Pennine Care NHS Foundation Trust
PFD Addressee
Reports: 48
Earliest: Aug 2013
Latest: 20 Jan 2026
100% 2-year response rate (above 83% average). 55% of classified responses show concrete action taken.
PFD Reports
27 resultsGuy Robinson
All Responded
2015-0432
12 Nov 2015
Manchester (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
The 'AWOL' protocol was improperly applied due to staff unfamiliarity, lacking Trust-wide implementation. A significant service gap exists with no inpatient clinical psychology access, disadvantaging vulnerable patients.
Action Taken
(AI summary)
The Trust reviewed and revised the Absence Without Leave (AWOL) policy, including additional guidance and a flowchart, and implemented it Trust-wide on April 1, 2015; Psychological therapies are available on the ward via referral from a Consultant Psychiatrist or nursing staff.
Paul McGuigan
All Responded
2015-0185
12 May 2015
Manchester (South)
Other related deaths
Concerns summary (AI summary)
General concerns were raised across relevant agencies about risks that could lead to future deaths, requiring action.
Action Planned
(AI summary)
The Home Office states that the Notifiable Occupations Scheme (NOS) was withdrawn and replaced with a new police-led scheme, the Common Law Police Disclosure (CLPD) scheme, which provides greater consistency across forces in the disclosure of information. The Trust states that following the Bradley Report (2009), the MDO teams transferred into single line management and implemented operational policy and approved documentation for assessment of needs and risks. They are rolling out an electronic clinical record (PARIS) and clinical staff have adequate time to access information from case notes. GMP will train officers in understanding their responsibilities under the pressing social need test, including classroom and NCALT training. They will be entering and holding notifications on the intelligence file of offenders. The SIA offered training and guidance to all UK police forces.