Recipient

Bloomfield Medical Centre

First report 11 Jun 2023•Latest report 11 Jun 2023

Recipient record

Reports, concerns and published responses

Health and care · Healthcare site. 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 Bloomfield Medical Centre linked to the concerns in each report. Select any concern, action or position to view the source wording.

11 Jun2023
Blackpool and the Fylde
Concerns raised6
1. Failure to communicate material patient mental health information between healthcare providers
2. Failure to prevent substance misuse references and assumptions from obscuring mental health diagnoses
3. Lack of clinician understanding of how to make urgent referrals into the PIMHT
1. Delays in assessing patients who may appear to be or are reported to be intoxicated
2. Difficulty sharing information between service providers using different databases
3. Inconsistent availability of access to mental health records across service providers
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

Marlene McCabe · 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

Marlene McCabe was unlawfully killed in her own home on 4 September 2019 after being struck repeatedly on the head and face with a doorstop, causing catastrophic injuries. The concerns included urgent mental-health referral processes, inconsistent access to and sharing of mental-health records, the risk of substance misuse obscuring mental-health diagnoses, non-communication of material information, and delayed assessment of apparently intoxicated patients.

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 Bloomfield Medical Centre; that does not assign responsibility.
PFD Monitor interpretation
Failure to communicate material patient mental health information between healthcare providers
Wider context from the report
“4) There is a residual risk of non-communication of material information pertaining to patients’ mental health between healthcare providers. ”
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 Bloomfield Medical Centre; that does not assign responsibility.
PFD Monitor interpretation
Failure to prevent substance misuse references and assumptions from obscuring mental health diagnoses
Wider context from the report
“3) There is a residual risk that reference to drug and/or alcohol misuse in mental health referrals and/or assessments may lead to the missing of a mental health diagnosis and that circumstances may arise in which assumptions are made concerning substance misuse. ”
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 Bloomfield Medical Centre; that does not assign responsibility.
PFD Monitor interpretation
Lack of clinician understanding of how to make urgent referrals into the PIMHT
Wider context from the report
“1) There remains the potential for a lack of understanding amongst clinicians as to how urgent referrals into the PIMHT should be made. ”
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 Bloomfield Medical Centre; that does not assign responsibility.
PFD Monitor interpretation
Delays in assessing patients who may appear to be or are reported to be intoxicated
Wider context from the report
“5) There is a risk that delayed assessment of patients who may appear to be or are reported to be intoxicated will give rise to a loss of opportunity to identify signs of psychosis. ”
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 Bloomfield Medical Centre; that does not assign responsibility.
PFD Monitor interpretation
Difficulty sharing information between service providers using different databases
Wider context from the report
“2) There is inconsistent availability of access to mental health records across the service providers and information sharing between service providers using different data bases is difficult. ”
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 Bloomfield Medical Centre; that does not assign responsibility.
PFD Monitor interpretation
Inconsistent availability of access to mental health records across service providers
Wider context from the report
“2) There is inconsistent availability of access to mental health records across the service providers and information sharing between service providers using different data bases is difficult. ”
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 raised6

Failure to communicate material patient mental health information between healthcare providers

Failure to prevent substance misuse references and assumptions from obscuring mental health diagnoses

Lack of clinician understanding of how to make urgent referrals into the PIMHT

Delays in assessing patients who may appear to be or are reported to be intoxicated

Difficulty sharing information between service providers using different databases

Inconsistent availability of access to mental health records across service providers