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Clinical care & patient safety pillar
Premature discharge
Patients discharged too early or without adequate follow-up
88
Reports tagged with this theme
Sub-theme count: 12
PFD reports
88 reports
James Stewart
14 Apr 2026
Susan Samson
2 Mar 2026· County Durham and Darlington
Other
David Fenn
27 Feb 2026· Essex
Hospital Death (Clinical Procedures and medical management)
Lesley Krommendijk
25 Feb 2026· Manchester South
Community Health and Emergency Services
Susan Samson
23 Feb 2026· Durham and Darlington
Other
Barbara Wingate
10 Feb 2026· Kent and Medway
Hospital Death (Clinical Procedures and medical management)
John Franklin
8 Feb 2026· Worcestershire
Community Health and Emergency Services
Paul Thompson
6 Feb 2026· Suffolk
Suicide (from 2015)
Patricia Walker
28 Jan 2026· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Community health care and emergency services
Linda Fury
20 Jan 2026· Manchester South
Suicide (from 2015)
Mark Vidler
1 Dec 2025· Kent and Medway
Community Health and Emergency ServicesMental Health
Suzanne Ellerby
14 Nov 2025· Surrey
Hospital Death (Clinical Procedures and medical management)
Ernest Gray
7 Nov 2025· Kent and Medway
Other
Richard Worswick
7 Nov 2025· Manchester South
Care Home Health
Tony Duncan
15 Oct 2025· City of London
Mental HealthSuicide (from 2015)
Matthew Goldsmith
9 Oct 2025· East London
Hospital Death (Clinical Procedures and medical management)
Brian Ingram
8 Oct 2025· Cornwall and the Isles of Scilly
Emergency services related deaths (2019 onwards)
Amanda Wood
7 Oct 2025· Manchester South
Hospital Death (Clinical Procedures and medical management)
Mohammed Khan
16 Sep 2025· Birmingham and Solihull
Child Death (from 2015)
John Franklin
16 Sep 2025· Worcestershire
Other
Charlotte Tetley
14 Sep 2025· Cheshire
Suicide (from 2015)
Charlotte Tetley
14 Sep 2025· Cheshire
Suicide (from 2015)
Sarah Heaver
1 Sep 2025· Kent and Medway
Hospital Death (Clinical Procedures and medical management)
Mary Fitzpatrick
20 Aug 2025· Inner North London
Hospital Death (Clinical Procedures and medical management)
Sidi Bojang
1 Aug 2025· North London
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Brian Ringrose
1 Aug 2025· Milton Keynes
Alcoholdrug and medication
Leslie Thompson
29 Jul 2025· Manchester
Hospital Death (Clinical Procedures and medical management)
Jordan Babb
25 Jul 2025· Milton Keynes
Community health care and emergency services
Doreen Swann
10 Jul 2025· Manchester
Hospital Death (Clinical Procedures and medical management)
Joshua Allcock
1 Jul 2025· Black Country
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Jordanne Roberts
26 Jun 2025· Worcestershire
Hospital Death (Clinical Procedures and medical management)
David Bendell
5 Jun 2025· Suffolk
Hospital Death (Clinical Procedures and medical management)
Janet Anderson
9 May 2025· Manchester South
Hospital Death (Clinical Procedures and medical management)Mental Health
Lorraine Parker
23 Apr 2025· Berkshire
Hospital Death (Clinical Procedures and medical management)
Samuel Brookes
15 Apr 2025· Shropshire, Telford & Wrekin
Hospital Death (Clinical Procedures and medical management)
Andrew Tizard-Varcoe
31 Mar 2025· The County of Devon, Plymouth and Torbay
Hospital Death (Clinical Procedures and medical management)
Winnie Harrop
19 Mar 2025· Manchester South
Alcoholdrug and medication
Billie Wicks
17 Mar 2025· Inner London North
AlcoholChild Death (from 2015)
Annette Lewis
6 Mar 2025· South Wales Central
Hospital Death (Clinical Procedures and medical management)Wales prevention of future deaths reports (2019 onwards)
Hayley Beavington
20 Feb 2025· Inner London North
Hospital Death (Clinical Procedures and medical management)Mental Health
Brigitte Favre
12 Feb 2025· Suffolk
Hospital Death (Clinical Procedures and medical management)
Joanna Kowalczyk
22 Jan 2025· Gateshead and South Tyneside
Emergency services related deaths (2019 onwards)Hospital Death (Clinical Procedures and medical management)
Mary Whitlock
17 Dec 2024· Essex
Hospital Death (Clinical Procedures and medical management)
Matthew Sheldrick
16 Dec 2024· West Sussex and Brighton and Hove
Hospital Death (Clinical Procedures and medical management)Mental Health
Susan Evans
13 Dec 2024· Hampshire, Portsmouth and Southampton
Hospital Death (Clinical Procedures and medical management)
Karen Dack
10 Dec 2024· Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management)
Erin Tillsley
12 Nov 2024· Suffolk
Child Death (from 2015)Mental Health
John Doyle
12 Nov 2024· Coventry and Warwickshire
Hospital Death (Clinical Procedures and medical management)
Megan Williams
30 Sep 2024· of
Hospital Death (Clinical Procedures and medical management)
George Coulthard
24 Sep 2024· South Manchester
Hospital Death (Clinical Procedures and medical management)
Evelyn March
19 Sep 2024· West Yorkshire (East)
Child Death (from 2015)
David Power
18 Sep 2024· Greater Manchester South
Community health care and emergency servicesMental Health
Charles Daniels
4 Sep 2024· Cheshire
Hospital Death (Clinical Procedures and medical management)
Regan Smith
24 Jul 2024· Suffolk
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Ryleigh Hillcoat-Bee
12 Jul 2024· Blackpool & Fylde
Child Death (from 2015)
Nancy Rogers
9 Jul 2024· Cumbria
Hospital Death (Clinical Procedures and medical management)
Ruth Eggleton
3 Jul 2024· Nottingham City and Nottinghamshire
Other
John Howe
25 Jun 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Thomas Gibson
19 Jun 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Harry Vass
13 Jun 2024· Avon
Hospital Death (Clinical Procedures and medical management)
Margaret Pilgrim
10 Jun 2024· Essex
Hospital Death (Clinical Procedures and medical management)
Andrew Naylor
4 Jun 2024· Durham & Darlington
Alcoholdrug and medication
Linda Heath
9 May 2024· East Riding and Hull
Hospital Death (Clinical Procedures and medical management)
Timothy Clayton
17 Apr 2024· Surrey
Alcoholdrug and medication
Axel Price
15 Apr 2024· West Sussex, Brighton and Hove
Suicide (from 2015)
Sabina Wood
12 Apr 2024· Blackpool and Fylde
Hospital Death (Clinical Procedures and medical management)
Michael Burke
5 Apr 2024· Suffolk
Hospital Death (Clinical Procedures and medical management)
Ethel Reed
8 Feb 2024· East Riding and Hull
Hospital Death (Clinical Procedures and medical management)
Georgia Dehaney-Perkins
5 Feb 2024· Essex
Alcoholdrug and medication
Sylvia White
30 Jan 2024· East Riding and Hull
Other
Sarah Mitchell
8 Jan 2024· Suffolk
Alcoholdrug and medication
Walter Faulder
8 Jan 2024· Cumbria
Road (Highways Safety)
Nuel-Junior Dzernjo
18 Dec 2023· Suffolk
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Margaret Heal
6 Dec 2023· Durham & Darlington
Other
Alfie Mains-Forster
9 Nov 2023· County Durham and Darlington
Child Death (from 2015)
Kai Takagi
27 Oct 2023· Inner West London
Hospital Death (Clinical Procedures and medical management)
Andrew Nichols
27 Oct 2023· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Jacqueline Carrey
26 Oct 2023· Milton Keynes
AlcoholCare Home Health
Claire Twinn
16 Oct 2023· East London
Hospital Death (Clinical Procedures and medical management)
David Hall
12 Oct 2023· Manchester South
Hospital Death (Clinical Procedures and medical management)
Carole McQuinn
19 Jul 2023· North Yorkshire and York
Hospital Death (Clinical Procedures and medical management)
Oleg Khala
6 Jul 2023· Inner West London
Suicide (from 2015)
Hilary Thomas
28 Jun 2023· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Alice Fox
9 Jun 2023· Derby and Derbyshire
Hospital Death (Clinical Procedures and medical management)
David Wood
7 Jun 2023· Milton Keynes
Mental HealthSuicide (from 2015)
Joan Ferguson
7 Dec 2022· Newcastle upon Tyne and North Tyneside
Emergency services related deaths (2019 onwards)
Malcolm Garrett
4 Aug 2022· Manchester South
Hospital Death (Clinical Procedures and medical management)
Rachel Edwards
27 Feb 2017· Suffolk
Alcoholdrug and medication