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 8 Historic 83 Pending 9
AI Classification
Action Taken 46%
Action Planned 29%
Noted 19%
Disputed 7%
Based on 196 classified responses
Reports by Quarter
Clear
PFD Reports
8 results
Sidra Aliabase
No Identified Response
2026-0031 21 Jan 2026 Inner West London
Great Ormond Street Hospital Chelsea and Westminster Hospital
Concerns summary Failures included not expediting Long QT Syndrome diagnosis, inadequate communication of expert opinion, a five-fold medication overdose, and a significant delay in recognizing and treating subsequent hypocalcaemia.
Theo Tuikubulau
No Identified Response
2026-0006 6 Jan 2026 Devon, Plymouth and Torbay
NHS England
Concerns 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.
Mohamed Abdisamad
No Identified Response
2025-0644 28 Dec 2025 West London
Communities and Local Government Department of Health and Social Care Ministry of Housing
Concerns summary There is a complete absence of regulation for Non-Therapeutic Male Circumcisions, including no requirements for training, accreditation, consent, record-keeping, infection control, or crucial aftercare.
Izzah Ali
No Identified Response
2025-0622 11 Dec 2025 Cornwall and the Isles of Scilly
Education and Children’s Community Heal…
Concerns 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 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.
Joshua Allcock
No Identified Response
2026-0012 1 Jul 2025 Black Country
Walsall Healthcare NHS Trust Walsall Local Authority Birchill’s Health Centre
Concerns summary Inconsistent national guidance for autism diagnosis hindered specialist dietician referrals for ARFID, while the insensitive Capillary Refill Time test provided misleading reassurance regarding dehydration in children.
Charlotte Werner
No Identified Response
2025-0270 2 Jun 2025 Inner North London
University College London Hospitals NHS…
Concerns 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.
James Pearson
No Identified Response
2024-0266 14 May 2024 Birmingham and Solihull
University Hospitals Birmingham NHS Fou…
Concerns summary Lack of documented observations, insufficient doctor staffing for multiple critical patients, and delayed access to blood products hindered timely intervention, contributing to a patient's rapid deterioration and cardiac arrest.