Other related deaths

PFD Category
Reports: 778 Areas: 72 Earliest: Aug 2013 Latest: 23 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).

PFD Reports
778 results
Christine Dryden
Historic (No Identified Response)
2016-0490 17 Aug 2016 West Yorkshire (West)
Incommunities
Concerns summary The absence of regular checks on installed smoke and heat detectors in properties presents a safety risk, necessitating a review of maintenance arrangements.
Leslie Matthews
Partially Responded
2016-0276 26 Jul 2016 County Durham and Darlington
County Durham and Darlington NHS Founda… Medicines and Healthcare Products Regul… Patient Safety Lead
Alfie Gray
All Responded
2016-0262 25 Jul 2016 West Sussex
British Travel Agents
Concerns summary Inadequate lifeguard provision, including insufficient numbers, lack of medical training, and uncommunicated off-duty periods, created significant safety risks for holidaymakers.
Steven Billington
All Responded
2016-0247 12 Jul 2016 Manchester (West)
Home Office Secretary for Communities and Local Gov…
Concerns summary No specific concerns are detailed in the provided text.
Alice Gross
All Responded
2016-0488 12 Jul 2016 London Inner (West)
Home Office
Concerns summary UK police lack mandatory foreign conviction checks for all arrestees and UK nationals. There are concerns about inadequate international data sharing, "watch list" management, and potential loss of Europol access post-Brexit.
Peter Seale
Historic (No Identified Response)
2016-0215 8 Jun 2016 Manchester (North)
Department of Health and Social Care Royal College of Physicians
Concerns summary The absence of national guidance for monitoring patients with pleural plaques leads to inconsistent follow-up, risking delayed diagnosis and treatment.
Stephen Hunt
All Responded
2016-0216 8 Jun 2016 Manchester (City)
Chief Fire and Rescue Services Home Office
Concerns summary Fire and Rescue Services lacked adequate measures for managing heat stress in hot environments, had poor communication protocols, and insufficient training/SOPs for incident role handover, hazard recording, and thermal imaging camera use.
Ezharul Islam
All Responded
2016-0214 6 Jun 2016 London (North)
Transport for London
Concerns summary There is no system in place to alert bus passengers when the vehicle is about to move, unlike previous methods which involved verbal warnings and a bell.
Kathryn Bull
Historic (No Identified Response)
2016-0188 27 Apr 2016 London Greater Inner South
British Obesity and Metabolic Surgery S…
Concerns summary Death was caused by hyperammonaemia syndrome, a rare and poorly understood adverse consequence of gastric bypass surgery, with symptoms that are not well known.
Carl Thompson
Historic (No Identified Response)
2016-0492 18 Apr 2016 West Yorkshire (West)
Carralejo Fuerteventura
Concerns summary Life-saving equipment used by lifeguards was defective or missing, including a defibrillator without batteries, causing significant resuscitation delays. There were also concerns about lifeguard training and information provided to holidaymakers.
Adam Miles
All Responded
2016-0132 29 Mar 2016 South Yorkshire (West)
Canal and River Trust Hilton Hotel
Concerns summary The hotel allowed smoking near the canal without adequate barriers to prevent falls, and the canal itself lacked any means of escape for individuals who fell in.
Jane Bell
All Responded
2016-0119 22 Mar 2016 Blackpool and Fylde
Dalmeny Hotal
Concerns summary Insufficient poolside supervision at the hotel due to infrequent patrols and reliance on CCTV monitored by reception staff who are also busy with other tasks, creating a risk of future deaths.
Charles Newby
Historic (No Identified Response)
2016-0104 10 Mar 2016 West Yorkshire (Western)
Canal River Trust
Concerns summary There are no life rings installed at Lock 19 on the Calder Canal, creating a clear risk of future deaths from drowning.
Patricia Thomas
Historic (No Identified Response)
2016-0096 7 Mar 2016 Swansea
BMA General Dental Council NHS England: Wales and Scotland +2 more
Concerns summary A significant lack of awareness among health professionals regarding the dangerous interaction between Miconazole Gel and Warfarin, combined with unclear information resources, risks uncontrolled bleeding.
David Palmer
Historic (No Identified Response)
2016-0076 25 Feb 2016 South Lincolnshire
Lincolnshire Police
Concerns summary Unlicensed firearms are often insecurely stored, available for impulsive use. Publicising that surrendering such weapons usually avoids prosecution might encourage their removal.
James Barrett
All Responded
2016-0052 15 Feb 2016 Portsmouth and South East Hampshire
Hampshire Constabulary Police
Concerns summary Ineffective missing persons searches were hampered by reliance on volunteer mapping systems rather than a police stand-alone system, and the lack of tracking devices for searchers.
Eitvydas Zdanys
All Responded
2016-0043 9 Feb 2016 Bedfordshire and Luton
Bedfordshire Police
Concerns summary Police officers responding to a road traffic incident lacked basic life support training, rendering them unable to assess or resuscitate a seriously injured motorcyclist.
Christopher Broom
Historic (No Identified Response)
2016-0044 7 Feb 2016 Cornwall and the Isles of Scilly
Square Sail
Concerns summary Lack of adequate lighting at the harbour wall end and a single, hard-to-spot lifebelt created significant safety risks for visitors.
Samantha MacDonald
All Responded
2016-0036 5 Feb 2016 Manchester (West)
Campus Living Villages Department for Education
Concerns summary A broken window restrictor in student accommodation, despite meeting standards, allowed a fatal fall, highlighting the need for robust risk assessments and more secure devices in such buildings.
Carl Dickerson
All Responded
2016-0030 2 Feb 2016 Norfolk
Civil Aviation Authority
Concerns summary Regulatory loopholes allow non-commercial flights from unlicensed aerodromes to operate in conditions prohibited for commercial ventures, despite previous accidents and unimplemented recommendations for a special aviation category.
Edward Haughey
All Responded
2016-0030-wp25087 2 Feb 2016 Norfolk
Civil Aviation Authority
Lee Hoyle
All Responded
2016-0030-wp25088 2 Feb 2016 Norfolk
Civil Aviation Authority
Andrew Coates
All Responded
2016-0025 28 Jan 2016 Cumbria
Cumbria County Council
Concerns summary An unsuitable wooden shed was licensed for fireworks storage, containing other combustibles and having deficient licensing that failed to specify types or designate a specific site, exacerbated by sketchy inspection records.
Ronald Volante
All Responded
2016-0499 28 Jan 2016 Liverpool
Magenta Living Support Link
Concerns summary Call handlers failed to use medical history to inform ambulance services and were not trained to report changes in patient presentation, indicating a need to revisit the training manual and methods.
Elvis Snelson
Historic (No Identified Response)
2016-0042 21 Jan 2016 Manchester City
Department of Health and Social Care
Concerns summary The "legal high" acetylfentanyl, a highly potent opioid, poses significant risks due to users being unaware of its opioid nature, leading to dangerous sedation and respiratory depression.