Recipient

Berger Primary School

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First report 29 Apr 2015•Latest report 29 Apr 2015

Recipient record

Reports, concerns and published responses

Other public bodies · Maintained school. 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 Berger Primary School linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Inner North London

    AI-generated summary

    Rasharn Kirk WILLIAMS · 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

    Rasharn became distressed and breathless at a school disco on 23 October 2014, later deteriorated, suffered a cardiac arrest in an ambulance, and died in hospital that evening. The report identified potential ambiguity in his care plan about when breathlessness constituted an emergency and noted that a medical-information notice was not displayed at the time of his death.

    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 Berger Primary School; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of clarity in care-plan criteria for recognising emergencies

    Wider context from the report

    “1. Whilst staff at the school were clear that they should call an ambulance in the case of an emergency, and I heard evidence from the first aider that she would have called an ambulance immediately if she had thought Rasharn was having a seizure, Rasharn’s care plan was not wholly clear on this point. The plan described breathlessness as an emergency. I appreciate that this may have had its origin with Rasharn’s treating clinicians. However, his exercise tolerance was reducing all the time and so breathlessness was, to a degree, a feature of his condition. Extreme breathlessness coupled with low oxygen saturations would be a different matter, but this was not made clear in the plan. This potential lack of clarity did not have an impact on the outcome in this particular situation, but it might in another. It seems that your care plans may benefit from some review to ensure that there is no ambiguity unwittingly created for those attempting to follow them. ”
    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 Berger Primary School; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to display child-specific medical-condition notices in relevant staff areas

    Wider context from the report

    “2. I heard that some schools have notices with a child’s photograph and particular instructions regarding medical conditions, displayed in the staff room, office and medical room. Rasharn did have such a notice, but it was only in the medical room, and was not actually displayed at the time of his death, because of transitional arrangements regarding a move of premises. Again, this did not have an impact on the outcome for him, but might for another child. ”
    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