Other related deaths

PFD Category
Reports: 776 Areas: 72 Earliest: Aug 2013 Latest: 6 Mar 2026

75% response rate (above 62% average). 48% of classified responses show concrete action taken. Reports fell 26% from 91 (2023) to 67 (2024).

Response Status
Responded 581 No Response 4 Historic 163 Pending 12
AI Classification
Action Taken 48%
Action Planned 30%
Noted 15%
Disputed 7%
Based on 543 classified responses
Reports by Quarter
PFD Reports
776 results
Derek Dudley
Historic (No Identified Response)
2017-0284 21 Sep 2017 Surrey
CSS Telecare Service Elmbridge and Ewell Borough Council Tandridge District Council
Concerns summary A community alarm operator ended a call with an elderly man who had fallen before he could get up, without checking for emergency contacts. This raises concerns about fall response protocols and subsequent safety.
Kathleen Holme
All Responded
2017-0212 18 Sep 2017 Cumbria
SC Johnson and Son
Concerns summary The automatic air freshener lacked prominent warnings about fire risks near naked flames, with critical safety information being too small on packaging and absent from the device itself.
Brian MaClean
Partially Responded
2017-0223 11 Sep 2017 Manchester (City)
Director of Housing NHS Manchester Clinical Commissioning G…
Concerns summary Social Services and housing providers failed to proactively assess fire risks, make referrals to fire services, or install automatic water suppression systems and appropriate alarms for high-risk individuals.
Anthony McCormack
Partially Responded
2017-0241 4 Sep 2017 Manchester (City)
Department of Health and Social Care Emirates Airlines Manchester Airport Group +1 more
Concerns summary Airline staff training in cardiac arrest recognition and CPR was inadequate, while ambulance services failed to meet response targets, exacerbated by only one paramedic on duty at the airport, preventing advanced life support.
Mohammad Ashraf
All Responded
2017-0243 1 Sep 2017 Birmingham and Solihull
Al Hijrah School Birmingham City Council Birmingham Community Healthcare NHS Tru… +1 more
Concerns summary Inaccurate and delayed care plans, poor communication between the school and catering service, and a failure to disseminate critical safety recommendations by the local authority resulted in inadequate allergy management for pupils.
Jac Davies
All Responded
2017-0250 21 Aug 2017 Swansea Neath and Port Talbot
Welsh Assembly Government
Concerns summary Landlords in Wales are under no legal obligation to install smoke alarms in rented properties, contrasting with England's regulations, and current "best practice" recommendations carry no enforcement.
Spencer Hurst
Partially Responded
2017-0275 16 Aug 2017 Black Country
Parkhill Group of Companies Walsall Metropolitan Borough
Concerns summary A second death in similar circumstances at the same location highlights a critical failure to implement adequate warning notices, fencing, or other safety measures to mitigate swimming risks.
Ian Leak
Partially Responded
2017-0274 15 Aug 2017 Manchester (South)
Peak Valley Housing Association Hub
Concerns summary The communal fire alarm system at Honiton Oaks failed to trigger audible alerts within individual flats, raising serious safety concerns for residents, particularly those with mobility problems under a "Stay Put" policy.
Maya Kantengule
All Responded
2017-0317 8 Aug 2017 Norfolk
Waveney River Centre
Concerns summary Significant safety risks arose from a lack of formal health and safety training, absence of specific risk assessments for swimming pool birthday parties, and failures to follow safety procedures, including non-functional CCTV.
Liam Hall
Historic (No Identified Response)
2017-0242 27 Jul 2017 Newcastle Upon Tyne
Sunderland City Council
Concerns summary A lack of appropriate warning signage about water risks, especially with inflatables, and no lifeguard supervision contributed to the death in Roker Harbour.
Gustavo Da Cruz, Mohit Dupar, Inthushan Sriskantharasa, Gurushanth Srithavarajah, Kenugen Saththiyanathan, Kobikanthan Saththiyanathan and Nitharsan Ravi
All Responded
2023-0105Deceased 24 Jul 2017 East Sussex
Department for Transport Sussex Police Maritime and Coastguard Agency +7 more
Concerns summary There is a lack of formal governance and risk management for beach safety. A national review of safety regimes and potential government powers to restrict beach access is needed.
Linda Baranowski
Partially Responded
2017-0341 22 Jul 2017 Hertfordshire
Food Standard Agency Hertfordshire Trading Standards National Food Crime Unit
Concerns summary Widely available diet supplements and a hot slimming cream contributed to a fatal inflammatory response, raising concerns about the sale of products with unknown effects.
Steffan Bonnot
Historic (No Identified Response)
2017-0450 14 Jul 2017 West Sussex
Ofsted
Concerns summary Inadequate and undocumented disclosure of a child's background information to prospective foster carers caused anxiety and posed a risk to informed placement decisions.
Sousse (Tunisia)
Historic (No Identified Response)
2017-0206 7 Jul 2017 London (West)
ABTA Civil Aviation Authority Foreign, Commonwealth & Development Off… +1 more
Concerns summary Travel companies lacked board-level security advisors and failed to prominently display government travel advice, leaving customers potentially uninformed about terrorism risks in destination countries.
Joseph De Pellergrino-Farrugia
Partially Responded
2017-0430 3 Jul 2017 North Yorkshire (West)
A.J Way & Co Ltd National Trading Standards Yorkshire Care Equipment
Concerns summary The absence of safety sensors on a chair mechanism led to a crushing injury, as it failed to detect a foot's presence and prevent operation.
William Wilson
Historic (No Identified Response)
2017-0186 12 Jun 2017 Manchester (South)
Church Inn
Concerns summary The establishment lacked a clear system for alerting the designated first aider, and staff who attended the deceased were unfamiliar with basic life-saving first aid techniques.
Lucy Goldstone
Historic (No Identified Response)
2017-0168 26 May 2017 Manchester (City)
Department for Transport Department of Health and Social Care
Concerns summary There are no Automated Electronic Defibrillators (AEDs) available on trams or at tram stops across the Metrolink network.
Bonamie Armitage
Partially Responded
2017-0170 25 May 2017 Gloucestershire
Cotswold Hunt Council of Hunting
Concerns summary There are no mandatory requirements for child participants in a Hunt to wear protective equipment, demonstrate competence, or have adult supervision with a specified ratio.
Nasar Ahmed
All Responded
2023-0134 12 May 2017 Inner North London
Bow School and Compass Wellbeing Tower … British Society for Allergy and Clinica… Bromley by Bow Health Centre +3 more
Concerns summary A school nurse's inadequate medication review process included using an incorrect allergy action plan, not verifying medication in school, and failing to ensure updated, in-date medication.
Peter Richardson
Partially Responded
2017-0162 10 May 2017 Surrey
West End Garage HSB Engineering Insurance Services Limi… Health and Safety Executive +4 more
Concerns summary A lack of formal guidance on safe tolerances for critical elements of two-post vehicle lifts and insufficient torque specifications from suppliers creates an ongoing safety risk.
Cedric Skyers
All Responded
2022-0305 10 May 2017 Inner South London
BUPA Lewisham Adult Safeguarding Board Care Quality Commission
Concerns summary The care home's smoking risk assessment for immobile residents fails to adequately address immobility risks, lacks clear guidance on safety equipment provision, and does not document refusal of professional advice.
Chadrack Mulo
All Responded
2017-0120 12 Apr 2017 London Inner (North)
Department for Education
Concerns summary School procedures for unexplained absences were inadequate, with limited emergency contacts and delayed responses to non-attendance, revealing a need for wider adoption of immediate welfare checks.
John Higgs
All Responded
2017-0113 10 Apr 2017 South Yorkshire (West)
Department of Health and Social Care
Concerns summary The system for communicating unexpected, non-cancerous radiological findings is flawed, relying solely on one doctor to notice and input information, with no "red flag" or specific protocol for critical non-cancerous results.
John Jaundoo
Historic (No Identified Response)
2017-0100 29 Mar 2017 Liverpool and Wirral
National Offender Management Service Liverpool City Council
Concerns summary Probation failed to appropriately place high-risk offenders and maintain dynamic risk assessments, while Adult Social Services lacked oversight, leading to unsuitable placements and missed public protection opportunities.
Antony Abbott
Historic (No Identified Response)
2017-0092 23 Mar 2017 Manchester (West)
Foreign, Commonwealth & Development Off…
Concerns summary Spanish Custody Officers, despite receiving first aid training for detainees, are not trained in Cardio Pulmonary Resuscitation (CPR), posing a risk in emergency situations.