Recurring concern

Failure to ensure essential clinical equipment and supplies are available and serviceable

First to latest report 30 Aug 2013 — 8 May 2026

Reports that mention this concern
41
Times this concern has been raised
46
Stated actions linked to this concern
43

What this concern includes

Includes availability, stock, checking, maintenance or servicing failures that leave essential clinical equipment or supplies unavailable or unfit for use.

What is not included
  • Excludes non-clinical equipment and vehicle, environmental, or recreational-equipment checks.
  • Excludes failures concerning the operation or use of equipment during care when no equipment-readiness or serviceability check is implicated.
  • Excludes generic staffing, training, documentation, audit, or supervision deficiencies unless they are specifically tied to the reliability of daily clinical-equipment serviceability checks.
  • Excludes checks of patient condition, care processes, messages, or other non-equipment objects.

Reports and published responses 41 reports

See individual reports that have raised this concern, and the actions taken in response

  1. South Lincolnshire

    AI-generated summary

    Jessica Florence Ashton-Pyatt · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Jessica Florence Ashton-Pyatt became acutely unwell on 28 October 2012 and died after unsuccessful resuscitation following admission to hospital. Concerns included unco-ordinated care, initially absent consultant leadership, an uncharged defibrillator, and no defibrillation pads initially being available.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to maintain a ready-to-use defibrillator and defibrillation pads

    Wider context from the report

    “The response of the staff to Jessica's care on admission was unco-ordinated, with the immediate care being delivered by an SpR in anaesthetics and two EMAS paramedics. There was initially no consultant leadership of Jessica's care. The defibrillator in the resuscitation bay was not charged and no defibrillation pads were initially available. ”

    Source location

    Jessica Florence Ashton-Pyatt · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

Actions and positions describe what organisations say in published responses. Implementation is not independently verified.

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Data last updated 7 September 2026