2017

PFD Reports
Reports: 446 Areas: 66

65% response rate (above 63% average).

Response Status
Responded 292 Historic 154
AI Classification
Action Taken 46%
Action Planned 35%
Noted 17%
Disputed 2%
Based on 399 classified responses
Top Categories
Hospital Death (Clinical Procedure… (236) Community health care and emergenc… (63) Road (Highways Safety) related dea… (41) Other related deaths (38) Care Home Health related deaths (29)
Clear 154 results
Geraldine Butterfield
Historic (No Identified Response)
2017-0022 25 Jan 2017 Surrey
Collingwood Nursing Home
Concerns summary (AI summary) Nursing staff lacked sufficient knowledge of the choking policy and understanding of when to provide life-sustaining treatment in the presence of a DNAR order.
Thomas Coyne
Historic (No Identified Response)
2017-0207 19 Jan 2017 Cheshire
Northern Rail
Concerns summary (AI summary) Inadequate CCTV coverage at the station and the absence of physical barriers at platform ends allowed unmonitored access to the tracks, posing a serious safety risk.
Shane Hardy
Historic (No Identified Response)
16 Jan 2017 Gloucestershire
Change Grow Live 2Gether NHS Foundation Trust
Concerns summary (AI summary) Individuals with co-occurring addictions and mental health issues fell through service gaps, receiving no assistance. Additionally, there was a lack of inter-agency information sharing and no identified lead agency for communication.
Roseleen O’Donoghue
Historic (No Identified Response)
2017-0007 3 Jan 2017 Manchester (South)
Your Housing
Concerns summary (AI summary) The installed stair lift does not stop in a safe position at the top, leaving the step plate suspended over the stairwell. This creates a falling risk for users and may affect other similar installations.