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Other & emergent pillar
Care coordination gaps in discharge planning and risk assessment update protocols
260
Reports tagged with this theme
Sub-theme count: 0
PFD reports
260 reports
James Stewart
14 Apr 2026
Richard Whelan
9 Apr 2026· West Yorkshire Western
Mental Health
Mark Smith
7 Apr 2026· Inner South London
`REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
Peter Pettit
2 Apr 2026· Suffolk
Community Health and Emergency Services
John Fisher
19 Mar 2026· West Sussex, Brighton and Hove
Hospital Death (Clinical Procedures and medical management)
John Beagley
19 Mar 2026· Gloucestershire
Hospital Death (Clinical Procedures and medical management)
Malcolm Welch
11 Mar 2026· North Yorkshire and York
Community Health and Emergency Services
Jennine Romeo
10 Mar 2026· City of London
Hospital Death (Clinical Procedures and medical management)
Oriel Vasey
4 Mar 2026· Sunderland
Hospital Death (Clinical Procedures and medical management)
Thomas Morrell
17 Nov 2025· Newcastle and North Tyneside
Hospital Death (Clinical Procedures and medical management)
Janet Anderson
9 May 2025· Manchester South
Hospital Death (Clinical Procedures and medical management)Mental Health
Jean Pike
7 Mar 2025· SWANSEA & NEATH PORT TALBOT
Mental HealthSuicide (from 2015)
Katrina Insleay
6 Feb 2025· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Jean Mullen
12 Dec 2024· South Yorkshire (Eastern)
Community health care and emergency services
Janet Brown Townend
4 Nov 2024· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Sylvia White
30 Jan 2024· East Riding and Hull
Other
Karena Wicking
9 Jan 2024· Cumbria
Hospital Death (Clinical Procedures and medical management)
Sylvia Nash
2 Jan 2024· Birmingham and Solihull
Care Home Health
David Hemmings
18 Dec 2023· Inner West London
Care Home Health
Reece Nelson
12 Dec 2023· North Lincolnshire and Grimsby
Suicide (from 2015)
Amarnih Lewis-Daniel
11 Dec 2023· East London
Other
Sarah Chappell
7 Dec 2023· Inner North London
Hospital Death (Clinical Procedures and medical management)
Jennifer Whinney
27 Nov 2023· Inner North London
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Michael Daft
24 Nov 2023· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Philip Malone
23 Nov 2023· Birmingham and Solihull
Suicide (from 2015)
Claire Homer
10 Nov 2023· Inner North London
Other
Irene White
7 Nov 2023· Somerset
Care Home Health
Francis Barnes
27 Oct 2023· Berkshire
Hospital Death (Clinical Procedures and medical management)
Jonathan McCarthy
24 Oct 2023· Northampton
State Custody
Alex Dews
10 Oct 2023· South Yorkshire (Western)
Other
Janet Spencer
4 Oct 2023· Nottingham City and Nottinghamshire
Care Home Health
Marion Luckraft
29 Sep 2023· East London
Hospital Death (Clinical Procedures and medical management)
Lauren Bridges
19 Sep 2023· Manchester South
Mental Health
Anthony Friend
18 Sep 2023· Worcestershire
Care Home Health
Geoffrey Brooks
15 Sep 2023· Exeter and Greater Devon
Hospital Death (Clinical Procedures and medical management)
Richard Griffiths
14 Sep 2023· North Wales East and Central
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards
Geoffrey Hoad
13 Sep 2023· Norfolk
Emergency services related deaths (2019 onwards)Hospital Death (Clinical Procedures and medical management)
Amanda Kramer
11 Sep 2023· East London
Hospital Death (Clinical Procedures and medical management)
Donna Levy
31 Aug 2023· East London
Hospital Death (Clinical Procedures and medical management)
William Nichols
18 Aug 2023· Gateshead and South Tyneside
Hospital Death (Clinical Procedures and medical management)
Edward Rhodes
1 Aug 2023· Dorset
Alcoholdrugs medication
Christine Nakafeero
24 Jul 2023· East London
Hospital Death (Clinical Procedures and medical management)
Thomas Barton
21 Jul 2023· Manchester South
Hospital Death (Clinical Procedures and medical management)
Ronald Ashdown
18 Jul 2023· Essex
Hospital Death (Clinical Procedures and medical management)
Terence Burns
14 Jul 2023· Blackpool & Fylde
Care Home Health
Emily Corfield
14 Jul 2023· North Wales East and Central
Alcoholdrugs medication
Oleg Khala
6 Jul 2023· Inner West London
Suicide (from 2015)
Girmaye Guyo
16 Jun 2023· Manchester City
Other
Hilary Guedalla
8 Jun 2023· Inner North London
Suicide (from 2015)
Jessica Hodgkinson
26 May 2023· Derby and Derbyshire
Hospital Death (Clinical Procedures and medical management)
Conrad Colson
26 May 2023· East London
Suicide (from 2015)
Odessa Carey
12 May 2023· North Northumberland and South Northumberland
Other
Bency Joseph
7 May 2023· Essex
Mental Health
Colin Gumm
26 Apr 2023· Lincolnshire
Hospital Death (Clinical Procedures and medical management)
Jordan Clare
26 Mar 2023· Manchester South
OtherSuicide (from 2015)
Kenneth Adams
22 Mar 2023· Dorset
Emergency services related deaths (2019 onwards)
Lugh Baker
13 Mar 2023· Cornwall and the Isles of Scilly
Care Home Health
Sophie Williams
27 Feb 2023· North London
Alcoholdrugs medication
Peter Seaby
27 Feb 2023· Norfolk
Care Home Health
Eric Huber
31 Jan 2023· Exeter and Greater Devon
Mental HealthSuicide (from 2015)
Samuel Pearson
10 Nov 2022· South London
Alcoholdrug and medication
Lynn Moss
4 Nov 2022· Manchester South
Other
Graham Flindle
4 Nov 2022· Manchester South
Other
Diane Austin-Martin
14 Sep 2022· Manchester South
Other
Asher Sinclair
4 Sep 2022· West London
Child Death (from 2015)Community health care and emergency services
Susan Regan
17 Aug 2022· Manchester South
Mental HealthSuicide (from 2015)
Lily Girton
11 Aug 2022· East London
Community health care and emergency servicesMental Health
Stanislav Mucha
4 Aug 2022· Manchester North
Mental Health
Rita Flynn
3 Aug 2022· Black Country
Other
Alison Dallow
3 Aug 2022· Herefordshire
Other
Colleen Fletcher
20 Jul 2022· Rutland and North Leicestershire
Other
Joan Richardson
1 Jul 2022· Sefton St Helens & Knowsley
Community health care and emergency services
Victoria Cartwright
17 Jun 2022· Manchester West
Alcoholdrug and medication
Margaret Stringer
17 Jun 2022· Blackpool and Fylde
Care Home HealthMental Health
James Manning
16 Jun 2022· West Sussex
Child Death (from 2015)Community health care and emergency services
Mena Terefi
7 Jun 2022· West London
Mental HealthSuicide (from 2015)
Hayley Smith
28 May 2022· North East Kent
Other
Matthew Evans
19 May 2022· Surrey
AlcoholCommunity health care
Lauren Murdock
26 Apr 2022· Inner North London
AlcoholCommunity health care
Volodymyr Korol
19 Apr 2022· Surrey
Community health careEmergency Services
Darran Busby
20 Jan 2022· Cumbria
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Brian Wareham
20 Jan 2022· Gwent
Community health careHospital Death (Clinical Procedures and medical management)
Hedley Robinson
22 Dec 2021· Milton Keynes
Hospital Death (Clinical Procedures and medical management)Mental Health
Terence Talbot
16 Dec 2021· Mid Kent and Medway
Alcoholdrug and medication
Alexander Theodossiadis
10 Dec 2021· West Yorkshire (Eastern)
Community health care and emergency servicesDepartment for Health and Social Care
Marshall Metcalfe and Jane Ireland
7 Dec 2021· Blackpool & Fylde
AlcoholChild Death (from 2015)
Tripta Bhanote
18 Oct 2021· Black Country
Care Home HealthHospital Death (Clinical Procedures and medical management)
Helena Opuku
18 Oct 2021· East London
Community health careOther
Charlotte Duffield
14 Oct 2021· Cumbria
Community health careOther
Chloe English
23 Sep 2021· West Yorkshire Western
Suicide (from 2015)
Barry Martin
17 Sep 2021· Manchester South
Community health careOther
Maureen Johnson
9 Sep 2021· Manchester South
Community health care
Joseph Dent
9 Sep 2021· County Durham and Darlington
Other
Maurice Leech
26 Aug 2021· Greater Manchester South
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Norma Rushworth
26 Aug 2021· Greater Manchester South
Community health careHospital Death (Clinical Procedures and medical management)
Henry Boddy
9 Jul 2021· Inner London North
Community health careOther
Joan Prescott
8 Jul 2021· Plymouth Torbay and South Devon
Community health careOther
Katie Locke
30 Jun 2021· Hertfordshire
Hospital Death (Clinical Procedures and medical management)Mental Health
Heather Page
28 Jun 2021· Nottinghamshire
Community health careMental Health
Netlyn Robinson
28 Jun 2021· West Yorkshire Eastern
Community health careOther
Zainab Hashim and Tafaoul Abdulkarim
28 Jun 2021· Stoke-on-Trent & North Staffordshire
Child Death (from 2015)Community health care
Angela Best
14 Jun 2021· Inner North London
Community health careHospital Death (Clinical Procedures and medical management)
Clive Rivers
14 Jun 2021· Manchester South
Care Home HealthCommunity health care
Denton Duhaney
14 Jun 2021· West Yorkshire Western Division
Hospital Death (Clinical Procedures and medical management)Mental Health
Macaulay Wilson
18 May 2021· Inner North London
Community health careHospital Death (Clinical Procedures and medical management)
Parys Lapper
18 May 2021· West Sussex
AlcoholCommunity health care and emergency services
Glenn Macmartin
7 May 2021· Plymouth Torbay and South Devon
Care Home HealthHospital Death (Clinical Procedures and medical management)
Thiago Araujo
4 May 2021· East London
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Sean Kay
29 Apr 2021· Cambridgeshire & Peterborough
Community health careHospital Death (Clinical Procedures and medical management)
Mary Gwanyama
23 Apr 2021· Surrey
Community health careHospital Death (Clinical Procedures and medical management)
Ailsa Stewart
15 Apr 2021· Manchester South
Community health careOther
Hannah Browning
14 Apr 2021· North Wales (East and Central)
Community health careMental Health
Bathsheba Shepherd
13 Apr 2021· London (West)
Community health careHospital Death (Clinical Procedures and medical management)
Sean Fegan
30 Mar 2021· Nottingham City and Nottinghamshire
AlcoholCommunity health care
Azra Hussain
30 Mar 2021· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)Mental Health
Cyril Cheetham
4 Feb 2021· South Manchester
Community health careOther
Joan Howard
14 Jan 2021· South Yorkshire (West)
Hospital Death (Clinical Procedures and medical management)
Natalie Edgington
14 Jan 2021· Manchester North
Community health careOther
Andrew Gibbins
7 Jan 2021· Suffolk
Hospital Death (Clinical Procedures and medical management)Mental Health
Eileen Brindley
7 Jan 2021· Black Country
Community health careOther
Ronald Tilley
6 Jan 2021· North East Kent
Community health care and emergency servicesOther
Roy Curtis
5 Jan 2021· Milton Keynes
Community health careMental Health
Violet Jackman
4 Jan 2021· Greater Manchester South
Child Death (from 2015)Community health care
Linda Doherty
21 Dec 2020· Surrey
Community HealthcareHospital Death (Clinical Procedures and medical management)
June Winterbottom
19 Nov 2020· West Yorkshire (East)
Community healthcare
Patricia Ferguson
20 Oct 2020· Nottinghamshire & Nottingham
Community healthcareMental Health
Enid Baber
24 Jul 2020· Nottinghamshire and Nottingham
Other
Miriam Smith-Cox
15 Jul 2020· Cornwall and the Isles of Scilly
Community healthcareOther
Iain Macinnes
14 Jul 2020· Milton Keynes
Community healthcareMental Health
Gordon Fenton
27 May 2020· Manchester
Hospital Death (Clinical Procedures and medical management)Mental Health
Allan Cunliffe
18 May 2020· Manchester
Hospital Death (Clinical Procedures and medical management)
Wendy Wilkes
18 May 2020· Manchester
AlcoholCommunity health care
Patricia McAdam
14 May 2020· South London
Community health care
Darren King
20 Apr 2020· Suffolk
Community health care
Shannon Quinn
25 Mar 2020· Black Country
Care HomeCommunity Healthcare
Julie O’Connor
30 Jan 2020· Avon
Community healthcare
Ricky Barcock
16 Jan 2020· West Yorkshire (Western)
Alcoholdrug and medication
Joanna Orpin
8 Jan 2020· Isle of Wight
Mental Health
Lewis Mendelson
31 Dec 2019· Manchester
Community health care and
Gary Leyland
28 Dec 2019· Manchester
Alcoholdrug and medication
Maureen Milton
28 Dec 2019· Staffordshire and Stoke-on-Trent
Other
John Wells
9 Dec 2019· West Sussex
Community health careEmergency services related deaths (2019 onwards)
Joanna Flynn
9 Dec 2019· Essex
AlcoholCommunity health care
Annette Hewins
5 Nov 2019· South Wales Central
Hospital Death (Clinical Procedures and medical management)Mental Health
Christopher Hart
18 Oct 2019· Manchester
Other
Peter Moran
13 Sep 2019· Staffordshire and Stoke-on-Trent
Community health careEmergency services related deaths (2019 onwards)
Hannah Bharaj
9 Sep 2019· Manchester
Mental HealthSuicide (from 2015)
Charles Knapp
23 Aug 2019· Surrey
Community health care
John Gogarty
23 Aug 2019· South Yorkshire (Western)
Mental Health
Nguyen Quyen
15 Aug 2019· Sunderland
Other
Jack May
9 Jun 2019· South Wales Central
Community health careWales prevention of future deaths reports (2019 onwards)
Barnaby Aylward
13 May 2019· West Yorkshire (Western)
Community health care and emergency services
John Delahaye
13 May 2019· Birmingham and Solihull
State CustodySuicide (from 2015)
Sylvia Mitchell
12 May 2019· Black Country
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Ursula Keogh
10 May 2019· West Yorkshire (Western)
Child Death (from 2015)
Charles Grainger
24 Apr 2019· Derby and Derbyshire
Care Home HealthHospital Death (Clinical Procedures and medical management)
Brian Frost
1 Mar 2019· Suffolk
Community health care and emergency services
Dorina Zangari
21 Dec 2018· East London
Community health care and emergency services
Cady Stewart
21 Dec 2018· Manchester
Suicide (from 2015)
Donald Clegg
25 Oct 2018· Manchester
Community health care and emergency services
Hayley Gascoigne
1 Oct 2018· East Riding and Hull
Other
Kathleen Bamforth
24 Sep 2018· West Yorkshire (Western)
Community health care and emergency services
Richard Barrett
24 Sep 2018· South Wales Central
Community health care and emergency services
Marjorie McMahon
10 Jul 2018· Manchester
Community health care and emergency services
William Lugg
10 Jul 2018· Inner London North
Community health care and emergency services
Ellie Clark
16 Jun 2018· Gwent
Community health care and emergency services
Lakhminder Kaur
8 Jun 2018· Black Country
Community health care and emergency services
Timothy Shaw
7 Jun 2018· Essex
State Custody
Andrew Reid
4 Apr 2018· Manchester
Community health care and emergency services
Joan Betteridge
20 Mar 2018· Central Hampshire
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Christopher Hutton
7 Mar 2018· Manchester
Other
Shaun Berryman
27 Feb 2018· Avon
Community health care and emergency services
Rebecca Romero
11 Feb 2018· Avon
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Hayley Sheehan
3 Dec 2017· Surrey
Community health care and emergency services
Percy Jacks
2 Dec 2017· South Wales Central
Community health care and emergency services
Lesley Hanson
27 Nov 2017· South Wales Central
Community health care and emergency services
Jeremiah Obaka
27 Nov 2017· South London
Community health care and emergency services
Sian Witheridge
27 Nov 2017· Inner London North
Hospital Death (Clinical Procedures and medical management)Other
Christopher Fairhurst
26 Nov 2017· Manchester
Community health care and emergency services
Ian Leak
25 Nov 2017· Manchester
Other
Dennis Oldland
25 Sep 2017· Blackpool and Fylde
Community health care and emergency services
Frances Greenhalgh
24 Sep 2017· Manchester
Community health care and emergency services
Doreen Miller
31 Aug 2017· Wiltshire and Swindon
Hospital Death (Clinical Procedures and medical management)
Kevin Morgan
31 Aug 2017· Milton Keynes
Community health care and emergency services
Daphne Williams
31 Aug 2017· North Wales
Community health care and emergency services
Lilly Baxandall
17 Aug 2017· North Wales
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Anton Kusz
16 Aug 2017· South Wales Central
Community health care and emergency services
Rasikaben Chauhan
9 Aug 2017· Nottinghamshire
Community health care and emergency services
Dominic White
4 Aug 2017· Inner London North
Hospital Death (Clinical Procedures and medical management)
George Cheese
4 Aug 2017· Berkshire
Community health care and emergency services
Sarah Reed
1 Aug 2017· City of London
Hospital Death (Clinical Procedures and medical management)Mental Health
Colin Sluman
28 Jul 2017· Exeter and Greater Devon
Hospital Death (Clinical Procedures and medical management)
John Ramsden
6 Jul 2017· Manchester
Community health care and emergency services
Rose Workman
6 Jul 2017· Gloucestershire
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Lester Stacey
5 Apr 2017· Staffordshire and Stoke-on-Trent
Hospital Death (Clinical Procedures and medical management)Mental Health
Teresa Dennett
19 Feb 2017· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Frazer Livesey
19 Feb 2017· Cumbria
Community health care and emergency servicesOther
Georgina Lewis
12 Feb 2017· Gwent
Hospital Death (Clinical Procedures and medical management)Mental Health
Terence Hawkins
12 Feb 2017· East London
Community health care and emergency services
Raymond Shepherd
30 Dec 2016· Manchester
Community health care and emergency services
Simon Charles
28 Dec 2016· Cornwall and the Isles of Scilly
Other
Daphne McCorkle
19 Sep 2016· Inner London South
Community health care and emergency services
Charles Pitcher
19 Sep 2016· Plymouth, Torbay and South Devon
Suicide (from 2015)
Harry Gill
30 Aug 2016· Blackburn, Hyndburn and Ribble Valley
Community health care and emergency services
Alan Stead
22 Jul 2016· Staffordshire and Stoke-on-Trent
Hospital Death (Clinical Procedures and medical management)
Samuel Blair
19 May 2016· Inner London North
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
William Thompson
30 Apr 2016· Inner London North
Community health care and emergency services
Mary Walker
21 Apr 2016· Manchester
Community health care and emergency services
Peter Embra
1 Mar 2016· Warwickshire
Community health care and emergency services
Jake Robinson
9 Dec 2015· Manchester
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Madhumita Mandal
8 Dec 2015· South London
Community health care and emergency services
Alan Ludlow
23 Nov 2015· Mid Kent and Medway
Other
Emma Bray
16 Nov 2015· East London
Community health care and emergency services related
Charlotte Bevan and Zaani Malbrouck
27 Oct 2015· Avon
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Dorothy Cooper
21 Oct 2015· South Yorkshire (Eastern)
Hospital Death (Clinical Procedures and medical management)
Nathaniel Phillips
13 Oct 2015· Manchester
Community health care and emergency services
Edward Gascoigne
7 Oct 2015· Inner London North
Community health care and emergency services
Dorothy Delaney
23 Sep 2015· Manchester
Community health care and emergency services
Alun Walters
9 Jul 2015· Powys, Bridgend and Glamorgan Valleys
Hospital Death (Clinical Procedures and medical management)
Diana Hughes
18 May 2015· Gloucestershire
Community health care and emergency services
Paul Murray
13 May 2015· North London
Community health care and emergency services
Lydia Corah
11 May 2015· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Doreen Wood
29 Apr 2015· Nottinghamshire
Community health care and emergency services
Alison Evers
2 Mar 2015· West Yorkshire (Eastern)
Other
Elizabeth Leah
19 Feb 2015· Manchester
Community health care and emergency services
Isobel Griffin and Jane Clark
12 Feb 2015· Northamptonshire
Suicide (from 2015)
Louise Henry
16 Jan 2015· Derby and Derbyshire
Hospital Death (Clinical Procedures and medical management)
Judith Saville
15 Jan 2015· Exeter and Greater Devon
Community health care and emergency services
Dean Elie
6 Jan 2015· North London
Community health care and emergency services
Edwin Thompson
22 Dec 2014· Gateshead and South Tyneside
Community health care and emergency services
Freda Owens
27 Nov 2014· Blackpool and Fylde
Hospital Death (Clinical Procedures and medical management)
Rowena Golton
11 Nov 2014· Manchester
Community health care and emergency services
Philip Allen
27 Oct 2014· Inner London South
Community health care and emergency services
William Anderson
17 Oct 2014· West Yorkshire (Eastern)
State Custody
Gloria Foster
10 Sep 2014· Surrey
Other
Clare Cooper
25 Jul 2014· Surrey
Community health care and emergency services
Silvia Taylor
16 Jul 2014· Surrey
Community health care and emergency services
Harold de Mello
7 Jul 2014· Inner London North
Community health care and emergency services
Helena Farrell
3 Jul 2014· Cumbria
Community health care and emergency services
Gary Daltry
2 Jul 2014· North Wales
Other
Archie Hames
5 Jun 2014· Surrey
Community health care and emergency services
Magdalen Dwerryhouse
29 May 2014· Manchester
Community health care and emergency services
Liam Coleman
25 May 2014· North London
Community health care and emergency services
Simon Haines
22 May 2014· Greater Norfolk
Community health care and emergency services
Sopefoluwa Peters
8 May 2014· County Durham and Darlington
Other
Kathryn Sawyer
16 Apr 2014· Greater Norfolk
Community health care and emergency services
Michael Anthony
9 Apr 2014· Inner London South
Community health care and emergency services
Leslie Harding
8 Apr 2014· Plymouth, Torbay and South Devon
Community health care and emergency services
Audrey Kelly
8 Apr 2014· Manchester
Community health care and emergency services
Teresa Lonergan
11 Mar 2014· Inner London South
Community health care and emergency services
Julie Ann Camm
17 Jan 2014· West Yorkshire (Eastern)
Mental Health
Doris Phoebe Miller
28 Nov 2013· Milton Keynes
Hospital Related DeathNHS England
Stanley Dobson
7 Nov 2013· Surrey
Community health care and emergency services
Joanne Manning
1 Nov 2013· City of London
Community Healthcare and Emergency Services Related Death
Elsie Gibson
21 Oct 2013· South London
Other
Carol Ann Gibson
12 Oct 2013· Cheshire
Community health care and emergency services
Alfie-Scott Harris, Mohammed Mohinudeen and Caitlyn Bennet
19 Sep 2013· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Dorothy Townley
28 Aug 2013· Manchester
Community health care and emergency services
Jean Miller
7 Aug 2013· Manchester
Community health care and emergency services
Derek Edward Bartlett Twivey
30 Jul 2013· West Sussex
Community health care and emergency services