2025

PFD Reports
Reports: 635 Areas: 66

94% response rate (above 62% average).

Response Status
Responded 599 No Response 32 Pending 4
AI Classification
Action Taken 57%
Action Planned 23%
Noted 11%
Disputed 9%
Based on 210 classified responses
Top Categories
Hospital Death (Clinical Procedure… (204) Suicide (from 2015) (142) Alcohol, drug and medication relat… (95) Mental Health related deaths (76) Child Death (from 2015) (59)
Clear 4 results
Wendy Eyles
Response Pending
2026-0153 22 Dec 2025 Northamptonshire
Northamptonshire Healthcare NHS Foundat… Northamptonshire Integrated Care Board
Concerns summary A lack of protocol for patients receiving both NHS and private psychiatric care leads to poor communication regarding medication changes, risking patient safety due to uncoordinated treatment.
Walter Pollyn
Response Pending
2026-0134 16 Dec 2025 Kent and Medway
Medway NHS Foundation Trust
Concerns summary Nursing staff repeatedly failed to adhere to 'nil by mouth' instructions despite clear documentation and visual cues, indicating potential underlying attitudinal issues and inadequate record-keeping practices.
Timothy Reading
Response Pending
2026-0101 21 Nov 2025 Worcestershire
Birmingham and Solihull Mental Health F… NHS England
Concerns summary The lack of formal, agreed S.117 plans for mental health discharge creates disjointed patient support. There is also no national guidance clarifying the required components for S.117 plans.
Hilary Chapman
Response Pending
2026-0111 16 Sep 2025 County Durham and Darlington
TEWV
Concerns summary The updated section 17 leave policy does not reflect the new processes for discussing and prescribing leave, creating a gap between practice and documented policy, with no review expected until 2026.