← All themes
Other & emergent pillar
Clinical protocol implementation gaps in mental health services for medication changes and risk stratification
37
Reports tagged with this theme
Sub-theme count: 0
PFD reports
37 reports
Raisa Iordan
31 Mar 2026· West Yorkshire Western
Hospital Death (Clinical Procedures and medical management)
Delwyn Preece
17 Mar 2026· South Yorkshire East
Suicide (from 2015)
Evan Dandou-Dambelle
29 Oct 2025· Inner North London
Suicide (from 2015)
Nuliyati Businje
23 Apr 2024· Cheshire
Hospital Death (Clinical Procedures and medical management)
Robert Fuller
2 Apr 2024· South Yorkshire East
Hospital Death (Clinical Procedures and medical management)
Jamie Pilkington
22 Feb 2024· Staffordshire and Stoke on Trent
Road (Highways Safety) related deaths | Mental Health
David Lewsey
22 Nov 2023· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
Jade Hart
20 Jul 2022· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Ann Pickering
4 Jul 2022· South Yorkshire Western
Hospital Death (Clinical Procedures and medical management)
Gary Ottway
22 Mar 2022· Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Robert Wright
9 Nov 2021· South Wales Central
Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)
Serena Roberts
4 Nov 2021· Greater Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care and emergency services
Diana Reay
17 Sep 2021· Stoke-on-Trent & North Staffordshire Coroner’s Court
Hospital Death (Clinical Procedures and medical management)
Mark Holden
9 Sep 2021· Greater Manchester South
Community health care and emergency services related deaths | Hospital Death (Clinical Procedures and medical management)
Benjamin Clark
9 Jul 2021· Newcastle Upon Tyne and North Tyneside
Hospital Death (Clinical Procedures and medical management)
Anne Harper
27 May 2021· Oxfordshire
Hospital Death (Clinical Procedures and medical management)
Richard Burgess
24 May 2021· Sunderland
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Thiago Araujo
4 May 2021· East London
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care and emergency services related deaths | Mental Health related deaths | Police related deaths | Other related deaths | Product
Azra Hussain
30 Mar 2021· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Andrew Gibbins
7 Jan 2021· Suffolk
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Sarah Gibbs
8 Dec 2020· Norfolk
Hospital death (Clinical procedures and medical management) related deaths; Emergency services
Darren Goddard
20 Mar 2020· South Wales Central
Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards)
Sandra Scott
13 Dec 2019· South Yorkshire (Western)
Community health care related deaths; Hospital Death (Clinical Procedures and medical management)
Maia Strachan
2 Aug 2019· Newcastle upon Tyne
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management)
Tina Tait
15 Jul 2019· Blackpool and Fylde
Hospital Death (Clinical Procedures and medical management)
Stephen Harte
9 Jun 2019· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health
Tom Cribley
1 Mar 2019· Liverpool and Wirral
Hospital Death (Clinical Procedures and medical management)
Caroline Scott
8 Jul 2018· Milton Keynes
Hospital Death (Clinical Procedures and medical management)
Lester Stacey
5 Apr 2017· Staffordshire and Stoke-on-Trent
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015)
Stephanie Marks
20 Jun 2016· Avon
Hospital Death (Clinical Procedures and medical management)
Lorraine Bird
10 Aug 2015· Bedfordshire and Luton
Hospital Death (Clinical Procedures and medical management)This is being sent to: East & North Hertfordshire Trust
Lydia Corah
11 May 2015· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Derrick Stanmore
1 May 2015· Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management)
Hayden Norton
13 Apr 2015· Exeter and Greater Devon
Hospital Death (Clinical Procedures and medical management)
Ronald Gittens
12 Mar 2015· North London
Hospital Death (Clinical Procedures and medical management)This is being sent to: Barnet Enfield and Haringey Mental Health Trust and Department of Health and Social Care
Louise Henry
16 Jan 2015· Derby and Derbyshire
Hospital Death (Clinical Procedures and medical management)
Joshua Brown
17 Jul 2014· North East Kent
Hospital Death (Clinical Procedures and medical management)