Recipient

Beechdale Medical Group

First report 29 Aug 2019•Latest report 29 Aug 2019

Recipient record

Reports, concerns and published responses

This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

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 Beechdale Medical Group linked to the concerns in each report. Select any concern, action or position to view the source wording.

29 Aug2019
Nottinghamshire
Concerns raised7
1. Lack of processes to review and learn from significant events
2. Unavailability of a daily clinician for practice access and urgent clinical advice
3. Insufficient clinical capacity for safe cover at each service location
1. Failure to record contemporaneous home-visit notes on patient records
2. Failure to document all patient calls
3. Lack of safe procedures for triaging unwell patients
4. Lack of safe procedures for allocating home visits
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Evelyn Ann Swift · 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

Evelyn Ann Swift became increasingly unwell over several days and contacted her GP surgery repeatedly on 3 January 2019, but a home visit was not arranged until that evening. The assessment was incomplete, her condition was not recognised as severe, and she was not admitted to hospital; she was found deceased at home the following morning. The principal concerns related to unsafe procedures for triage, home-visit allocation, urgent clinical advice, documentation, clinical cover, and review of significant events.

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 Beechdale Medical Group; that does not assign responsibility.
PFD Monitor interpretation
Lack of processes to review and learn from significant events
Wider context from the report
“6. The Beechdale group did not have processes in place to review a significant event, such as a sudden death when there was Practice involvement on the day prior to the death, with no understanding of the need to review and learn as a Practice from such events. ”
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 Beechdale Medical Group; that does not assign responsibility.
PFD Monitor interpretation
Unavailability of a daily clinician for practice access and urgent clinical advice
Wider context from the report
“3. The Beechdale group did not have an allocated clinician available each day that was accessible by the Practice team, and available to provide urgent clinical advice. ”
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 Beechdale Medical Group; that does not assign responsibility.
PFD Monitor interpretation
Insufficient clinical capacity for safe cover at each service location
Wider context from the report
“5. The Beechdale Group did not have sufficient clinical capacity to ensure safe clinical cover arrangements at each location where services are provided. ”
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 Beechdale Medical Group; that does not assign responsibility.
PFD Monitor interpretation
Failure to record contemporaneous home-visit notes on patient records
Wider context from the report
“4. The Beechdale Medical Group did not have safe processes in place to ensure that all calls from patients were documented, nor safe processes to ensure that contemporaneous notes made during a home visit were recorded on the patient record. ”
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 Beechdale Medical Group; that does not assign responsibility.
PFD Monitor interpretation
Failure to document all patient calls
Wider context from the report
“4. The Beechdale Medical Group did not have safe processes in place to ensure that all calls from patients were documented, nor safe processes to ensure that contemporaneous notes made during a home visit were recorded on the patient record. ”
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 Beechdale Medical Group; that does not assign responsibility.
PFD Monitor interpretation
Lack of safe procedures for triaging unwell patients
Wider context from the report
“1. The Beechdale Medical Group did not have safe procedures in place to triage patients when they presented as unwell. ”
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 Beechdale Medical Group; that does not assign responsibility.
PFD Monitor interpretation
Lack of safe procedures for allocating home visits
Wider context from the report
“2. The Beechdale group did not have safe procedures in place for the allocation of home visits. ”
Open source report

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

Reports, concerns and published responses

Reports over time

Concerns raised7

Lack of processes to review and learn from significant events

Unavailability of a daily clinician for practice access and urgent clinical advice

Insufficient clinical capacity for safe cover at each service location

Failure to record contemporaneous home-visit notes on patient records

Failure to document all patient calls

Lack of safe procedures for triaging unwell patients

Lack of safe procedures for allocating home visits