Recurring concern

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

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First reported 30 Aug 2013•Latest report 8 May 2026

Definition

What this concern includes

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

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
41

Distinct published reports

Individual concerns
46

A report can raise multiple concerns

Date range
2013–2026

First to latest report issue date

Stated actions
43

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

NHS England6
Department of Health and Social Care4
Care Quality Commission3
East Kent Hospitals University NHS Foundation Trust2
General Pharmaceutical Council2
Greater Manchester Health and Social Care Partnership2
Royal College of Physicians2
Association Of Anaesthetists (Great Britain & Ireland)1
Avenue House Nursing and Care Home1
Ayuntamiento de La Oliva1
Barking, Havering and Redbridge University Hospitals NHS Trust1
Barts Health NHS Trust1
Blackpool Teaching Hospitals NHS Foundation Trust1
Brunswick Ward at Lindridge1
Care UK1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  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
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Data last updated 7 September 2026