North London NHS Foundation Trust
PFD Addressee
Reports: 27
Earliest: Oct 2013
Latest: 23 Jun 2025
100% 2-year response rate (above 83% average). 52% of classified responses show concrete action taken.
PFD Reports
27 resultsAbdullahi Sharif Abokar
All Responded
2013-0323
3 Dec 2013
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Mental health staff failed to assess suicide risk due to misconceptions, and resuscitation efforts were critically compromised by inadequate airway management, unactivated oxygen, and staff abandoning the patient.
Action Taken
(AI summary)
The Trust implemented a "Rapid Improvement Plan" for Coral ward, including mandatory training in suicide risk assessment and in-hospital life support, simulation exercises every 6 months, revised resuscitation scene management, and specialist training in oxygen use. The nurse involved is being managed under the Trust's capability policy.
John Lansdowne
Historic (No Identified Response)
2013-0360-wp26756
23 Oct 2013
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Unclear observation records and inconsistent staff understanding of patient observation protocols during bathing, coupled with the use of baths instead of safer walk-in showers, posed risks.