Mental Health related deaths
PFD Category
Reports: 626
Areas: 69
Earliest: Aug 2013
Latest: 27 Feb 2026
77% response rate (above 62% average). 62% of classified responses show concrete action taken. Reports rose 94% from 33 (2023) to 64 (2024).
PFD Reports
5 resultsLouis Saunders
Response Pending
2026-0130
27 Feb 2026
East Sussex
NHS England
Concerns summary
Poor communication and coordination between private ADHD clinics and NHS GPs led to duplicate prescriptions for different medications, risking patient confusion and potential harm.
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.
John Franklin
Response Pending
2026-0110
8 Feb 2026
Worcestershire
Worcestershire County Council
Concerns summary
A high-risk falls patient was discharged home before a careline/lifeline pendant was provided, delaying assistance when the patient subsequently fell.
Mansoor Zaman
Response Pending
2026-0072
6 Feb 2026
East London
East London Foundation NHS Trust
Department of Health and Social Care
Concerns summary
Nursing staff failed to instigate MHA authorisations, adequately document care, reappraise risk after violent behaviour and absconding, and promptly report a missing patient to the police via emergency channels.
Hilary Chapman
Response Pending
2026-0111
16 Sep 2025
County Durham and Darlington
TEWV
Concerns summary
The updated section 17 leave policy does not reflect the new processes for discussing and prescribing leave, creating a gap between practice and documented policy, with no review expected until 2026.