Blackpool Teaching Hospitals NHS Foundation Trust

Health and care · NHS trust

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First report 5 Nov 2013•Latest report 4 Nov 2025

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

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

Reports
26

Naming this recipient

Published responses
65%

Found for named reports

Concerns addressed
49

Across all linked responses

Stated actions
122

Described in responses

Concerns and recipient responses

Statements from Blackpool Teaching Hospitals NHS Foundation Trust linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Blackpool and the Fylde

    AI-generated summary

    Ethel Cross · 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

    Ethel Cross, who had a history of falls, fell on ward 4 at Clifton Hospital when a wheeled chair slipped, suffering a fractured neck of femur, and died the following day. Concerns were raised about wheeled chairs being accessible to elderly patients at risk of falls and the lack of an available alarm to alert staff when a high-risk patient mobilised unsupported.

    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 Blackpool Teaching Hospitals NHS Foundation Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of alarms for high-risk patients requiring monitoring during mobilisation

    Wider context from the report

    “During the course of the evidence I heard that although at high risk of falls, and someone who would need one to one assistance from staff when mobilising, Ethel Cross was not provided with an alarm that in the event of her moving when staff are not nearby could alert members of the medical staff to such movement allowing the staff to attend to her. All such alarms on the ward were in use and such alarms are rarely not deployed. ”
    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 Blackpool Teaching Hospitals NHS Foundation Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Presence of wheeled chairs in areas accessible to elderly patients at significant risk of falls

    Wider context from the report

    “During the Inquiry, I received evidence that chairs utilised by staff which have wheels attached to them had been present on ward 4 and that Ethel Cross had sat on one of these chairs which slipped and she suffered a fracture. I heard evidence that these chairs have been removed from two wards – including ward 4 - on which elderly patients at significant risk of falls may be cared for. I am concerned that such chairs may continue to be present on other wards within the Trust where such patients may have access to them and similar incidents may occur. ”
    Open source report
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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