Recipient

ADS (Addiction Dependency Solutions)Includes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 30 Oct 2017•Latest report 30 Oct 2017

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Nursing-home operator. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from ADS (Addiction Dependency Solutions) linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: The Service Delivery Director of ADS (Addiction Dependency Solutions).

    Manchester South

    AI-generated summary

    Stuart Michael Campbell · 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

    Stuart Michael Campbell was found suspended by a ligature on 5 March 2017 after reporting escalating drug and alcohol use and emotional distress. The inquest identified concerns about the absence of escalation from the drug and alcohol service to Pennine Care, unclear guidance and lack of clinical support for workers, and uncertainty about how shared care with the GP could be facilitated and documented.

    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. The report was sent to ADS (Addiction Dependency Solutions); that does not assign responsibility.

    PFD Monitor interpretation

    Unclear documentation of shared care discussions

    Wider context from the report

    “2. Care was shared care between ADS and the GP. The GP had not seen the deceased and it was unclear how shared care discussions could be facilitated and documented. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to ADS (Addiction Dependency Solutions); that does not assign responsibility.

    PFD Monitor interpretation

    Unclear guidance available to ADS workers

    Wider context from the report

    “1. The inquest was told that ADS were the lead contractor for the provision of services. The protocol between ADS and Pennine Care had an escalation policy to be followed where an ADS worker felt the needs of an individual felt the needs could not be met via ADS. An escalation had not taken place in this case. It was unclear what guidance was available to ADS workers. There was no provision for clinical support for ADS workers. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to ADS (Addiction Dependency Solutions); that does not assign responsibility.

    PFD Monitor interpretation

    Unclear facilitation of shared care discussions

    Wider context from the report

    “2. Care was shared care between ADS and the GP. The GP had not seen the deceased and it was unclear how shared care discussions could be facilitated and documented. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to ADS (Addiction Dependency Solutions); that does not assign responsibility.

    PFD Monitor interpretation

    Failure to escalate individuals’ unmet needs

    Wider context from the report

    “1. The inquest was told that ADS were the lead contractor for the provision of services. The protocol between ADS and Pennine Care had an escalation policy to be followed where an ADS worker felt the needs of an individual felt the needs could not be met via ADS. An escalation had not taken place in this case. It was unclear what guidance was available to ADS workers. There was no provision for clinical support for ADS workers. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to ADS (Addiction Dependency Solutions); that does not assign responsibility.

    PFD Monitor interpretation

    Lack of clinical support for ADS workers

    Wider context from the report

    “1. The inquest was told that ADS were the lead contractor for the provision of services. The protocol between ADS and Pennine Care had an escalation policy to be followed where an ADS worker felt the needs of an individual felt the needs could not be met via ADS. An escalation had not taken place in this case. It was unclear what guidance was available to ADS workers. There was no provision for clinical support for ADS workers. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026