PFD Response Tracker
Prevention of Future DeathsHow statuses are calculated — 56-day deadline, Judiciary.UK data
Recipients have 56 days to respond under Regulation 28. We use the deadline stated in the report where available, otherwise we calculate it from the report date.
We rely on Judiciary.UK for response data, so if a response has been provided but not yet published there, it may show incorrectly here.
"No identified response", "Pending", and "Historic" only count reports where no response at all has been identified as published on Judiciary.UK.
If at least one response has been published for a report, it counts as "Responded" — even if not every listed addressee has a separate published response.
This is because addressee data from Judiciary.UK can be unreliable: address fragments, job titles, and redacted names are sometimes parsed as separate addressees, and a single response PDF may cover multiple parties.
"Historic with no identified response" means we have not been able to identify a published response, but the report is more than two years old.
We do not mark these as overdue or pending because older reports may well have received a response that was simply never made public.
This is a neutral status indicating absence of an identified published record, not confirmed non-compliance.
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4,628 reports
· Page 4 of 93
| Date | Deceased | Addressee(s) | Status | Responses |
|---|---|---|---|---|
| 13 Oct 2025 |
Mark Townsend
Stewards' lack of awareness regarding the nearest radio location caused delays in summoning medical assistance, posing a future …
|
Sheffield Wednesday Football Club | All Responded | 1/1 |
| 11 Oct 2025 |
Joanna Chamberlain
A gap exists in safe spaces for mental health patients needing more support than home teams provide. National …
|
NHS England | All Responded | 1/1 |
| 11 Oct 2025 |
Sarah Healey
Inadequate information sharing and a lack of a joined-up approach across health services for mental health patients with …
|
Department of Health and Social … | All Responded | 1/1 |
| 10 Oct 2025 |
William Puplett
Emergency dispatch protocols lack specific questions for tracheostomy patients regarding suction equipment availability and use, risking delayed high-priority …
|
International Academies of Emergency Dispatch | All Responded | 1/1 |
| 10 Oct 2025 |
Jillian Steedman
Failures in information sharing, incomplete care plans, and inadequate risk assessments led to an inappropriate discharge placement that …
|
Essex County Council Essex Partnership NHS Foundation Trust | All Responded | 2/2 |
| 10 Oct 2025 |
Adrienne Studholme
Inaccurate fluid balance charting, unrecorded seizure activity, and a lack of procedures for ED readmission after recent surgery, …
|
East Lancashire NHS Trust | All Responded | 1/1 |
| 9 Oct 2025 |
Derek Crowther
Staff worked without mandatory life support training, and the lack of a digital system for contemporaneous patient observations …
|
Pennine Care NHS Foundation Trust | All Responded | 1/1 |
| 9 Oct 2025 |
Leo Barber
Vulnerable children can access online suicide material, and international service providers’ jurisdictional stance can obstruct coronial investigations, hindering …
|
Google UK & Ireland | All Responded | 1/1 |
| 9 Oct 2025 |
Pauline Stirling
Inadequate documentation of positional changes, insufficient training for agency nurses, and a lack of wound care training despite …
|
Malhorta Group Prestwick Care | Partially Responded | 1/2 |
| 9 Oct 2025 |
Matthew Goldsmith
Multiple significant abnormal findings in abdominal CT scans were repeatedly missed by radiologists, aggravated by the absence of …
|
Barking, Havering and Redbridge University … | All Responded | 1/1 |
| 8 Oct 2025 |
Brian Ingram
Inadequate staff introductions, family exclusion leading to incomplete patient history, poor inter-organisational information sharing, and incomplete patient assessments …
|
Lifestar Medical Limited South West Ambulance Service Trust Cornwall Partnership Foundation Trust | Partially Responded | 1/3 |
| 8 Oct 2025 |
Richard Hunt
Deliberate tampering with prison fire alarm systems, disabling their buzzers, led to undetected fires, a systemic issue worsened …
|
Governor HMP Stocken Crown Premises Fire & Safety … His Majesty’s Prison & Probation … | Partially Responded | 1/3 |
| 8 Oct 2025 |
William King
Failures in documenting consent, insufficient explanation of treatment risks, and a lack of clear professional responsibility meant essential …
|
Milton Keynes University Hospital Association of Anaesthetists Royal College of Anaesthetists Royal College of Surgeons | All Responded | 3/4 |
| 7 Oct 2025 |
Imogen Nunn Prevention of future deaths report
A national shortage and lack of regulation for British Sign Language interpreters, alongside procurement issues and few BSL-proficient …
|
Cabinet Office, 1 Horse Guards … Caxton House Department for Work and Pensions Department of Education Minister of State Secretary of State for Health … Minister of State for Education London SW1P 3BT Minister for Social Security and … Orchard House, 20 Great Smith … Tothill Street | All Responded | 1/11 |
| 7 Oct 2025 |
Ann Laskowsky
Inadequate first aid training for police officers in assessing patient conditions and poor awareness of a dedicated medical …
|
National Police Chiefs Council National College of Policing | All Responded | 3/2 |
| 7 Oct 2025 |
Amanda Wood
No sepsis screen was performed before discharge from the Emergency Department, indicating a failure in early identification and …
|
Tameside and Glossop Integrated Care … Chief Executive | Partially Responded | 1/2 |
| 7 Oct 2025 |
Angela Thompson
A lack of liaison between prison and community psychiatric services for released prisoners with ongoing mental health issues, …
|
HM Prison & Probation Service | All Responded | 2/1 |
| 6 Oct 2025 |
Steven Turzynski
Inadequate communication between dietetic teams and insufficient monitoring of telephone-based nutritional assessments for cancer patients led to poor …
|
Aneurin Bevan University Health Board Velindre University Nhs Trust | All Responded | 2/2 |
| 2 Oct 2025 |
Georgia Barter
Frontline police officers face difficulty accessing the Police National Database for domestic abuse history across different force areas, …
|
[REDACTED] [REDACTED] Secretary of State for … | Partially Responded | 1/2 |
| 2 Oct 2025 |
Beatrice Smith
No effective internal investigation was conducted after the death, missing learning opportunities. Staff also received no additional training …
|
Cheshire SK4 1RD Dodge Hill Harbour Healthcare Limited Lodge House Stockport Chief Executive Officer | Partially Responded | 1/6 |
| 1 Oct 2025 |
Milos Jankovic
Inadequate follow-up for Barrett’s oesophagus in primary care, including a lack of routine recall and prompts for GPs …
|
Minister for Health and Social … [REDACTED] Chief Executive of Digital … | Partially Responded | 1/2 |
| 29 Sep 2025 |
Jake Girton
Police failed to inform the hospital of a patient's release from custody, hindering mental health support efforts. The …
|
[REDACTED] Commissioner of Police of the … | Partially Responded | 1/2 |
| 29 Sep 2025 |
Susan Barrett
Serious concerns exist regarding the absence of embedded Tissue Viability Nurses and a Tissue Viability Service in community …
|
East Suffolk and North Essex … | All Responded | 1/1 |
| 29 Sep 2025 |
Mohammad Asghar
The Trust's governance failed to investigate a serious incident, despite multiple triggers and court orders, revealing a misunderstanding …
|
[REDACTED] Barts Health NHS Foundation Trust Chief Executive Officer | Partially Responded | 1/3 |
| 29 Sep 2025 |
Naomi Aylott
The patient received no face-to-face care due to geographical distance, and the CMHT had inadequate risk assessment training, …
|
Hampshire and Isle of Wight … | All Responded | 1/1 |
| 26 Sep 2025 |
Richard Ellis
There are no legal requirements for the servicing and maintenance of agricultural tractors, leaving safety dependent solely on …
|
Great Minster House 33 Horseferry … Department for Transport | Partially Responded | 1/2 |
| 25 Sep 2025 |
Pamela Honeybone
Persistent failures in patient identification processes, including staff not checking identity and delayed recognition of errors, continue to …
|
York and Scarborough Teaching Hospitals … | All Responded | 1/1 |
| 25 Sep 2025 |
Zara Cheesman
Emergency medical services lacked detailed understanding of child assessment issues, relied on incorrect physiological scoring, and had insufficient …
|
East Midlands Ambulance Service NHS … Chief Executive | Partially Responded | 1/2 |
| 24 Sep 2025 |
Honoria Culshaw (2)
A lack of information sharing regarding positive bacterial swab results from a pacemaker wound potentially delayed necessary extraction, …
|
Lancashire Teaching Hospitals NHS Foundation … | All Responded | 1/1 |
| 24 Sep 2025 |
Steven Hart
Systemic failings included an unmonitored ligature point in a 'safer cell,' inadequate communication of mental state risks during …
|
CEO of HMPPS [REDACTED] Governor [REDACTED] HM Chief Inspector of Prisons … | Partially Responded | 1/3 |
| 24 Sep 2025 |
Mark Smith
The GP practice lacked a system or policy to ensure appropriate medication reviews for vulnerable patients with addiction …
|
Addison House Surgery | All Responded | 1/1 |
| 24 Sep 2025 |
Honoria Culshaw (1)
Critical information regarding the need for pacemaker extraction was not adequately communicated between specialist and local hospitals, nor …
|
Manchester University NHS Foundation Trust | All Responded | 1/1 |
| 23 Sep 2025 |
Tony Jackson
A fatal iatrogenic injury went undetected due to extremely poor patient records, and the Trust's governance failed to …
|
Secretary of State for Dept. … Barts Health NHS Foundation Chief Executive Officer | All Responded | 2/3 |
| 23 Sep 2025 |
Christopher Bird
Concerns were raised about the reliability of the nhs.net email system for transmitting critical mental health information to …
|
White Horse Medical Practice Oxford Health NHS Foundation Trust NHS England | Partially Responded | 2/3 |
| 18 Sep 2025 |
Pamela Singh
There is a lack of specific practice tools for family and care staff to recognise and escalate acute …
|
Minister for Health and Social … | All Responded | 1/1 |
| 18 Sep 2025 |
Leonardo Machado
A lack of oversight regarding the 'rental' of food delivery licenses to children under 18 places them in …
|
Just Eats Uber Eats Deliveroo Home Office | All Responded | 4/4 |
| 17 Sep 2025 |
Keith Hankin
A community urology service lacked robust clinical governance, integration with NHS services, and proper appraisal of clinicians, leading …
|
Chief Executive Care Quality Commission Department of Health and Social … Goring Hall Sussex Medical Chambers | All Responded | 5/5 |
| 17 Sep 2025 |
Brian Davies
The investigation into a domestic explosion was compromised by police disposing of critical debris. There was no understanding …
|
South Wales Police HSE | All Responded | 2/2 |
| 17 Sep 2025 |
Martin Collins
The prison telephone system lacks automated monitoring for unusual call volumes and there's no system for manual oversight, …
|
Minister of State for Prisons Probation and Reducing Reoffending | Partially Responded | 1/2 |
| 16 Sep 2025 |
Christian Marsh Prevention of future deaths report
There is no formal system for communication, information sharing, and handover of patient data between a respite facility …
|
Leeds and Yorkshire Partnership Foundation … Leeds Survivor-Led Crisis Service (Leeds … | All Responded | 1/2 |
| 16 Sep 2025 |
Mohammed Khan
Paramedics lacked mandatory training and experience in obstetric emergencies, specifically breech deliveries, and national guidelines were not adhered …
|
Association of Ambulance Chief Executive NHS Staffordshire and Stoke-on-Trent ICB Telford and Wrekin ICB NHS Black Country ICB NHS Birmingham and Solihull ICB West Midlands Ambulance Service NHS Coventry and Warwickshire ICB NHS Herefordshire and Worcestershire ICB NHS Shropshire | All Responded | 3/9 |
| 15 Sep 2025 |
Linda Sharp
Relying solely on a low Wells score is a fundamentally flawed approach to exclude deep vein thrombosis or …
|
President of the Royal College … | All Responded | 2/1 |
| 14 Sep 2025 |
Charlotte Tetley
A patient was prematurely removed from the inpatient bed list before an appropriate daily mental health review, despite …
|
Cheshire and Wirral Partnership NHS … | All Responded | 1/1 |
| 14 Sep 2025 |
Charlotte Tetley
A narrow police policy interpretation requires explicit intent to end life for high-risk missing person response, while ambulance …
|
Chief Constable of Cheshire Police | All Responded | 1/1 |
| 12 Sep 2025 |
Gareth Johnson
Deteriorating hospital infrastructure and critical care capacity issues pose a significant risk, as safeguards against moving critically ill …
|
Cabinet Secretary for Health and … Chief Executive Cardiff & Vale … | All Responded | 2/2 |
| 11 Sep 2025 |
Michael Moore
Persistent NHS capacity constraints are causing significant and increasing delays in cancer referrals, diagnosis, and treatment, risking patient …
|
NHS England | All Responded | 1/1 |
| 10 Sep 2025 |
Walter Horton
Concerns include poor record keeping for falls, wound management, and handover, alongside a failure to follow aseptic techniques …
|
Acting Chief Medical Director Doncaster & Bassetlaw NHS Foundation … Mr Nick Mallaband | Partially Responded | 1/3 |
| 10 Sep 2025 |
Stuart Gilchrist
Restaurants and food establishments are largely unaware of useful anti-choking devices, and there is no clear responsibility for …
|
Food Standards Agency East Riding Council Health and Safety Executive | Partially Responded | 2/3 |
| 10 Sep 2025 |
Keith Reynolds
Mechanical thrombectomy services are unavailable outside 9 am-5 pm due to insufficient neuroradiologists, posing a risk of preventable …
|
NEWCASTLE UPON TYNE HOSPITALS NHS … | All Responded | 1/1 |
| 9 Sep 2025 |
Brian Burrows
Prison officers lack training and guidance on decision-making when faced with competing emergency tasks like multiple cell bells …
|
HMP Leeds Governing Governor | Partially Responded | 1/2 |
Mark Townsend
All Responded
Stewards' lack of awareness regarding the nearest radio location caused delays in summoning medical assistance, posing a future risk for timely emergency response.
Sheffield Wednesday Football Club
Joanna Chamberlain
All Responded
A gap exists in safe spaces for mental health patients needing more support than home teams provide. National guidance is needed for proactively including family …
NHS England
Sarah Healey
All Responded
Inadequate information sharing and a lack of a joined-up approach across health services for mental health patients with physical issues led to fragmented care. Over-reliance …
Department of Health and …
William Puplett
All Responded
Emergency dispatch protocols lack specific questions for tracheostomy patients regarding suction equipment availability and use, risking delayed high-priority responses for breathing difficulties.
International Academies of Emergency …
Jillian Steedman
All Responded
Failures in information sharing, incomplete care plans, and inadequate risk assessments led to an inappropriate discharge placement that was not adequately monitored, despite repeated crises …
Essex County Council
Essex Partnership NHS Foundation …
Adrienne Studholme
All Responded
Inaccurate fluid balance charting, unrecorded seizure activity, and a lack of procedures for ED readmission after recent surgery, including insufficient triage training, posed significant risks.
East Lancashire NHS Trust
Derek Crowther
All Responded
Staff worked without mandatory life support training, and the lack of a digital system for contemporaneous patient observations hindered accurate monitoring and trend analysis, risking …
Pennine Care NHS Foundation …
Leo Barber
All Responded
Vulnerable children can access online suicide material, and international service providers’ jurisdictional stance can obstruct coronial investigations, hindering efforts to prevent future deaths.
Google UK & Ireland
Pauline Stirling
Partially Responded
Inadequate documentation of positional changes, insufficient training for agency nurses, and a lack of wound care training despite safeguarding referrals contributed to poor patient safety …
Malhorta Group
Prestwick Care
Matthew Goldsmith
All Responded
Multiple significant abnormal findings in abdominal CT scans were repeatedly missed by radiologists, aggravated by the absence of a required peer review system for quality …
Barking, Havering and Redbridge …
Brian Ingram
Partially Responded
Inadequate staff introductions, family exclusion leading to incomplete patient history, poor inter-organisational information sharing, and incomplete patient assessments by triage staff resulted in missed symptoms.
Lifestar Medical Limited
South West Ambulance Service …
Cornwall Partnership Foundation Trust
Richard Hunt
Partially Responded
Deliberate tampering with prison fire alarm systems, disabling their buzzers, led to undetected fires, a systemic issue worsened by the absence of central oversight for …
Governor HMP Stocken
Crown Premises Fire & …
His Majesty’s Prison & …
William King
All Responded
Failures in documenting consent, insufficient explanation of treatment risks, and a lack of clear professional responsibility meant essential medical policies were not followed, creating a …
Milton Keynes University Hospital
Association of Anaesthetists
Royal College of Anaesthetists
Royal College of Surgeons
Imogen Nunn Prevention of future deaths report
All Responded
A national shortage and lack of regulation for British Sign Language interpreters, alongside procurement issues and few BSL-proficient clinicians, create significant risks for deaf mental …
Cabinet Office, 1 Horse …
Caxton House
Department for Work and …
Department of Education
Minister of State
Secretary of State for …
Minister of State for …
London SW1P 3BT
Minister for Social Security …
Orchard House, 20 Great …
Tothill Street
Ann Laskowsky
All Responded
Inadequate first aid training for police officers in assessing patient conditions and poor awareness of a dedicated medical advice line led to a failure to …
National Police Chiefs Council
National College of Policing
Amanda Wood
Partially Responded
No sepsis screen was performed before discharge from the Emergency Department, indicating a failure in early identification and treatment of sepsis.
Tameside and Glossop Integrated …
Chief Executive
Angela Thompson
All Responded
A lack of liaison between prison and community psychiatric services for released prisoners with ongoing mental health issues, especially when geographically distant, creates risks for …
HM Prison & Probation …
Steven Turzynski
All Responded
Inadequate communication between dietetic teams and insufficient monitoring of telephone-based nutritional assessments for cancer patients led to poor nutritional status and potentially earlier death.
Aneurin Bevan University Health …
Velindre University Nhs Trust
Georgia Barter
Partially Responded
Frontline police officers face difficulty accessing the Police National Database for domestic abuse history across different force areas, hindering proactive identification and intervention for victims.
[REDACTED]
[REDACTED] Secretary of State …
Beatrice Smith
Partially Responded
No effective internal investigation was conducted after the death, missing learning opportunities. Staff also received no additional training or guidance, risking a repeat of inadequate …
Cheshire SK4 1RD
Dodge Hill
Harbour Healthcare Limited
Lodge House
Stockport
Chief Executive Officer
Milos Jankovic
Partially Responded
Inadequate follow-up for Barrett’s oesophagus in primary care, including a lack of routine recall and prompts for GPs to consider endoscopy, is leading to missed …
Minister for Health and …
[REDACTED] Chief Executive of …
Jake Girton
Partially Responded
Police failed to inform the hospital of a patient's release from custody, hindering mental health support efforts. The Metropolitan Police Service also showed no evidence …
[REDACTED]
Commissioner of Police of …
Susan Barrett
All Responded
Serious concerns exist regarding the absence of embedded Tissue Viability Nurses and a Tissue Viability Service in community hospitals, leading to inadequate care for pressure …
East Suffolk and North …
Mohammad Asghar
Partially Responded
The Trust's governance failed to investigate a serious incident, despite multiple triggers and court orders, revealing a misunderstanding of patient safety guidelines and an inability …
[REDACTED]
Barts Health NHS Foundation …
Chief Executive Officer
Naomi Aylott
All Responded
The patient received no face-to-face care due to geographical distance, and the CMHT had inadequate risk assessment training, auditing, and family involvement in remote care.
Hampshire and Isle of …
Richard Ellis
Partially Responded
There are no legal requirements for the servicing and maintenance of agricultural tractors, leaving safety dependent solely on owner discretion and posing a risk on …
Great Minster House 33 …
Department for Transport
Pamela Honeybone
All Responded
Persistent failures in patient identification processes, including staff not checking identity and delayed recognition of errors, continue to pose a significant risk to patient safety …
York and Scarborough Teaching …
Zara Cheesman
Partially Responded
Emergency medical services lacked detailed understanding of child assessment issues, relied on incorrect physiological scoring, and had insufficient audit, monitoring, and professional development for staff …
East Midlands Ambulance Service …
Chief Executive
Honoria Culshaw (2)
All Responded
A lack of information sharing regarding positive bacterial swab results from a pacemaker wound potentially delayed necessary extraction, contributing to prolonged infection.
Lancashire Teaching Hospitals NHS …
Steven Hart
Partially Responded
Systemic failings included an unmonitored ligature point in a 'safer cell,' inadequate communication of mental state risks during handovers, and observations not being carried out …
CEO of HMPPS [REDACTED]
Governor [REDACTED]
HM Chief Inspector of …
Mark Smith
All Responded
The GP practice lacked a system or policy to ensure appropriate medication reviews for vulnerable patients with addiction or self-harm history, risking stockpiling and misuse …
Addison House Surgery
Honoria Culshaw (1)
All Responded
Critical information regarding the need for pacemaker extraction was not adequately communicated between specialist and local hospitals, nor to the patient's GP, delaying essential treatment …
Manchester University NHS Foundation …
Tony Jackson
All Responded
A fatal iatrogenic injury went undetected due to extremely poor patient records, and the Trust's governance failed to identify the case for investigation, hindering learning …
Secretary of State for …
Barts Health NHS Foundation
Chief Executive Officer
Christopher Bird
Partially Responded
Concerns were raised about the reliability of the nhs.net email system for transmitting critical mental health information to GPs, leading to systemic communication breakdowns between …
White Horse Medical Practice
Oxford Health NHS Foundation …
NHS England
Pamela Singh
All Responded
There is a lack of specific practice tools for family and care staff to recognise and escalate acute health deterioration in people with learning disabilities, …
Minister for Health and …
Leonardo Machado
All Responded
A lack of oversight regarding the 'rental' of food delivery licenses to children under 18 places them in vulnerable lone-working situations, increasing their risk of …
Just Eats
Uber Eats
Deliveroo
Home Office
Keith Hankin
All Responded
A community urology service lacked robust clinical governance, integration with NHS services, and proper appraisal of clinicians, leading to fragmented care and potential detriment to …
Chief Executive
Care Quality Commission
Department of Health and …
Goring Hall
Sussex Medical Chambers
Brian Davies
All Responded
The investigation into a domestic explosion was compromised by police disposing of critical debris. There was no understanding of evidence preservation or protocol between police …
South Wales Police
HSE
Martin Collins
Partially Responded
The prison telephone system lacks automated monitoring for unusual call volumes and there's no system for manual oversight, leading to missed opportunities to identify risk …
Minister of State for …
Probation and Reducing Reoffending
Christian Marsh Prevention of future deaths report
All Responded
There is no formal system for communication, information sharing, and handover of patient data between a respite facility and the Intensive Support Service, creating significant …
Leeds and Yorkshire Partnership …
Leeds Survivor-Led Crisis Service …
Mohammed Khan
All Responded
Paramedics lacked mandatory training and experience in obstetric emergencies, specifically breech deliveries, and national guidelines were not adhered to, leading to delayed intervention during a …
Association of Ambulance Chief …
NHS Staffordshire and Stoke-on-Trent …
Telford and Wrekin ICB
NHS Black Country ICB
NHS Birmingham and Solihull …
West Midlands Ambulance Service
NHS Coventry and Warwickshire …
NHS Herefordshire and Worcestershire …
NHS Shropshire
Linda Sharp
All Responded
Relying solely on a low Wells score is a fundamentally flawed approach to exclude deep vein thrombosis or pulmonary embolus, potentially leading to missed diagnoses.
President of the Royal …
Charlotte Tetley
All Responded
A patient was prematurely removed from the inpatient bed list before an appropriate daily mental health review, despite documented need for admission, risking patient safety.
Cheshire and Wirral Partnership …
Charlotte Tetley
All Responded
A narrow police policy interpretation requires explicit intent to end life for high-risk missing person response, while ambulance services decline calls if whereabouts are unknown, …
Chief Constable of Cheshire …
Gareth Johnson
All Responded
Deteriorating hospital infrastructure and critical care capacity issues pose a significant risk, as safeguards against moving critically ill patients may fail under pressure.
Cabinet Secretary for Health …
Chief Executive Cardiff & …
Michael Moore
All Responded
Persistent NHS capacity constraints are causing significant and increasing delays in cancer referrals, diagnosis, and treatment, risking patient outcomes.
NHS England
Walter Horton
Partially Responded
Concerns include poor record keeping for falls, wound management, and handover, alongside a failure to follow aseptic techniques for wound care, increasing infection risk.
Acting Chief Medical Director
Doncaster & Bassetlaw NHS …
Mr Nick Mallaband
Stuart Gilchrist
Partially Responded
Restaurants and food establishments are largely unaware of useful anti-choking devices, and there is no clear responsibility for advising them to stock such potentially life-saving …
Food Standards Agency
East Riding Council
Health and Safety Executive
Keith Reynolds
All Responded
Mechanical thrombectomy services are unavailable outside 9 am-5 pm due to insufficient neuroradiologists, posing a risk of preventable deaths for patients requiring urgent treatment.
NEWCASTLE UPON TYNE HOSPITALS …
Brian Burrows
Partially Responded
Prison officers lack training and guidance on decision-making when faced with competing emergency tasks like multiple cell bells and ACCT checks, risking inadequate responses.
HMP Leeds
Governing Governor