Community health care and emergency services related deaths
PFD Category
Reports: 610
Areas: 69
Earliest: Jul 2013
Latest: 11 Mar 2026
70% response rate (above 62% average). 49% of classified responses show concrete action taken.
PFD Reports
157 resultsJohn Michael Bailey
Historic (No Identified Response)
2013-0198
9 Sep 2013
South Yorkshire (West)
Department of Health and Social Care
May Gibson
Historic (No Identified Response)
2013-0199
30 Aug 2013
South Yorkshire (West)
Herries Lodge Care Home
Concerns summary
The care home exhibited widespread systemic failures, including inadequate assessments, poor care planning, insufficient risk management, and a lack of cohesive management and staff training.
Jill Sinson
Historic (No Identified Response)
2013-0221
23 Aug 2013
West Yorkshire (East)
Beeston Health Centre
Concerns summary
The GP failed to adequately monitor the deceased, prescribed large quantities of unsupervised medication despite a self-harm history, and staff neglected to review critical records or consultant advice.
Keward Guy Domonic Harding
Historic (No Identified Response)
2013-0190
16 Aug 2013
Dorset
Community Mental Health Team
Concerns summary
An urgent mental health assessment was significantly delayed for over two weeks, potentially preventing detection of a decline in physical health that could have been treated.
Jean Miller
Historic (No Identified Response)
2013-0191
7 Aug 2013
Manchester (West)
Pennine Care Trust
Concerns summary
District nurses failed to baseline a patient's wound, did not involve tissue viability specialists, and did not routinely take temperatures, as they were not issued with thermometers.
Annie Rose Gibson
Historic (No Identified Response)
2013-0171
1 Aug 2013
West Yorkshire (East)
Saga Homecare
Derek Edward Bartlett Twivey
Historic (No Identified Response)
2013-0175
30 Jul 2013
West Sussex
Fairlight Nursing Home