PFD Response Tracker

Prevention of Future Deaths

Total: 4,641 Responded: 4,641 No identified response (past 2 years): 0 Pending: 0

How 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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4,641 reports · Page 55 of 93

Date	Deceased	Addressee(s)	Status	Responses
10 Dec 2019	Brenda Drew The deceased received unrequested, repeat prescriptions for high-dose Oramorph. The GP surgery failed to formally review this potent …	Royal Pharmaceutical Society	All Responded	1/1
7 Dec 2019	Matthew Fitten A change in methadone prescription to larger bottles, without providing a measuring jug, likely led to inaccurate dosing …	General Pharmaceutical Council and Haverhill … Public Health England	All Responded	2/2
6 Dec 2019	Kamil Iddrisu There is a critical need to screen all non-UK military selection candidates for sickle cell trait, both before …	Capita MOD	All Responded	2/2
6 Dec 2019	Safoora Alam Inconsistent information sharing and a lack of multi-agency collaboration between mental health and social care led to inadequate …	Black Country Partnership NHS Trust Sandwell Council	All Responded	2/2
6 Dec 2019	Youngson Nkhoma Non-UK military selection candidates are not screened for sickle cell trait, posing a significant increased risk of death …	Capita MOD	All Responded	2/2
5 Dec 2019	Gemma Macdonald The unchecked online availability of large quantities of medication, without systems to verify purchaser suitability or limit transaction …	1st For Health International Medicines and Healthcare products Regulatory … StockXS Limited	Partially Responded	1/3
3 Dec 2019	Luke Jones Concerns exist regarding the continuing accessibility and use of novel psychoactive substances (NPS) within HMP Berwyn, posing significant …	HMP Berwyn MOJ	Partially Responded	1/2
3 Dec 2019	Callie Lewis An online suicide forum provided dangerous advice, enabling individuals to mislead mental health professionals and perfect suicide methods, …	Department for Culture, Media and …	All Responded	1/1
3 Dec 2019	David Moore A dark section of the A693, serving as an unofficial pedestrian crossing point with a 60mph speed limit …	Durham County Council	All Responded	1/1
2 Dec 2019	Sidney Baker Poor record-keeping, including incorrect care plan entries and lack of documentation for referrals, indicates inadequate staff training and …	Care Quality Commission Rosewood Healthcare Group Wigan Life Centre	All Responded	3/3
2 Dec 2019	Archie Spriggs Systemic failures in child safeguarding include unclear referral pathways, delayed responses to urgent concerns, insufficient multi-agency understanding of …	CAFCASS Shropshire Safeguarding Partnership	Partially Responded	1/2
29 Nov 2019	Connor Davies Repeated cancellation of consultant psychiatrist appointments without clinical input on patient urgency meant individuals at serious need could …	Cwm Taf Health Board	All Responded	1/1
29 Nov 2019	Suzanna Bull A dashboard tray creates a dangerous blind spot in moving vehicles, yet there are no warnings on the …	S & J Transport Department for Transport Road Haulage Association Scania	All Responded	2/4
29 Nov 2019	Leah Cambridge A lack of regulatory oversight for BBL procedures in the UK, coupled with insufficient and untimely provision of …	Department of Health and Social … GMC	All Responded	3/2
27 Nov 2019	George Rogers The absence of a designated Lead Practitioner during patient transfers between mental health teams causes delays in treatment …	Sussex Partnership NHS Trust	All Responded	1/1
27 Nov 2019	Andrew Hogg A care home failed to adequately assess and manage escalating falls risks, lacking a comprehensive falls policy, proper …	Borough Care Limited	All Responded	1/1
22 Nov 2019	Maureen Milton There is insufficient awareness among healthcare professionals and carers about the severe fire risk posed by petrol-based emollient …	Department of Health and Social … Public Health England National Institute for Health and … Trent and Dove Social Housing Care Quality Commission British Medical Association	All Responded	3/6
20 Nov 2019	Gary Leyland The probation service failed to refer mental health concerns to medical practitioners. Supported accommodation exhibited poor documentation, unclear …	Jigsaw Homes Group HM Prison and Probation Service	Partially Responded	1/2
19 Nov 2019	Shaun Dewey The elevated risk of self-harm and suicide among remand prisoners is not adequately highlighted in staff training, care …	HM Prison and Probation Service	All Responded	1/1
18 Nov 2019	Emma Langley The current system for recording patients' refusal of hospital admission, involving a generic summary and electronic signature on …	West Midlands Ambulance Service	All Responded	1/1
18 Nov 2019	Deborah Headspeath There's no unified database for tracking patient prescriptions, enabling uncoordinated medication supplies, especially from unregulated online prescribers. Advisory …	Department of Health and Social …	All Responded	1/1
15 Nov 2019	Francesca Sio Mixing adult and child patients in urgent care centres creates a significant risk of children quietly deteriorating unnoticed, …	Bromley Clinical Commissioning Group Greenbrook Healthcare	All Responded	2/2
15 Nov 2019	Averil Skoric There is a lack of clear national and local guidance for care home staff on safe sleeping positions …	Department of Health and Social …	All Responded	1/1
14 Nov 2019	Joanna Flynn There is a significant lack of specialised assistance, referral agencies, and adequate training for General Practitioners to help …	NHS England Fern House Surgery Department of Health and Social … Mid Essex Clinical Commissioning Group …	Partially Responded	3/4
12 Nov 2019	Jamie Staley Lack of signage and relatively easy access points allow pedestrians to inadvertently stray onto the A40 near Gibraltar …	Monmouth County Council	All Responded	2/1
12 Nov 2019	Costel Stancu The lack of lighting on a section of the motorway is an ongoing risk, having contributed to collisions, …	Highways England	All Responded	1/1
8 Nov 2019	Sam Spooner A severe lack of multi-agency information sharing, communication, and co-operation led to fragmented care for a suicidal patient, …	Rope Green Medical Centre	All Responded	2/1
8 Nov 2019	Antonis Hannides Spire Bristol lacks formal systems for managing unexpected patient reattendances post-discharge, ensuring comprehensive record-keeping, and immediately informing consultants …	Spire Bristol Hospital	All Responded	2/1
6 Nov 2019	Stuart Clarke The lack of national guidelines for timely referral of patients with valve disease between primary, secondary, and tertiary …	Department of Health and Social … National Institute for Health and … British Cardiovascular Intervention Society NHS England	All Responded	4/4
5 Nov 2019	Neville McNair Prison staff lacked training in recognising and responding to opiate overdose, including Naloxone administration. Naloxone was not readily …	HM Prison and Probation Service NHS Improvement NHS England	Partially Responded	2/3
1 Nov 2019	Joshua Hoole A persistent failure to learn from previous heat-related deaths is evident, with commanders lacking awareness and training on …	MOD	All Responded	1/1
1 Nov 2019	London Bridge & Borough Market Terror Attack The provided text outlines the coroner's duty to report matters of concern but does not detail any specific …	Department for Transport London Ambulance Service British Vehicle Rental and Leasing … Home Office National Counter Terrorism Security Office Security Service Secret Intelligence Service Metropolitan Police Service City of London Police	All Responded	5/9
1 Nov 2019	Liyakat Sidat The A34 bypass at Melrose Way Bend is dangerous due to the absence of a continuous white line, …	Cheshire East Council Cheshire East Highways Department	All Responded	2/2
1 Nov 2019	Hajra Sidat The A34 bypass (Melrose Way Bend) is dangerous due to the lack of a continuous white line, allowing …	Cheshire East Council Cheshire East Highways Department	All Responded	2/2
1 Nov 2019	Salma Sidat The A34 bypass (Melrose Way Bend) is dangerous due to the lack of a continuous white line, allowing …	Cheshire East Council Cheshire East Highways Department	All Responded	2/2
30 Oct 2019	Robert Ginn Inadequate resuscitation efforts by prison nurses included failure to continuously check breathing for 11 minutes and insufficient oxygenation, …	Care UK HMP Pentonville	Partially Responded	1/2
30 Oct 2019	David Kirsch A lack of consistent case management for the ACCT process resulted in fragmented oversight, inadequate care planning, and …	HMP Long Lartin	All Responded	1/1
30 Oct 2019	Annie Lloyd Inadequate processes for checking warfarin dosage resulted in GPs prescribing medication based on copied records and relying on …	Brace Street Health Centre Care Quality Commission	Partially Responded	1/2
29 Oct 2019	Charlotte Grace Patients are discharged from mental health care without routine involvement from receiving care agencies or supportive family/friends, a …	Cumbria, Northumberland, Tyne and Wear …	All Responded	1/1
28 Oct 2019	Julius Little The university fails to effectively utilize mental health disclosures, relying on email invitations for support that many students …	University of the Arts London Universities and Colleges Admissions Service	All Responded	2/2
28 Oct 2019	Thomas Smyth Medical staff struggled to access vital patient information from electronic notes, highlighting potential issues with the system's effectiveness, …	Milton Keynes Hospital	All Responded	1/1
24 Oct 2019	Catherine Gardiner, Jason Aleixo, Lorraine Maclellan Ford's vehicle design should include fault code provision for engine shutdowns caused by the DMF protection system, and …	Highways England Ford UK	All Responded	3/2
24 Oct 2019	Julie Morrey A severe communication breakdown between hospital departments resulted in a patient being without fluids for over 24 hours, …	University Hospital of North Midalnds	All Responded	1/1
24 Oct 2019	Douglas Oak There is a critical lack of national guidance for Ambulance Services on using chemical sedation for patients with …	College of Policing Department of Health and Social … National Police Chiefs’ Council National Ambulance Service Medical Directors Association of Ambulance Chief Executives Dorset Police	All Responded	4/6
22 Oct 2019	Lauren Finch Nursing staff conducted predictable patient observations against policy, which was misunderstood by managers, and made delayed clinical record …	North West Boroughs Healthcare NHS …	All Responded	1/1
22 Oct 2019	Paul Mclean Ambulance call scripting for seizures is inadequate, failing to ascertain fit duration for correct callback advice and lacking …	Welsh Ambulance Service NHS Trust	All Responded	1/1
17 Oct 2019	Elisa Fuller Insufficient support and systems hinder junior staff from escalating concerns to seniors, and there is a lack of …	Gloucestershire Hospitals NHS Trust	All Responded	1/1
16 Oct 2019	Victor Hall Ambiguous medication packaging contributed to an error, which the MHRA failed to address. There's a need for enhanced …	Medicines and Healthcare products Regulatory … Salford Royal Hospital NHS Trust Nursing and Midwifery Council	Partially Responded	1/3
15 Oct 2019	Matthew Williamson Carers and family lack opportunities to provide vital information to mental health teams, and unclear inter-provider communication creates …	West London Mental Health Trust	All Responded	1/1
15 Oct 2019	Alex Malcolm Insufficient Approved Premises, delays in making MARACs statutory, and difficulties recruiting probation officers due to low pay are …	Department of Health and Social … HM Prison & Probation Service MOJ	Partially Responded	1/3

Brenda Drew

All Responded

10 Dec 2019 · Dorset · 1/1 responses

The deceased received unrequested, repeat prescriptions for high-dose Oramorph. The GP surgery failed to formally review this potent medication for several months, raising concerns about …

Royal Pharmaceutical Society

Matthew Fitten

All Responded

7 Dec 2019 · Suffolk · 2/2 responses

A change in methadone prescription to larger bottles, without providing a measuring jug, likely led to inaccurate dosing and a fatal overdose.

General Pharmaceutical Council and … Public Health England

Kamil Iddrisu

All Responded

6 Dec 2019 · Birmimgham and Solihull · 2/2 responses

There is a critical need to screen all non-UK military selection candidates for sickle cell trait, both before and after selection, due to the significant …

Capita MOD

Safoora Alam

All Responded

6 Dec 2019 · Black Country · 2/2 responses

Inconsistent information sharing and a lack of multi-agency collaboration between mental health and social care led to inadequate risk assessment and slow referral processes for …

Black Country Partnership NHS … Sandwell Council

Youngson Nkhoma

All Responded

6 Dec 2019 · Birmimgham and Solihull · 2/2 responses

Non-UK military selection candidates are not screened for sickle cell trait, posing a significant increased risk of death or collapse during military exercise.

Capita MOD

Gemma Macdonald

Partially Responded

5 Dec 2019 · Suffolk · 1/3 responses

The unchecked online availability of large quantities of medication, without systems to verify purchaser suitability or limit transaction amounts and frequency, poses a significant risk.

1st For Health International Medicines and Healthcare products … StockXS Limited

Luke Jones

Partially Responded

3 Dec 2019 · North Wales (East and Central) · 1/2 responses

Concerns exist regarding the continuing accessibility and use of novel psychoactive substances (NPS) within HMP Berwyn, posing significant health risks and a high probability of …

HMP Berwyn MOJ

Callie Lewis

All Responded

3 Dec 2019 · Kent (Central and South East) · 1/1 responses

An online suicide forum provided dangerous advice, enabling individuals to mislead mental health professionals and perfect suicide methods, thus frustrating necessary assessments and interventions.

Department for Culture, Media …

David Moore

All Responded

3 Dec 2019 · County Durham and Darlington · 1/1 responses

A dark section of the A693, serving as an unofficial pedestrian crossing point with a 60mph speed limit and no street lighting, creates a critical …

Durham County Council

Sidney Baker

All Responded

2 Dec 2019 · Manchester (West) · 3/3 responses

Poor record-keeping, including incorrect care plan entries and lack of documentation for referrals, indicates inadequate staff training and poses risks to patient care and safety.

Care Quality Commission Rosewood Healthcare Group Wigan Life Centre

Archie Spriggs

Partially Responded

2 Dec 2019 · Shropshire, Telford & Wrekin · 1/2 responses

Systemic failures in child safeguarding include unclear referral pathways, delayed responses to urgent concerns, insufficient multi-agency understanding of complex family dynamics, and inadequate information sharing …

CAFCASS Shropshire Safeguarding Partnership

Connor Davies

All Responded

29 Nov 2019 · South Wales Central · 1/1 responses

Repeated cancellation of consultant psychiatrist appointments without clinical input on patient urgency meant individuals at serious need could "fall through the net," as a preventative …

Cwm Taf Health Board

Suzanna Bull

All Responded

29 Nov 2019 · Birmingham and Solihull · 2/4 responses

A dashboard tray creates a dangerous blind spot in moving vehicles, yet there are no warnings on the product, nor general advisories to manufacturers or …

S & J Transport Department for Transport Road Haulage Association Scania

Leah Cambridge

All Responded

29 Nov 2019 · West Yorkshire (East) · 3/2 responses

A lack of regulatory oversight for BBL procedures in the UK, coupled with insufficient and untimely provision of information for informed consent, exposes patients to …

Department of Health and … GMC

George Rogers

All Responded

27 Nov 2019 · West Sussex · 1/1 responses

The absence of a designated Lead Practitioner during patient transfers between mental health teams causes delays in treatment and leaves patients unmonitored during a critical …

Sussex Partnership NHS Trust

Andrew Hogg

All Responded

27 Nov 2019 · Manchester (South) · 1/1 responses

A care home failed to adequately assess and manage escalating falls risks, lacking a comprehensive falls policy, proper risk reassessments, internal investigations, and proactive measures …

Borough Care Limited

Maureen Milton

All Responded

22 Nov 2019 · Staffordshire (South) · 3/6 responses

There is insufficient awareness among healthcare professionals and carers about the severe fire risk posed by petrol-based emollient creams, which impregnate clothing and accelerate burns.

Department of Health and … Public Health England National Institute for Health … Trent and Dove Social … Care Quality Commission British Medical Association

Gary Leyland

Partially Responded

20 Nov 2019 · Manchester (North) · 1/2 responses

The probation service failed to refer mental health concerns to medical practitioners. Supported accommodation exhibited poor documentation, unclear welfare check protocols for security staff, and …

Jigsaw Homes Group HM Prison and Probation …

Shaun Dewey

All Responded

19 Nov 2019 · Avon · 1/1 responses

The elevated risk of self-harm and suicide among remand prisoners is not adequately highlighted in staff training, care practices, or national guidance documents like ACCT.

HM Prison and Probation …

Emma Langley

All Responded

18 Nov 2019 · Birmimgham and Solihull · 1/1 responses

The current system for recording patients' refusal of hospital admission, involving a generic summary and electronic signature on a tablet, fails to adequately ensure distressed …

West Midlands Ambulance Service

Deborah Headspeath

All Responded

18 Nov 2019 · Suffolk · 1/1 responses

There's no unified database for tracking patient prescriptions, enabling uncoordinated medication supplies, especially from unregulated online prescribers. Advisory guidance for pharmacists on online prescriptions lacks …

Department of Health and …

Francesca Sio

All Responded

15 Nov 2019 · London (South) · 2/2 responses

Mixing adult and child patients in urgent care centres creates a significant risk of children quietly deteriorating unnoticed, delaying crucial assessment and appropriate referral.

Bromley Clinical Commissioning Group Greenbrook Healthcare

Averil Skoric

All Responded

15 Nov 2019 · Manchester (South) · 1/1 responses

There is a lack of clear national and local guidance for care home staff on safe sleeping positions for vulnerable adults who lack capacity, increasing …

Department of Health and …

Joanna Flynn

Partially Responded

14 Nov 2019 · Essex · 3/4 responses

There is a significant lack of specialised assistance, referral agencies, and adequate training for General Practitioners to help patients safely wean off addictive prescription opiates.

NHS England Fern House Surgery Department of Health and … Mid Essex Clinical Commissioning …

Jamie Staley

All Responded

12 Nov 2019 · Gwent · 2/1 responses

Lack of signage and relatively easy access points allow pedestrians to inadvertently stray onto the A40 near Gibraltar tunnels, posing a risk of future collisions.

Monmouth County Council

Costel Stancu

All Responded

12 Nov 2019 · Cheshire · 1/1 responses

The lack of lighting on a section of the motorway is an ongoing risk, having contributed to collisions, and its safety implications were not reassessed …

Highways England

Sam Spooner

All Responded

8 Nov 2019 · Cheshire · 2/1 responses

A severe lack of multi-agency information sharing, communication, and co-operation led to fragmented care for a suicidal patient, with an over-reliance on the family and …

Rope Green Medical Centre

Antonis Hannides

All Responded

8 Nov 2019 · Avon · 2/1 responses

Spire Bristol lacks formal systems for managing unexpected patient reattendances post-discharge, ensuring comprehensive record-keeping, and immediately informing consultants of these cases.

Spire Bristol Hospital

Stuart Clarke

All Responded

6 Nov 2019 · Manchester City · 4/4 responses

The lack of national guidelines for timely referral of patients with valve disease between primary, secondary, and tertiary care leads to significant patient deterioration before …

Department of Health and … National Institute for Health … British Cardiovascular Intervention Society NHS England

Neville McNair

Partially Responded

5 Nov 2019 · East Sussex · 2/3 responses

Prison staff lacked training in recognising and responding to opiate overdose, including Naloxone administration. Naloxone was not readily available in all risk areas, and no …

HM Prison and Probation … NHS Improvement NHS England

Joshua Hoole

All Responded

1 Nov 2019 · Birmingham and Solihull · 1/1 responses

A persistent failure to learn from previous heat-related deaths is evident, with commanders lacking awareness and training on critical heat illness guidance (JSP539), which itself …

MOD

London Bridge & Borough Market Terror Attack

All Responded

1 Nov 2019 · London Inner (South) · 5/9 responses

The provided text outlines the coroner's duty to report matters of concern but does not detail any specific safety issues or systemic failures.

Department for Transport London Ambulance Service British Vehicle Rental and … Home Office National Counter Terrorism Security … Security Service Secret Intelligence Service Metropolitan Police Service City of London Police

Liyakat Sidat

All Responded

1 Nov 2019 · Cheshire · 2/2 responses

The A34 bypass at Melrose Way Bend is dangerous due to the absence of a continuous white line, allowing unsafe overtaking in dark conditions and …

Cheshire East Council Cheshire East Highways Department

Hajra Sidat

All Responded

1 Nov 2019 · Cheshire · 2/2 responses

The A34 bypass (Melrose Way Bend) is dangerous due to the lack of a continuous white line, allowing unsafe overtaking on a dark stretch of …

Cheshire East Council Cheshire East Highways Department

Salma Sidat

All Responded

1 Nov 2019 · Cheshire · 2/2 responses

The A34 bypass (Melrose Way Bend) is dangerous due to the lack of a continuous white line, allowing unsafe overtaking on a dark stretch of …

Cheshire East Council Cheshire East Highways Department

Robert Ginn

Partially Responded

30 Oct 2019 · London Inner (North) · 1/2 responses

Inadequate resuscitation efforts by prison nurses included failure to continuously check breathing for 11 minutes and insufficient oxygenation, alongside conflicting assessments of the patient's body …

Care UK HMP Pentonville

David Kirsch

All Responded

30 Oct 2019 · Worcestershire · 1/1 responses

A lack of consistent case management for the ACCT process resulted in fragmented oversight, inadequate care planning, and critical information about the deceased's deteriorating mental …

HMP Long Lartin

Annie Lloyd

Partially Responded

30 Oct 2019 · Black Country · 1/2 responses

Inadequate processes for checking warfarin dosage resulted in GPs prescribing medication based on copied records and relying on family input, without direct verification of the …

Brace Street Health Centre Care Quality Commission

Charlotte Grace

All Responded

29 Oct 2019 · Cumbria · 1/1 responses

Patients are discharged from mental health care without routine involvement from receiving care agencies or supportive family/friends, a systemic failure repeatedly identified as a risk.

Cumbria, Northumberland, Tyne and …

Julius Little

All Responded

28 Oct 2019 · London Inner (North) · 2/2 responses

The university fails to effectively utilize mental health disclosures, relying on email invitations for support that many students do not respond to, and withholding vital …

University of the Arts … Universities and Colleges Admissions …

Thomas Smyth

All Responded

28 Oct 2019 · Milton Keynes · 1/1 responses

Medical staff struggled to access vital patient information from electronic notes, highlighting potential issues with the system's effectiveness, staff training, and the methods for recording …

Milton Keynes Hospital

Catherine Gardiner, Jason Aleixo, Lorraine Maclellan

All Responded

24 Oct 2019 · Berkshire · 3/2 responses

Ford's vehicle design should include fault code provision for engine shutdowns caused by the DMF protection system, and the manufacturer has yet to conduct a …

Highways England Ford UK

Julie Morrey

All Responded

24 Oct 2019 · Stoke-on-Trent & North Staffordshire · 1/1 responses

A severe communication breakdown between hospital departments resulted in a patient being without fluids for over 24 hours, alongside a lack of proactive nursing management …

University Hospital of North …

Douglas Oak

All Responded

24 Oct 2019 · Dorset · 4/6 responses

There is a critical lack of national guidance for Ambulance Services on using chemical sedation for patients with Acute Behavioural Disturbance, despite its effectiveness for …

College of Policing Department of Health and … National Police Chiefs’ Council National Ambulance Service Medical … Association of Ambulance Chief … Dorset Police

Lauren Finch

All Responded

22 Oct 2019 · Manchester West · 1/1 responses

Nursing staff conducted predictable patient observations against policy, which was misunderstood by managers, and made delayed clinical record entries, failing to provide timely, vital information …

North West Boroughs Healthcare …

Paul Mclean

All Responded

22 Oct 2019 · South Wales Central · 1/1 responses

Ambulance call scripting for seizures is inadequate, failing to ascertain fit duration for correct callback advice and lacking clear protocols for urgent upgrades when airways …

Welsh Ambulance Service NHS …

Elisa Fuller

All Responded

17 Oct 2019 · Gloucestershire · 1/1 responses

Insufficient support and systems hinder junior staff from escalating concerns to seniors, and there is a lack of understanding regarding the essential retention of placentas …

Gloucestershire Hospitals NHS Trust

Victor Hall

Partially Responded

16 Oct 2019 · Manchester (West) · 1/3 responses

Ambiguous medication packaging contributed to an error, which the MHRA failed to address. There's a need for enhanced guidance and training for nursing and pharmacy …

Medicines and Healthcare products … Salford Royal Hospital NHS … Nursing and Midwifery Council

Matthew Williamson

All Responded

15 Oct 2019 · London (West) · 1/1 responses

Carers and family lack opportunities to provide vital information to mental health teams, and unclear inter-provider communication creates difficulty navigating treatment pathways for patients.

West London Mental Health …

Alex Malcolm

Partially Responded

15 Oct 2019 · London Inner (South) · 1/3 responses

Insufficient Approved Premises, delays in making MARACs statutory, and difficulties recruiting probation officers due to low pay are systemic issues hindering efforts to prevent future …

Department of Health and … HM Prison & Probation … MOJ