PFD Response Tracker

Prevention of Future Deaths
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Total: 6,276 Responded: 4,641 No identified response (past 2 years): 55 Pending: 113 Historic with no identified response: 1,338
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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6,276 reports · Page 82 of 126
Date Deceased Addressee(s) Status Responses
5 Feb 2018 Michael Spencer
A specific drug (Andexanet alfa) to reverse potentially fatal bleeding caused by Factor Xa inhibitor anticoagulants is not …
 Medicines and Healthcare products Regulatory … Historic (No Identified Response) 0/1
2 Feb 2018 Barbara Ellis
A patient with cross-border care arrangements was unable to access therapeutic services because her healthcare was commissioned by …
 Gloucestershire Clinical Group Herefordshire Clinical Commission Group Historic (No Identified Response) 0/2
1 Feb 2018 David Green
The worksite lacked a safe system of work, and there was a widespread practice of employees not wearing …
 Rose Builders and Contractors Ltd Historic (No Identified Response) 0/1
31 Jan 2018 Aaron Nordass-Lacey
Excessive vehicle speeds, inadequate pedestrian barriers, and confusing cycle lane signage contribute to dangerous road crossing practices by …
 Dorset County Council All Responded 1/1
29 Jan 2018 Michael Vukovic
The patient was discharged from psychiatric admission without follow-up, as the Home Treatment Team never saw him and …
 Oxleas NHS Trust All Responded 1/1
26 Jan 2018 Vanessa Ferkova
The walk-in centre's triage process was judged adequate by the CQC despite lacking vital clinical observations, unlike secondary …
 Urgent Care NHS England Care Quality Commission Coventry and Rugby Clinical Commissioning … Virgin care Coventry LLP Historic (No Identified Response) 0/4
26 Jan 2018 Riaz Begum
Significant delays in vital drainage and ERCP procedures occurred due to insufficient radiology staff, inadequate escalation, and a …
 Tameside General Hospital NHS Trust Historic (No Identified Response) 0/1
26 Jan 2018 Andrew Finlay
Persistent paramedic vacancies continue to cause concerns regarding the timely despatch and arrival of ambulances, posing a risk …
 Unknown 0/0
26 Jan 2018 Joan Betteridge
Inadequate systems for requesting and tracking X-rays in GP surgeries and hospital ED led to significant delays in …
 Hampshire NHS Trust Park & Francis Surgery All Responded 2/2
25 Jan 2018 Sharon Grierson
There was a lack of appreciation for capnography readings, poor coordination, and senior staff lacked experience in crisis …
 Department for Health North Cumbria University Hospital NHS … All Responded 2/2
25 Jan 2018 Sandra Miller
Urgent action is required to stop unsafe practices with open-ended urinary catheters, establish proper management procedures, and ensure …
 Milestones Trust Historic (No Identified Response) 0/1
24 Jan 2018 Reginald Key
A post-operative patient's condition significantly deteriorated during a prolonged 4-hour patient transport journey home after hospital discharge, raising …
 Staffordshire Clinical Commissioning Group All Responded 1/1
24 Jan 2018 Ronald Compson
Concerns included a possible system failure to contact a doctor, poor record-keeping regarding vomiting incidents, and inadequate communication …
 Dudley Group NHS Trust All Responded 1/1
24 Jan 2018 Lakhminder Kaur
Concerns arose regarding unmanaged long-term zopiclone addiction and the immediate cessation of the drug, which was done to …
 Black Country NHS Trust Lodge Road Surgery Historic (No Identified Response) 0/2
22 Jan 2018 Caliel Smith-Kwami
Critical insulin and amino acid results were delayed due to lab analyser faults and unchased; the electronic record …
 Unknown 0/0
19 Jan 2018 William Lound Greater Manchester Mental Health NHS … All Responded 1/1
18 Jan 2018 Paul Hanton
Concerns involve inadequate information sharing during 999 calls for AWOL patients, limited hospital CCTV access for police, and …
 Sussex Partnership NHS Trust Sussex Police All Responded 2/2
18 Jan 2018 Abdul-Jamal Ottun
Critically inadequate risk assessment, supervision, and swimming education for school open-water activities failed to prepare students for cold …
 Department for Education All Responded 1/1
17 Jan 2018 Barry Tucker
No specific concerns were detailed in the provided text.
 Brighton and Sussex University Hospitals East Sussex Health Care NHS … All Responded 1/2
16 Jan 2018 Keith Harwood
Medical professionals struggle to access urgent specialist advice for unfamiliar conditions despite Trust policies, potentially delaying appropriate care …
 Blackpool Teaching Hospitals NHS Trust All Responded 1/1
16 Jan 2018 Edwin Hooper
Concerns exist regarding ensuring timely CT scanning for head injury patients on anti-coagulants, in line with NICE guidelines, …
 Manchester University NHS Trust All Responded 1/1
15 Jan 2018 Antony Coughtrey
The Probation Service failed to conduct an internal investigation or Serious Incident Review after a prisoner's death on …
 HM Inspectorate of Probation Historic (No Identified Response) 0/1
12 Jan 2018 Christopher Hutton
Significant backlogs and high demand within Probation services meant a critical court-ordered treatment program for the deceased was …
 National Probation Service All Responded 1/1
12 Jan 2018 Pauline Pryor
Critical communication failures between the nursing home and GP, an inadequate system for monitoring lithium toxicity, and an …
 NHS England All Responded 1/1
12 Jan 2018 David Buttriss
Critical communication breakdowns between GP and mental health services, fragmented healthcare records, and a lack of clarity in …
 Cornwall Health Cornwall NHS Trust NHS England All Responded 3/3
12 Jan 2018 John Armstrong
A lack of mandatory, compatible anti-collision systems and the absence of Air Traffic Control at a busy airfield …
 Civil Aviation Authority All Responded 1/1
12 Jan 2018 Lee Daniel
Inadequate road markings, specifically the absence of double yellow lines, allowed legal parking to obstruct visibility, forcing drivers …
 Unknown 0/0
11 Jan 2018 John Chapman
A critical lack of formal procedures for sharing prisoner self-harm and welfare alerts between prison reception staff and …
 HMP Wymott All Responded 2/1
11 Jan 2018 Donald Till
Unavailable medical records, inadequate equipment (missing bronchoscope part, no tilt trolley), and unutilised standard procedures (cricoid pressure, NG …
 University Hospitals of North Midlands All Responded 1/1
10 Jan 2018 John Edwards
The care home was unable to manage complex needs, demonstrating inadequate policies for falls and pressure sores, poor …
 Independent Futures Southwinds Care Home Partially Responded 1/2
10 Jan 2018 John O’Meara
Prison officers inconsistently followed Code Blue/Red procedures, delaying emergency response and Naloxone administration due to inadequate training. There's …
 HMP Wormwood Scrubs All Responded 1/1
5 Jan 2018 Patrick Moran
An insulin overdose occurred due to the common practice of using incorrect syringes, exacerbated by the removal of …
 Royal Free Hospital Historic (No Identified Response) 0/1
5 Jan 2018 Marcus Hamilton
The mental health service's rigid 28-day prescription policy for maintenance medication left a patient vulnerable during extended travel, …
 Greater Manchester Mental Health NHS … Historic (No Identified Response) 0/1
4 Jan 2018 Dylan Hill
A critical lack of communication procedures meant a previous non-fatal anaphylactic reaction at a food business was not …
 Department for Health Food Standards Agency All Responded 3/2
3 Jan 2018 Margaret Silver
Contradictory information in discharge summaries led to the discontinuation of life-saving medication, which clinicians failed to identify despite …
 Ashford and St Peter’s Hospital … All Responded 1/1
2 Jan 2018 Kristina Cross
Delayed surgical fixation of a traumatically fractured femur, caused by initial and subsequent misdiagnoses, led to post-operative complications …
 Department for Health Historic (No Identified Response) 0/1
2 Jan 2018 Paul Daniels
An inadequate staffing ratio meant tree surgeons lacked qualified aerial support, and poor communication methods via shouting and …
 Forestry Commission Health and Safety Executive Arboricultural Association All Responded 3/3
28 Dec 2017 Mark Welsh
Transport for London displayed an inordinate delay in implementing pedestrian crossings at a dangerous junction, using flawed decision-making …
 Transport for London All Responded 1/1
28 Dec 2017 Michael Drewry
The Crisis Team failed to provide consistent care, maintain accurate records, or promptly escalate concerns, leading to delays …
 Nottinghamshire Healthcare NHS Trust All Responded 1/1
22 Dec 2017 Ronald Farrington
The care centre failed to implement specialist nursing advice, kept inaccurate records, and didn't seek medical attention for …
 Care Quality Commission Saffronland Homes limited Surrey County Council Partially Responded 2/3
22 Dec 2017 Russell Robb
A lack of regular medication reviews and guidelines on drug quantities, coupled with limited information sharing between safeguarding …
 Trafford Clinical Commissioning Group All Responded 1/1
21 Dec 2017 Sheila Ross
The provided concerns text for this report does not detail specific safety issues or systemic failures related to …
 Carlton House Rest Home Compliance Manager Historic (No Identified Response) 0/2
21 Dec 2017 Margaret Postill
There was a lack of patient evaluation and incomplete assessment sheets after the deceased's return to the care …
 Tameside General Hospital All Responded 1/1
20 Dec 2017 Scott Rayner
Inadequate fencing adjacent to the railway track, specifically behind a scrap metal dealer, presented a significant risk of …
 Network Rail All Responded 1/1
20 Dec 2017 Craig Royce
A lack of a formal, robust documentary system for referring prisoners to mental health services meant reliance on …
 Care UK Essex Partnership NHS Trust HM Prisons and Probation Service Partially Responded 1/3
19 Dec 2017 Lindsey Parker
Multiple issues included a lack of continuity in medical care, significant gaps in basic nursing observations, failure to …
 Salford Royal Hospital All Responded 1/1
19 Dec 2017 Naomi Sourbut
Recommendations from a 2017 root cause analysis report regarding suicidal ideation and protective factors for individuals expressing intent …
 Unknown 0/0
18 Dec 2017 Pamela Hands
A critical risk of respiratory depression in opioid-treated patients receiving nerve blocks was not widely recognised, and national …
 Royal College of Emergency Medicine Royal College of Surgeons Partially Responded 1/2
18 Dec 2017 Mark Doyle
Significant failings in ACCT case reviews, inadequate healthcare information sharing, and a lack of clear criteria for prisoner …
 Care UK HMP Pentonville HM Prisons and Probation Service Partially Responded 1/3
18 Dec 2017 Anne Morris
Critical failures in discharge planning included not identifying a responsible Home Treatment Team or liaising with them. The …
 Oxleas NHS Trust Priory Hospital All Responded 2/2
Michael Spencer
Historic (No Identified Response)
5 Feb 2018 · South Yorkshire (West) · 0/1 responses
A specific drug (Andexanet alfa) to reverse potentially fatal bleeding caused by Factor Xa inhibitor anticoagulants is not available in the UK, even for compassionate …
Medicines and Healthcare products …
Barbara Ellis
Historic (No Identified Response)
2 Feb 2018 · Gloucestershire · 0/2 responses
A patient with cross-border care arrangements was unable to access therapeutic services because her healthcare was commissioned by one county and social care by another.
Gloucestershire Clinical Group Herefordshire Clinical Commission Group
David Green
Historic (No Identified Response)
1 Feb 2018 · Essex · 0/1 responses
The worksite lacked a safe system of work, and there was a widespread practice of employees not wearing seatbelts, with inadequate systems to check compliance.
Rose Builders and Contractors …
Aaron Nordass-Lacey
All Responded
31 Jan 2018 · Dorset · 1/1 responses
Excessive vehicle speeds, inadequate pedestrian barriers, and confusing cycle lane signage contribute to dangerous road crossing practices by pedestrians and cyclists on Barrack Road.
Dorset County Council
Michael Vukovic
All Responded
29 Jan 2018 · London Inner (South) · 1/1 responses
The patient was discharged from psychiatric admission without follow-up, as the Home Treatment Team never saw him and a referral to a drug and alcohol …
Oxleas NHS Trust
Vanessa Ferkova
Historic (No Identified Response)
26 Jan 2018 · Inner North London · 0/4 responses
The walk-in centre's triage process was judged adequate by the CQC despite lacking vital clinical observations, unlike secondary care, creating an unacceptable safety risk for …
Urgent Care NHS England Care Quality Commission Coventry and Rugby Clinical … Virgin care Coventry LLP
Riaz Begum
Historic (No Identified Response)
26 Jan 2018 · Manchester (South) · 0/1 responses
Significant delays in vital drainage and ERCP procedures occurred due to insufficient radiology staff, inadequate escalation, and a lack of cover during a consultant's annual …
Tameside General Hospital NHS …
Andrew Finlay
Unknown
26 Jan 2018 · Sunderland · 0/0 responses
Persistent paramedic vacancies continue to cause concerns regarding the timely despatch and arrival of ambulances, posing a risk of future deaths due to delayed emergency …
Joan Betteridge
All Responded
26 Jan 2018 · Hampshire (Central) · 2/2 responses
Inadequate systems for requesting and tracking X-rays in GP surgeries and hospital ED led to significant delays in repeat X-rays and radiology reviews, stemming from …
Hampshire NHS Trust Park & Francis Surgery
Sharon Grierson
All Responded
25 Jan 2018 · Cumbria · 2/2 responses
There was a lack of appreciation for capnography readings, poor coordination, and senior staff lacked experience in crisis situations, highlighting a need for better training …
Department for Health North Cumbria University Hospital …
Sandra Miller
Historic (No Identified Response)
25 Jan 2018 · Avon · 0/1 responses
Urgent action is required to stop unsafe practices with open-ended urinary catheters, establish proper management procedures, and ensure all staff are adequately trained in catheter …
Milestones Trust
Reginald Key
All Responded
24 Jan 2018 · Stoke-on-Trent and North Staffordshire · 1/1 responses
A post-operative patient's condition significantly deteriorated during a prolonged 4-hour patient transport journey home after hospital discharge, raising concerns about monitoring during transit.
Staffordshire Clinical Commissioning Group
Ronald Compson
All Responded
24 Jan 2018 · Black Country · 1/1 responses
Concerns included a possible system failure to contact a doctor, poor record-keeping regarding vomiting incidents, and inadequate communication with the family about an initial fall.
Dudley Group NHS Trust
Lakhminder Kaur
Historic (No Identified Response)
24 Jan 2018 · Black Country · 0/2 responses
Concerns arose regarding unmanaged long-term zopiclone addiction and the immediate cessation of the drug, which was done to prevent serious self-harm.
Black Country NHS Trust Lodge Road Surgery
Caliel Smith-Kwami
Unknown
22 Jan 2018 · London (East) · 0/0 responses
Critical insulin and amino acid results were delayed due to lab analyser faults and unchased; the electronic record system failed to alert clinicians to new …
William Lound
All Responded
19 Jan 2018 · Manchester (West) · 1/1 responses
Greater Manchester Mental Health …
Paul Hanton
All Responded
18 Jan 2018 · West Sussex · 2/2 responses
Concerns involve inadequate information sharing during 999 calls for AWOL patients, limited hospital CCTV access for police, and a discernible difference in police response to …
Sussex Partnership NHS Trust Sussex Police
Abdul-Jamal Ottun
All Responded
18 Jan 2018 · London Inner (South) · 1/1 responses
Critically inadequate risk assessment, supervision, and swimming education for school open-water activities failed to prepare students for cold natural waters, highlighting a systemic risk of …
Department for Education
Barry Tucker
All Responded
17 Jan 2018 · Brighton & Hove · 1/2 responses
No specific concerns were detailed in the provided text.
Brighton and Sussex University … East Sussex Health Care …
Keith Harwood
All Responded
16 Jan 2018 · Blackpool & the Fylde · 1/1 responses
Medical professionals struggle to access urgent specialist advice for unfamiliar conditions despite Trust policies, potentially delaying appropriate care and requiring families to educate staff.
Blackpool Teaching Hospitals NHS …
Edwin Hooper
All Responded
16 Jan 2018 · Manchester (South) · 1/1 responses
Concerns exist regarding ensuring timely CT scanning for head injury patients on anti-coagulants, in line with NICE guidelines, especially when facing service issues with on-site …
Manchester University NHS Trust
Antony Coughtrey
Historic (No Identified Response)
15 Jan 2018 · Milton Keynes · 0/1 responses
The Probation Service failed to conduct an internal investigation or Serious Incident Review after a prisoner's death on licence and had a procedural failure in …
HM Inspectorate of Probation
Christopher Hutton
All Responded
12 Jan 2018 · Manchester (South) · 1/1 responses
Significant backlogs and high demand within Probation services meant a critical court-ordered treatment program for the deceased was not commenced, despite his anxiety to complete …
National Probation Service
Pauline Pryor
All Responded
12 Jan 2018 · Cornwall and the Isles of Scilly · 1/1 responses
Critical communication failures between the nursing home and GP, an inadequate system for monitoring lithium toxicity, and an unread consultant email led to missed essential …
NHS England
David Buttriss
All Responded
12 Jan 2018 · Cornwall and the Isles of Scilly · 3/3 responses
Critical communication breakdowns between GP and mental health services, fragmented healthcare records, and a lack of clarity in mental health crisis pathways across multiple agencies …
Cornwall Health Cornwall NHS Trust NHS England
John Armstrong
All Responded
12 Jan 2018 · Leicester (City & South) · 1/1 responses
A lack of mandatory, compatible anti-collision systems and the absence of Air Traffic Control at a busy airfield created significant collision risks, exacerbated by human …
Civil Aviation Authority
Lee Daniel
Unknown
12 Jan 2018 · Isle of Wight · 0/0 responses
Inadequate road markings, specifically the absence of double yellow lines, allowed legal parking to obstruct visibility, forcing drivers onto the wrong side of the road …
John Chapman
All Responded
11 Jan 2018 · Lancashire · 2/1 responses
A critical lack of formal procedures for sharing prisoner self-harm and welfare alerts between prison reception staff and healthcare nurses during medical screenings created a …
HMP Wymott
Donald Till
All Responded
11 Jan 2018 · Stoke-on-Trent & North Staffordshire · 1/1 responses
Unavailable medical records, inadequate equipment (missing bronchoscope part, no tilt trolley), and unutilised standard procedures (cricoid pressure, NG tubes) compromised patient care during anaesthesia.
University Hospitals of North …
John Edwards
Partially Responded
10 Jan 2018 · Staffordshire (South) · 1/2 responses
The care home was unable to manage complex needs, demonstrating inadequate policies for falls and pressure sores, poor record-keeping, and a failure to administer prescribed …
Independent Futures Southwinds Care Home
John O’Meara
All Responded
10 Jan 2018 · London (West) · 1/1 responses
Prison officers inconsistently followed Code Blue/Red procedures, delaying emergency response and Naloxone administration due to inadequate training. There's also an insufficient number of passive drug …
HMP Wormwood Scrubs
Patrick Moran
Historic (No Identified Response)
5 Jan 2018 · London Inner (North) · 0/1 responses
An insulin overdose occurred due to the common practice of using incorrect syringes, exacerbated by the removal of diabetes from mandatory training and the lack …
Royal Free Hospital
Marcus Hamilton
Historic (No Identified Response)
5 Jan 2018 · Manchester (South) · 0/1 responses
The mental health service's rigid 28-day prescription policy for maintenance medication left a patient vulnerable during extended travel, providing unreliable advice about obtaining drugs illicitly …
Greater Manchester Mental Health …
Dylan Hill
All Responded
4 Jan 2018 · South Yorkshire (West) · 3/2 responses
A critical lack of communication procedures meant a previous non-fatal anaphylactic reaction at a food business was not reported to Trading Standards, preventing timely regulatory …
Department for Health Food Standards Agency
Margaret Silver
All Responded
3 Jan 2018 · Surrey · 1/1 responses
Contradictory information in discharge summaries led to the discontinuation of life-saving medication, which clinicians failed to identify despite patient contact. Additionally, occupational therapy recommendations for …
Ashford and St Peter’s …
Kristina Cross
Historic (No Identified Response)
2 Jan 2018 · Lancashire & Blackburn with Darwen · 0/1 responses
Delayed surgical fixation of a traumatically fractured femur, caused by initial and subsequent misdiagnoses, led to post-operative complications and significantly contributed to the patient's death.
Department for Health
Paul Daniels
All Responded
2 Jan 2018 · Manchester (South) · 3/3 responses
An inadequate staffing ratio meant tree surgeons lacked qualified aerial support, and poor communication methods via shouting and hand signals hindered safety during work at …
Forestry Commission Health and Safety Executive Arboricultural Association
Mark Welsh
All Responded
28 Dec 2017 · London Inner (North) · 1/1 responses
Transport for London displayed an inordinate delay in implementing pedestrian crossings at a dangerous junction, using flawed decision-making based on incomplete accident statistics that omitted …
Transport for London
Michael Drewry
All Responded
28 Dec 2017 · Nottinghamshire · 1/1 responses
The Crisis Team failed to provide consistent care, maintain accurate records, or promptly escalate concerns, leading to delays in crucial decision-making regarding the patient's management …
Nottinghamshire Healthcare NHS Trust
Ronald Farrington
Partially Responded
22 Dec 2017 · Surrey · 2/3 responses
The care centre failed to implement specialist nursing advice, kept inaccurate records, and didn't seek medical attention for infection, exacerbated by inadequate tissue viability nurse …
Care Quality Commission Saffronland Homes limited Surrey County Council
Russell Robb
All Responded
22 Dec 2017 · Manchester (South) · 1/1 responses
A lack of regular medication reviews and guidelines on drug quantities, coupled with limited information sharing between safeguarding bodies, meant significant police interactions with the …
Trafford Clinical Commissioning Group
Sheila Ross
Historic (No Identified Response)
21 Dec 2017 · Brighton and Hove · 0/2 responses
The provided concerns text for this report does not detail specific safety issues or systemic failures related to the deceased's care at Carlton House Rest …
Carlton House Rest Home Compliance Manager
Margaret Postill
All Responded
21 Dec 2017 · Manchester (South) · 1/1 responses
There was a lack of patient evaluation and incomplete assessment sheets after the deceased's return to the care home, compounded by poor quality hospital documentation …
Tameside General Hospital
Scott Rayner
All Responded
20 Dec 2017 · Hertfordshire · 1/1 responses
Inadequate fencing adjacent to the railway track, specifically behind a scrap metal dealer, presented a significant risk of trespass onto a high-speed line for both …
Network Rail
Craig Royce
Partially Responded
20 Dec 2017 · Essex · 1/3 responses
A lack of a formal, robust documentary system for referring prisoners to mental health services meant reliance on unreliable telephone conversations, risking delays in crucial …
Care UK Essex Partnership NHS Trust HM Prisons and Probation …
Lindsey Parker
All Responded
19 Dec 2017 · Manchester (North) · 1/1 responses
Multiple issues included a lack of continuity in medical care, significant gaps in basic nursing observations, failure to recognise patient deterioration, and concerns over 'Hospital …
Salford Royal Hospital
Naomi Sourbut
Unknown
19 Dec 2017 · Exeter and Greater Devon · 0/0 responses
Recommendations from a 2017 root cause analysis report regarding suicidal ideation and protective factors for individuals expressing intent to self-harm were not clearly implemented.
Pamela Hands
Partially Responded
18 Dec 2017 · Cornwall and the Isles of Scilly · 1/2 responses
A critical risk of respiratory depression in opioid-treated patients receiving nerve blocks was not widely recognised, and national monitoring guidelines were absent. This necessitates new …
Royal College of Emergency … Royal College of Surgeons
Mark Doyle
Partially Responded
18 Dec 2017 · London Inner (North) · 1/3 responses
Significant failings in ACCT case reviews, inadequate healthcare information sharing, and a lack of clear criteria for prisoner transfer decisions were identified. There is also …
Care UK HMP Pentonville HM Prisons and Probation …
Anne Morris
All Responded
18 Dec 2017 · London Inner (South) · 2/2 responses
Critical failures in discharge planning included not identifying a responsible Home Treatment Team or liaising with them. The hospital also failed to contact family/friends despite …
Oxleas NHS Trust Priory Hospital