PFD Response Tracker

Prevention of Future Deaths

Total: 6,276 Responded: 4,641 No identified response (past 2 years): 54 Pending: 114 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 90 of 126

Date	Deceased	Addressee(s)	Status	Responses
15 Mar 2017	Leah Ratheram Fragmented mental health services for young adults, with separate organizations and incompatible record systems, led to uncoordinated care, …	Birmingham and Solihull Mental Health … Birmingham Children’s Hospital NHS Trust Birmingham City Council Cross City Clinical Commissioning Group NHS England	Historic (No Identified Response)	0/5
14 Mar 2017	Jack Sheldon The emergency services lacked an effective system for managing multiple calls, prioritising resources, and mobilising appropriate appliances, compounded …	Chief Fire Officer	Historic (No Identified Response)	0/1
14 Mar 2017	Mariana Pinto The emergency department failed to effectively communicate illness progression and crisis team limitations to the family. The crisis …	East London NHS Trust	All Responded	2/1
14 Mar 2017	Rebecca Evans Significant and recurring delays in patient handover at Emergency Departments led to late hospital admission and delayed medical …	Welsh Ambulance NHS Trust	All Responded	1/1
13 Mar 2017	Andrew Lownes The absence of clear, written unloading instructions for heavy, unstable industrial units led to confusion regarding complex banding, …	Glass and Glazing Federation	Historic (No Identified Response)	0/1
13 Mar 2017	George Dicker There is no alarm or warning system to alert railway signallers when a person accesses the tracks via …	RSSB	Historic (No Identified Response)	0/1
13 Mar 2017	James O’Brien Critical delays in emergency response, including resuscitation and defibrillator deployment, were compounded by inadequate staff training, poor induction …	Cambian Group	All Responded	1/1
13 Mar 2017	Daphne Cherry Concerns exist regarding care home staff's ability to identify and appropriately escalate medical concerns, including when a medical …	Care UK	All Responded	1/1
10 Mar 2017	Carol Harvey There is no procedure to confirm district nurse referral receipt and action, and significant delays exist in developing …	Betsi Cadwaladr University Health Board	All Responded	1/1
10 Mar 2017	Lester Stacey A patient with complex physical and mental health issues disengaged from community mental health services post-discharge following medication …	South Staffordshire and Shropshire NHS …	Historic (No Identified Response)	0/1
10 Mar 2017	Anna Walker Post-operative checks were not compliant with protocol, leading to delayed detection of a bleed, due to failures in …	Barking, Havering and Redbridge University …	Historic (No Identified Response)	0/1
9 Mar 2017	Peter Norton The store lacked guidance, policies, and risk assessments for cycling indoors, including a safe designated area and helmet …	Halfords Group PLC	Historic (No Identified Response)	0/1
9 Mar 2017	Frederick Bevan A poor handover practice led to paramedics receiving an inaccurate incident history from a non-witnessing nurse instead of …	Bondcare Limited	Historic (No Identified Response)	0/1
9 Mar 2017	Billy Wilson Critical gaps exist in mandatory and assessed training for CTG tracing interpretation for both student and practicing midwives, …	Nursing and Midwifery Council	All Responded	1/1
9 Mar 2017	Annabel Lewis Mental health services failed to adequately assess risk, record crucial details, or proactively engage with a vulnerable young …	Child and Adolescent Mental Health … South Staffordshire and Shropshire NHS …	Historic (No Identified Response)	0/2
8 Mar 2017	Valdas Jasiunas Custody risk assessments inadequately screen for alcohol dependency, and the computer system's design leads to frequent errors, further …	Metropolitan Police	Historic (No Identified Response)	0/1
8 Mar 2017	Kathleen Cooper Persistent, unaddressed systemic failures at the Trust include poor communication, inadequate supervision, incorrect early warning scores, and delayed …	Pennine Acute Hospitals NHS Trust	Historic (No Identified Response)	0/1
6 Mar 2017	John Atkin There is a critical breakdown in communication regarding hazard assessment at service-user homes, with occupational therapists unaware of …	Millbrook Healthcare Limited	Historic (No Identified Response)	0/1
3 Mar 2017	Vadims Aleksejevs There is a lack of clarity on whether adult social care or addiction services provide outreach to vulnerable …	Northampton County Council	All Responded	1/1
3 Mar 2017	Alan Walsh A lack of awareness regarding the safety-critical role and vulnerability of ladder spigots poses significant health and safety …	Department for Business and Energy … Youngman Health and Safety Executive	Historic (No Identified Response)	0/3
3 Mar 2017	Joan Rimmer A Community Matron's failure to take physiological readings and incorrectly assess consent for an X-ray in a patient …	Liverpool Community Health NHS Trust	Historic (No Identified Response)	0/1
2 Mar 2017	Terence Millington Inadequate arrangements for on-call doctors, including a senior doctor's failure to ensure availability and a consultant's distant location, …	Sheffield Hospitals NHS Trust	All Responded	1/1
2 Mar 2017	Paul Barber The report indicates a risk of future deaths unless action is taken, but no specific concerns were detailed …	Brighton and Sussex University Hospitals …	All Responded	1/1
1 Mar 2017	Thomas Unsworth The junction's design creates a significant "blind spot" for turning drivers, severely limiting their view of pedestrians, raising …	Bolton Council Highways Division	Partially Responded	1/2
1 Mar 2017	Darran Hunt Inconsistent police training and guidance regarding PAVA spray use and forcible mouth searches for detained persons with objects …	National Police Chiefs’ Council	Historic (No Identified Response)	0/1
1 Mar 2017	Ceriann Richards Significant and prolonged handover delays between ambulance crews and hospital staff led to critical delays in ambulance dispatch …	Neville Hall Hospital Royal Gwent Hospital Welsh Ambulance Service NHS Trust Welsh Government	All Responded	2/4
28 Feb 2017	Colin Hodge A junction's poor state of repair and lack of clear pavement/roadway boundaries encourage pedestrians to cross unsafely and …	Dorset Highways Departments	All Responded	1/1
28 Feb 2017	Paul Briggs The absence of rumble strips on double white lines at a merging carriageway increases the risk of vehicles …	Merseyside Passenger Transport Authority	All Responded	1/1
27 Feb 2017	Rachel Edwards The report describes the circumstances of a death from overdose but does not detail specific coroner's concerns regarding …	Norfolk and Suffolk NHS Foundation …	All Responded	1/1
24 Feb 2017	Doreen Stapleton An obsolete email address caused a critical district nursing referral to fail upon discharge, compounded by inadequate, explicit …	Whittington Hospital NHS Trust	All Responded	1/1
23 Feb 2017	Luke Mumford The road's narrow, unlit, and unkerbed characteristics, bordered by hedgerows, make the 70 mph speed limit unsafe, with …	Kent County Council	All Responded	1/1
23 Feb 2017	Grant Burns There was a significant lack of cooperative working and communication between mental health and substance misuse services, which …	Solent NHS Trust	All Responded	1/1
22 Feb 2017	Ashley Talbot Poor design of the school service road and bus bay, coupled with insufficient staff supervision, created a highly …	Bridgend County Borough Council Maesteg Comprehensive School	All Responded	2/2
22 Feb 2017	Maxim Karpovich Midwives and junior obstetricians demonstrated a critical lack of skill in interpreting abnormal cardiotocograph (CTG) traces. This highlights …	Royal College of Midwives Royal College of Obstetricians and …	All Responded	2/2
22 Feb 2017	Margaret Jones Multiple collisions at a junction highlight the need for a reduced speed limit on the A36, improved road …	Avon and Somerset Constabulary Highways England	Historic (No Identified Response)	0/2
21 Feb 2017	Jack Portland No specific concerns regarding future deaths were detailed in the provided text, only contact information.	Central and North West Hospital … HMP Woodhill Oxford Health NHS Trust	Partially Responded	2/3
20 Feb 2017	Esther Hartsilver The junction's design is inherently dangerous, allowing left-turning vehicles to cross straight-ahead traffic and lacking clear road signage …	London Borough of Southwark TFL	All Responded	2/2
17 Feb 2017	Milan Dokic The Cycle Superhighway's road surface has reduced grip, creating a significant hazard that increases the likelihood of road …	TFL	Historic (No Identified Response)	0/1
17 Feb 2017	Dean Saunders Serious systemic issues include a rigid protocol preventing mentally disordered individuals' transfer from police custody, unclear hospital transfer …	NHS England National Offender Management Service Care UK Clinical Services South Essex Partnership Trust	Partially Responded	3/4
16 Feb 2017	Thomas Green There was a critical failure to action a psychiatric referral during inpatient care and no follow-up for complex …	Churchgate Surgery Pennine Care NHS Trust Tameside and Glossop Clinical Commissioning …	Partially Responded	1/3
16 Feb 2017	Etheline De-Gale Vague care plans and inadequate staff training on risk assessment led to carers misinterpreting assistance needs. Insufficient staffing …	Ambassador House Care Home	All Responded	1/1
14 Feb 2017	Wendy Telfer Inadequate training for physical healthcare staff on mental health needs and Mental Health Act application is a concern. …	Devon Partnership NHS Trust Eastern and Western Devon Clinical … NHS Northern Royal Devon and Exeter NHS …	All Responded	3/4
14 Feb 2017	Derek Lee No specific concerns regarding future deaths were detailed in the provided text, only contact information.	Sussex Partnership NHS Trust	Historic (No Identified Response)	0/1
14 Feb 2017	David Alexander Overturns in the industry are underreported and poorly understood, lacking investigation into causes like hydraulic ram bracket failures. …	Health and Safety Executive	All Responded	1/1
13 Feb 2017	Roger Tombs Fall sensor mats were improperly placed on crash mats, potentially reducing their effectiveness and increasing the risk of …	Care Quality Commission Sunrise Senior Living	All Responded	2/2
10 Feb 2017	Raymond Edwards A critical lack of a reliable system for disseminating histology results to named consultants meant crucial diagnostic information …	Betsi Cadwaladr University Health Board	All Responded	1/1
9 Feb 2017	Warren Myers Inadequate warning signage on the approach to the corner significantly contributed to the accident risk.	County Durham Council Highways Department	Partially Responded	1/2
9 Feb 2017	Rachel Morgan The mental health ward failed to review medication despite patient concerns and did not conduct full risk assessments …	Greater Manchester West Mental Health …	Historic (No Identified Response)	0/1
9 Feb 2017	Matthew Roberts There was no policy to log and scrutinize faxes, leading to potential loss of information, and staff often …	Sussex Partnership NHS Trust	All Responded	1/1
8 Feb 2017	Anna Phillips The deceased obtained a dangerous, unlicensed weight loss drug (2,4 Dinitrophenol) online, which is known to cause fatalities.	Home Office	All Responded	1/1

Leah Ratheram

Historic (No Identified Response)

15 Mar 2017 · Birmingham and Solihull · 0/5 responses

Fragmented mental health services for young adults, with separate organizations and incompatible record systems, led to uncoordinated care, poor information sharing, and unclear responsibility during …

Birmingham and Solihull Mental … Birmingham Children’s Hospital NHS … Birmingham City Council Cross City Clinical Commissioning … NHS England

Jack Sheldon

Historic (No Identified Response)

14 Mar 2017 · South Yorkshire (East) · 0/1 responses

The emergency services lacked an effective system for managing multiple calls, prioritising resources, and mobilising appropriate appliances, compounded by inadequate staff training and difficult-to-use systems.

Chief Fire Officer

Mariana Pinto

All Responded

14 Mar 2017 · London Inner (North) · 2/1 responses

The emergency department failed to effectively communicate illness progression and crisis team limitations to the family. The crisis line nurse did not escalate an urgent …

East London NHS Trust

Rebecca Evans

All Responded

14 Mar 2017 · North Wales (East and Central) · 1/1 responses

Significant and recurring delays in patient handover at Emergency Departments led to late hospital admission and delayed medical treatment, tying up ambulance resources and risking …

Welsh Ambulance NHS Trust

Andrew Lownes

Historic (No Identified Response)

13 Mar 2017 · London Inner (West) · 0/1 responses

The absence of clear, written unloading instructions for heavy, unstable industrial units led to confusion regarding complex banding, creating a risk of accidental dislodgement and …

Glass and Glazing Federation

George Dicker

Historic (No Identified Response)

13 Mar 2017 · London (North) · 0/1 responses

There is no alarm or warning system to alert railway signallers when a person accesses the tracks via a gate at the end of a …

RSSB

James O’Brien

All Responded

13 Mar 2017 · London Inner (South) · 1/1 responses

Critical delays in emergency response, including resuscitation and defibrillator deployment, were compounded by inadequate staff training, poor induction for agency nurses, and insufficient information provided …

Cambian Group

Daphne Cherry

All Responded

13 Mar 2017 · Gloucestershire · 1/1 responses

Concerns exist regarding care home staff's ability to identify and appropriately escalate medical concerns, including when a medical review is needed.

Care UK

Carol Harvey

All Responded

10 Mar 2017 · North Wales (East and Central) · 1/1 responses

There is no procedure to confirm district nurse referral receipt and action, and significant delays exist in developing and implementing a safe patient discharge procedure …

Betsi Cadwaladr University Health …

Lester Stacey

Historic (No Identified Response)

10 Mar 2017 · Staffordshire (South) · 0/1 responses

A patient with complex physical and mental health issues disengaged from community mental health services post-discharge following medication changes, contributing to low moods and his …

South Staffordshire and Shropshire …

Anna Walker

Historic (No Identified Response)

10 Mar 2017 · London (East) · 0/1 responses

Post-operative checks were not compliant with protocol, leading to delayed detection of a bleed, due to failures in portering, ward nurse responsibilities, and unclear clinical …

Barking, Havering and Redbridge …

Peter Norton

Historic (No Identified Response)

9 Mar 2017 · Cornwall and the Isles of Scilly · 0/1 responses

The store lacked guidance, policies, and risk assessments for cycling indoors, including a safe designated area and helmet use, creating an unsafe environment.

Halfords Group PLC

Frederick Bevan

Historic (No Identified Response)

9 Mar 2017 · Birmingham and Solihull · 0/1 responses

A poor handover practice led to paramedics receiving an inaccurate incident history from a non-witnessing nurse instead of the witnessing carer, risking detrimental effects on …

Bondcare Limited

Billy Wilson

All Responded

9 Mar 2017 · West Yorkshire (East) · 1/1 responses

Critical gaps exist in mandatory and assessed training for CTG tracing interpretation for both student and practicing midwives, leading to proficiency issues upon hospital recruitment.

Nursing and Midwifery Council

Annabel Lewis

Historic (No Identified Response)

9 Mar 2017 · Staffordshire (South) · 0/2 responses

Mental health services failed to adequately assess risk, record crucial details, or proactively engage with a vulnerable young person and her parents after an initial …

Child and Adolescent Mental … South Staffordshire and Shropshire …

Valdas Jasiunas

Historic (No Identified Response)

8 Mar 2017 · London (East) · 0/1 responses

Custody risk assessments inadequately screen for alcohol dependency, and the computer system's design leads to frequent errors, further complicated by a lack of multi-language support …

Metropolitan Police

Kathleen Cooper

Historic (No Identified Response)

8 Mar 2017 · Manchester City · 0/1 responses

Persistent, unaddressed systemic failures at the Trust include poor communication, inadequate supervision, incorrect early warning scores, and delayed action on patient deterioration, compounded by challenges …

Pennine Acute Hospitals NHS …

John Atkin

Historic (No Identified Response)

6 Mar 2017 · Surrey · 0/1 responses

There is a critical breakdown in communication regarding hazard assessment at service-user homes, with occupational therapists unaware of their role in informing delivery services about …

Millbrook Healthcare Limited

Vadims Aleksejevs

All Responded

3 Mar 2017 · Northamptonshire · 1/1 responses

There is a lack of clarity on whether adult social care or addiction services provide outreach to vulnerable homeless individuals on campsites, and an unclear …

Northampton County Council

Alan Walsh

Historic (No Identified Response)

3 Mar 2017 · London Inner (South) · 0/3 responses

A lack of awareness regarding the safety-critical role and vulnerability of ladder spigots poses significant health and safety risks due to potential inadvertent shearing.

Department for Business and … Youngman Health and Safety Executive

Joan Rimmer

Historic (No Identified Response)

3 Mar 2017 · Liverpool and Wirral · 0/1 responses

A Community Matron's failure to take physiological readings and incorrectly assess consent for an X-ray in a patient with severe dementia led to a two-week …

Liverpool Community Health NHS …

Terence Millington

All Responded

2 Mar 2017 · South Yorkshire(West) · 1/1 responses

Inadequate arrangements for on-call doctors, including a senior doctor's failure to ensure availability and a consultant's distant location, delayed prompt emergency care and a blood …

Sheffield Hospitals NHS Trust

Paul Barber

All Responded

2 Mar 2017 · Brighton and Hove · 1/1 responses

The report indicates a risk of future deaths unless action is taken, but no specific concerns were detailed in the provided text.

Brighton and Sussex University …

Thomas Unsworth

Partially Responded

1 Mar 2017 · Manchester (West) · 1/2 responses

The junction's design creates a significant "blind spot" for turning drivers, severely limiting their view of pedestrians, raising safety concerns during crossings.

Bolton Council Highways Division

Darran Hunt

Historic (No Identified Response)

1 Mar 2017 · Carmarthenshire and Pembrokeshire · 0/1 responses

Inconsistent police training and guidance regarding PAVA spray use and forcible mouth searches for detained persons with objects in their mouths, conflicting with FFLM recommendations, …

National Police Chiefs’ Council

Ceriann Richards

All Responded

1 Mar 2017 · South Wales Central · 2/4 responses

Significant and prolonged handover delays between ambulance crews and hospital staff led to critical delays in ambulance dispatch and availability, worsening since new guidance.

Neville Hall Hospital Royal Gwent Hospital Welsh Ambulance Service NHS … Welsh Government

Colin Hodge

All Responded

28 Feb 2017 · Dorset · 1/1 responses

A junction's poor state of repair and lack of clear pavement/roadway boundaries encourage pedestrians to cross unsafely and drivers to cut corners, posing significant collision …

Dorset Highways Departments

Paul Briggs

All Responded

28 Feb 2017 · Liverpool and Wirral · 1/1 responses

The absence of rumble strips on double white lines at a merging carriageway increases the risk of vehicles inadvertently straying into oncoming traffic, particularly where …

Merseyside Passenger Transport Authority

Rachel Edwards

All Responded

27 Feb 2017 · Suffolk · 1/1 responses

The report describes the circumstances of a death from overdose but does not detail specific coroner's concerns regarding systemic failures or future death risks.

Norfolk and Suffolk NHS …

Doreen Stapleton

All Responded

24 Feb 2017 · London Inner (North) · 1/1 responses

An obsolete email address caused a critical district nursing referral to fail upon discharge, compounded by inadequate, explicit communication to a vulnerable patient and family …

Whittington Hospital NHS Trust

Luke Mumford

All Responded

23 Feb 2017 · Mid Kent and Medway · 1/1 responses

The road's narrow, unlit, and unkerbed characteristics, bordered by hedgerows, make the 70 mph speed limit unsafe, with experts stating speeds above 50 mph pose …

Kent County Council

Grant Burns

All Responded

23 Feb 2017 · Southampton and New Forest · 1/1 responses

There was a significant lack of cooperative working and communication between mental health and substance misuse services, which impeded a complete root cause analysis.

Solent NHS Trust

Ashley Talbot

All Responded

22 Feb 2017 · South Wales Central · 2/2 responses

Poor design of the school service road and bus bay, coupled with insufficient staff supervision, created a highly dangerous situation for children crossing the road, …

Bridgend County Borough Council Maesteg Comprehensive School

Maxim Karpovich

All Responded

22 Feb 2017 · West Yorkshire (East) · 2/2 responses

Midwives and junior obstetricians demonstrated a critical lack of skill in interpreting abnormal cardiotocograph (CTG) traces. This highlights a systemic failure in CTG training and …

Royal College of Midwives Royal College of Obstetricians …

Margaret Jones

Historic (No Identified Response)

22 Feb 2017 · Avon · 0/2 responses

Multiple collisions at a junction highlight the need for a reduced speed limit on the A36, improved road signage, and better carriageway markings to enhance …

Avon and Somerset Constabulary Highways England

Jack Portland

Partially Responded

21 Feb 2017 · Buckinghamshire · 2/3 responses

No specific concerns regarding future deaths were detailed in the provided text, only contact information.

Central and North West … HMP Woodhill Oxford Health NHS Trust

Esther Hartsilver

All Responded

20 Feb 2017 · London Inner (South) · 2/2 responses

The junction's design is inherently dangerous, allowing left-turning vehicles to cross straight-ahead traffic and lacking clear road signage to warn users of potential conflict, especially …

London Borough of Southwark TFL

Milan Dokic

Historic (No Identified Response)

17 Feb 2017 · London Inner (West) · 0/1 responses

The Cycle Superhighway's road surface has reduced grip, creating a significant hazard that increases the likelihood of road users losing control, especially cyclists at junctions. …

TFL

Dean Saunders

Partially Responded

17 Feb 2017 · Essex · 3/4 responses

Serious systemic issues include a rigid protocol preventing mentally disordered individuals' transfer from police custody, unclear hospital transfer processes, and inadequate staff training in the …

NHS England National Offender Management Service Care UK Clinical Services South Essex Partnership Trust

Thomas Green

Partially Responded

16 Feb 2017 · Manchester (South) · 1/3 responses

There was a critical failure to action a psychiatric referral during inpatient care and no follow-up for complex PTSD post-discharge. This highlighted a commissioning gap …

Churchgate Surgery Pennine Care NHS Trust Tameside and Glossop Clinical …

Etheline De-Gale

All Responded

16 Feb 2017 · Bedfordshire and Luton · 1/1 responses

Vague care plans and inadequate staff training on risk assessment led to carers misinterpreting assistance needs. Insufficient staffing levels also compromised resident safety and impacted …

Ambassador House Care Home

Wendy Telfer

All Responded

14 Feb 2017 · Exeter and Greater Devon · 3/4 responses

Inadequate training for physical healthcare staff on mental health needs and Mental Health Act application is a concern. A severe national shortage of psychiatric beds …

Devon Partnership NHS Trust Eastern and Western Devon … NHS Northern Royal Devon and Exeter …

Derek Lee

Historic (No Identified Response)

14 Feb 2017 · Brighton and Hove · 0/1 responses

No specific concerns regarding future deaths were detailed in the provided text, only contact information.

Sussex Partnership NHS Trust

David Alexander

All Responded

14 Feb 2017 · Exeter and Greater Devon · 1/1 responses

Overturns in the industry are underreported and poorly understood, lacking investigation into causes like hydraulic ram bracket failures. There's inadequate industry guidance and a failure …

Health and Safety Executive

Roger Tombs

All Responded

13 Feb 2017 · Birmingham and Solihull · 2/2 responses

Fall sensor mats were improperly placed on crash mats, potentially reducing their effectiveness and increasing the risk of undetected falls, injury, and death for vulnerable …

Care Quality Commission Sunrise Senior Living

Raymond Edwards

All Responded

10 Feb 2017 · North Wales (Eastern and Central) · 1/1 responses

A critical lack of a reliable system for disseminating histology results to named consultants meant crucial diagnostic information was not promptly reviewed, posing a significant …

Betsi Cadwaladr University Health …

Warren Myers

Partially Responded

9 Feb 2017 · County Durham and Darlington · 1/2 responses

Inadequate warning signage on the approach to the corner significantly contributed to the accident risk.

County Durham Council Highways Department

Rachel Morgan

Historic (No Identified Response)

9 Feb 2017 · Manchester (South) · 0/1 responses

The mental health ward failed to review medication despite patient concerns and did not conduct full risk assessments after self-harm incidents. There was also an …

Greater Manchester West Mental …

Matthew Roberts

All Responded

9 Feb 2017 · West Sussex · 1/1 responses

There was no policy to log and scrutinize faxes, leading to potential loss of information, and staff often delayed reading referral details, hindering timely risk …

Sussex Partnership NHS Trust

Anna Phillips

All Responded

8 Feb 2017 · Cornwall and Isles of Scilly · 1/1 responses

The deceased obtained a dangerous, unlicensed weight loss drug (2,4 Dinitrophenol) online, which is known to cause fatalities.

Home Office