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
8 resultsMalcolm Welch
Response Pending
2026-0144
11 Mar 2026
North Yorkshire and York
York & Scarborough Teaching Hospitals N…
Concerns summary
Inconsistent provision of mobility aids during patient transfers between hospital wards, as walking frames do not automatically follow patients, posing a fall risk.
Surendrakumar Patel
Response Pending
2026-0141
10 Mar 2026
Worcestershire
Government Legal Department
Practice Plus Group
Midlands Partnership NHS Foundation Tru…
Concerns summary
Healthcare staff lacked awareness of the food refusal policy and failed to conduct necessary mental capacity assessments for patients refusing food.
John Loannou
Response Pending
2026-0137
10 Mar 2026
East London
Department of Health and Social Care
Barts Health NHS Trust
Concerns summary
Barts Health Trust failed to investigate a patient's death under the NHS Patient Safety Framework, missing crucial learning opportunities regarding infection causes and communication with a profoundly learning disabled patient.
Emma Turner
Response Pending
2026-0115
25 Feb 2026
Derby and Derbyshire
Derbyshire County Council
Derby City Council
Concerns summary
Poor information sharing and lack of system connectivity between agencies hindered care for a vulnerable adult. The GP safeguarding referral form was inadequate, causing delays in response.
Lesley Krommendijk
Response Pending
2026-0109
25 Feb 2026
Manchester South
Stockport NHS Foundation Trust
Concerns summary
Discharge assessment processes led to an unrealistic impression of the patient's mobility, potentially compromising patient safety.
Jane Fenwick
Response Pending
2026-0104
19 Feb 2026
Northamptonshire
NHS England
Department of Health and Social Care
Concerns summary
A patient with multiple choking risk factors was not referred for Speech and Language Therapy due to high intervention thresholds and long waiting lists, despite a care plan recommending observation.
Pamela George
Response Pending
2026-0049
30 Jan 2026
Devon, Plymouth and Torbay
Cann House
Premiere Health Ltd
Concerns summary
The care home failed to conduct regular blood tests, inadequately managed infections, and lacked clear policies for medical escalation, capacity assessment, and documentation, despite patient needs exceeding capacity.
Walter Pollyn
Response Pending
2026-0134
16 Dec 2025
Kent and Medway
Medway NHS Foundation Trust
Concerns summary
Nursing staff repeatedly failed to adhere to 'nil by mouth' instructions despite clear documentation and visual cues, indicating potential underlying attitudinal issues and inadequate record-keeping practices.