptonshire Healthcare Foundation TrustNorthamptonshire Integrated Care BoardNo responses yet
This report (2026-0153) is shown above.
Sent To
- Northamptonshire Healthcare NHS Foundation Trust
- Northamptonshire Integrated Care Board
Response Status
Linked responses
1 of 2
56-Day Deadline
13 May 2026
All responses received
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On 04 November 2024 I commenced an investigation into the death of Wendy Siobhan EYLES aged 55. The investigation concluded at the end of the inquest on 15 December 2025. The conclusion of the inquest was that: Wendy Siobhan Eyles died on the 31st October 2024 when she was struck by a train at Kettering station, having climbed down from the platform. Appropriate mental health support and intervention had not been provided.
Circumstances of the Death
Wendy Siobhan Eyles died 31.10.2024 when she was struck by a train at Kettering Station having climbed down from the platform. Appropriate mental health support and intervention had not been provided. The medical cause of death was:- 1a Multiple traumatic injuries. The conclusion was Suicide.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.