Barking, Havering and Redbridge University Hospitals NHS Trust
PFD Addressee
Reports: 31
Earliest: Sep 2013
Latest: 10 Mar 2026
50% 2-year response rate (below 83% average). 71% of classified responses show concrete action taken.
PFD Reports
31 resultsAnna Walker
Historic (No Identified Response)
2017-0079
10 Mar 2017
London (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Post-operative checks were not compliant with protocol, leading to delayed detection of a bleed, due to failures in portering, ward nurse responsibilities, and unclear clinical accountability. The incident was also inappropriately downgraded.
Mary Bloom
All Responded
2015-0417
30 Oct 2015
East London
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Trust policy on heparin administration was not followed, including failure to weigh the patient, consult haematology, or take post-hydration bloods. Critical dosage advice for underweight patients was also easily missed due to poor visibility on posters.
Action Taken
(AI summary)
The trust implemented three new policies and a chart for unfractionated heparin administration. The guidelines now state that if the APTTR at 6hrs is outside the expected range then the Consultant Haematologist should be contacted for further advice in those patients at the extreme ends of the weight ranges i.e. <41kg and >90kg.
Ronald Smith
Historic (No Identified Response)
2015-0207
1 Jun 2015
London (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
There was a failure to provide flexible sigmoidoscopy out of hours, and despite a root cause analysis identifying the need for a protocol, one was still not in place 18 months after the death.
Lana-Liza Chervonenko
Historic (No Identified Response)
2015-0022
28 Jan 2015
London (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
High activity on the labour ward led to delayed medical reviews, incorrect emergency grading, incomplete patient assessments, and a flawed prioritisation decision, resulting in significant delays to emergency delivery.
Mr Pether
Historic (No Identified Response)
2014-0432
2 Oct 2014
London (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Inadequate monitoring and assessment of a patient's wound, delayed identification of infection, and insufficient re-consideration of treatment options despite deteriorating clinical condition.
Tripta Rani Kumar
Historic (No Identified Response)
2013-0235
19 Sep 2013
London Eastern
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
A patient with a documented penicillin allergy was prescribed penicillin-containing medication after a critical allergy note was incorrectly overwritten without authorisation, creating a serious risk of anaphylaxis.