Child Death

PFD Category
Reports: 442 Areas: 65 Earliest: Jan 2015 Latest: 12 Mar 2026

77% response rate (above 62% average). 46% of classified responses show concrete action taken. Reports fell 2% from 57 (2023) to 56 (2024).

Response Status
Responded 341 No Response 9 Historic 83 Pending 8
AI Classification
Action Taken 46%
Action Planned 30%
Noted 18%
Disputed 6%
Based on 302 classified responses
Reports by Quarter
Clear
PFD Reports
83 results
Naiya Diarra
Historic (No Identified Response)
2023-0412 7 Oct 2015 Inner North London
National Institute for Health Care Exce…
Concerns summary Relevant patient information was inaccessible to clinicians due to being stored in disparate record systems, highlighting systemic failures in inter-NHS record sharing.
Yusuf Abdismad
Historic (No Identified Response)
2015-0202 27 May 2015 London Inner (North)
London Ambulance Service NHS Trust
Concerns summary Emergency medical dispatchers use confusing questioning to ascertain consciousness, leading to misinterpretation of patient status and missing critical symptoms like a rash or obscured pupils.
Elliott Bignall
Historic (No Identified Response)
2015-0111 23 Mar 2015 West Sussex
Network Rail
Concerns summary The railway foot crossing was poorly lit with inadequate signage, posing a danger to pedestrians who might not see or hear approaching high-speed trains, especially if distracted.
Robbie Williamson
Historic (No Identified Response)
2015-0105 12 Mar 2015 Lancashire (East)
Wales and West Utilities Northern Gas Network Scotia Gas Network +1 more
Concerns summary Concerns exist regarding exposed, raised pipework, potentially attached to bridges, that is accessible to the public and may pose a safety risk.
Daniel Strickland
Historic (No Identified Response)
2015-0505 20 Feb 2015 Southampton and the New Forest
St Edward’s School
Concerns summary Deficient information management included a lack of written handovers, inaccurate logs, an inaccessible daily log, and no clear method for sharing critical medical information with external parties.
Mohammed Yousaf
Historic (No Identified Response)
2015-0056 16 Feb 2015 Manchester (North)
Royal College of Obstetricians and Gyna… Pennine Acute Hospitals NHS Trust Department of Health and Social Care
Concerns summary There are no national guidelines for interpreting antenatal CTG tracings. Additionally, the Trust's Interpreting Policy faced issues with dissemination, application, and applicability, particularly concerning informed consent.
Shannon Gee
Historic (No Identified Response)
2015-0039 3 Feb 2015 Cornwall
Kernow Clinical Commissioning Group Department of Health and Social Care
Concerns summary Delays in mental health treatment occurred due to unaddressed gaps between organisational treatment thresholds and difficulties transferring medical notes, raising concerns about seamless patient care.
Sian Armstrong
Historic (No Identified Response)
2015-0019 21 Jan 2015 Avon
North Bristol NHS Trust
Concerns summary A significant delay occurred in providing Cognitive Behavioural Therapy (CBT) for a child, Sian Armstrong, who was assessed as needing it, highlighting a lack of timely access to critical mental health support.