2014

PFD Reports
Reports: 557 Areas: 71

54% response rate (below 62% average).

Response Status
Responded 303 Historic 252
AI Classification
Action Taken 52%
Action Planned 24%
Noted 17%
Disputed 7%
Based on 29 classified responses
Top Categories
Hospital Death (Clinical Procedure… (240) Community health care and emergenc… (69) Other related deaths (66) Road (Highways Safety) related dea… (57) State Custody related deaths (35)
557 results
Andrew John Fallon
Historic (No Identified Response)
2014-0005 7 Jan 2014 Manchester (South)
Stockton NHS Foundation Trust
Concerns summary Emergency Department staffing levels were critically insufficient, causing excessive delays for seriously ill patients as staff were overwhelmed by patient volume, including minor complaints.
Grace Mary Bates
All Responded
2014-0007 7 Jan 2014 London (North)
Department of Health and Social Care Barnet and Chase Farm Hospitals NHS Tru…
Concerns summary The hospital lacked a specialist diabetic nurse available over the weekend, posing a risk to patients requiring specific care.
Action taken summary Barnet and Chase Farm Hospitals NHS Trust has approved a business case for the appointment of at least one full-time specialist diabetic nurse to provide improved cover across the calendar …
Martin McGlasson
All Responded
2014-0001 6 Jan 2014 Cumbria (North & West)
British Precast Concrete Federation
Concerns summary Widespread use of an unsafe work method, failure to implement inexpensive safety measures despite known risks, and inadequate dissemination of risk assessments to operating staff were key concerns.
Action taken summary Thomas Armstrong Holdings Ltd has implemented a new system of work and adopted a new Risk Assessment and Method Statement for moving staircases. They have also provided health and safety …
Billy Paul Thomas Salton
All Responded
2014-0002 6 Jan 2014 Manchester (South)
Greater Manchester Police
Concerns summary GMP policy of not staffing the Prisoner Processing Unit overnight leads to unnecessary and prolonged custody times for individuals awaiting interview.
Action taken summary Medacs has introduced a new requirement for all new healthcare staff to sign off on policy awareness and has replaced handwritten assessment forms with an electronic record system. They are …
Chloe Grace Flavell
Historic (No Identified Response)
2014-0003 6 Jan 2014 Avon
Weston Area Health NHS Trust
Concerns summary The reception area management, prior to triage, creates significant and dangerous delays in providing immediate care and treatment, particularly for children.
Daniel Williams
All Responded
2014-0009 6 Jan 2014 South Yorkshire (East)
Rotherham, Doncaster and South Humber N…
Concerns summary Key concerns include inadequate staff training in record-keeping and communication, absence of clear guidance for checking for self-harm items, and no central summary sheet for key patient information.
Action taken summary The Trust has completed 'personal safe care' training for all inpatient staff, altered handover practice, and developed a Standard Operating Procedure for room searches. They have also included a sear
Keith Fleming
Historic (No Identified Response)
2014-0008 3 Jan 2014 Gateshead & South Tyneside
Newcastle upon Tyne Hospitals NHS Found… Trinity Medical Centre North of England Commissioning Report +1 more
Concerns summary The provided text indicates that matters of concern were revealed but does not detail what these specific concerns are.