2019

PFD Reports
Reports: 527 Areas: 66

70% response rate (above 63% average).

527 results
Nicky Reilly
All Responded
2019-0014 4 Jan 2019 Manchester (North)
Greater Manchester Mental Health & Soci… HM Prisons and Probation Service
Concerns summary (AI summary) The provided text is incomplete and does not detail specific concerns regarding future deaths, primarily describing the deceased's history and transfer.
Action Taken (AI summary) Prison psychology teams can request access to patient's clinical records and have been informed how to gain access. A rewritten guidance document for staff addresses patients who are non-concordant with medication, referencing actions for staff during weekdays and weekends; it was circulated to staff in December 2018. HMPPS provides a Care and Management Plan for prisoners managed by the Managing Challenging Behaviour Strategy (MCBS). They are rolling out 'Working with Challenging Behaviour' training, have developed a toolkit to help staff meet the needs of those with Learning Disabilities and Challenges (LDC), and are opening a dedicated unit for prisoners with autism at HMP Wakefield.
Alexandre Parr
All Responded
2019-0001 2 Jan 2019 Wiltshire and Swindon
Civil Aviation Authority
Concerns summary (AI summary) The provided text is incomplete and does not detail any specific concerns regarding future deaths.
Action Taken (AI summary) The CAA now requires calendar periods for engine overhaul for low-utilisation aircraft, reinforced the replacement lifespan of the YAK-52 engine with a new MPD, and will revise Safety Notice 2018/005 to emphasize calendar lives for safety harnesses and provide guidance on harness assessments; however, the CAA concluded it would not be appropriate to request the manufacturer to specify a rate for the Fuel Primer Pump, but will include its use in emergencies for discussion at the next CAA led YAK & Nanchang ‘Continuing Airworthiness Forum’.