Child Death
PFD Category
Reports: 443
Areas: 65
Earliest: Jan 2015
Latest: 26 Mar 2026
79% response rate (above 63% average). 38% of classified responses show concrete action taken. Reports fell 2% from 57 (2023) to 56 (2024).
PFD Reports
5 resultsSummer Mant
No Identified Response
2026-0118
27 Feb 2026
South Wales Central
Aneurin Bevan University Health Board
Betsi Cadwaladr University Health Board
Cabinet Secretary for Health and Social…
+7 more
Concerns summary (AI summary)
A delay in obtaining adrenaline during resuscitation occurred due to non-standardised paediatric crash trolleys across hospitals, hindering junior doctors in a time-critical situation.
Theo Tuikubulau
No Identified Response
2026-0006
6 Jan 2026
Devon, Plymouth and Torbay
NHS England
Concerns summary (AI summary)
Two distinct triage systems for 999 and 111 calls create a two-tiered ambulance categorisation for similar urgent breathing complications, potentially delaying critical responses based on the system used.
Izzah Ali
No Identified Response
2025-0622
11 Dec 2025
Cornwall and the Isles of Scilly
Education and Children’s Community Heal…
Concerns summary (AI summary)
The 'Essential Guide to feeding your Baby' is inadequate as it fails to explicitly warn against giving cow's milk to infants under one year due to the risk of anaemia.
Evelyn Rae Le Masurier-O’Sullivan
No Identified Response
2025-0597
26 Nov 2025
South London
Crown Commercial Services
NHS England
Concerns summary (AI summary)
Midwifery staff failed to elicit and act upon parental concerns about a baby's breathing and crying during postnatal contacts, leading to missed neonatal assessments and escalation.
Charlotte Werner
No Identified Response
2025-0270
2 Jun 2025
Inner North London
University College London Hospitals NHS…
Concerns summary (AI summary)
A lack of clear communication led to a misunderstanding that a dietetic service treated eating disorders, highlighting a need for clarification that it is not a mental health service.