Recipient

Bradford Royal Infirmary

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First report 7 Jun 2021•Latest report 7 Jun 2021

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

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 Bradford Royal Infirmary linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. West Yorkshire (Western)

    AI-generated summary

    Susan Margaret ROBERTS · 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

    Susan Roberts died at Bradford Royal Infirmary on 15 July 2019 after being admitted two days earlier with necrotising fasciitis, without an appreciation of the diagnosis or need for surgical intervention. The concerns included ineffective handover between surgical specialties, the absence of a formal protocol, and lack of engagement by plastic surgeons during the incident and subsequent investigation.

    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 Bradford Royal Infirmary; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of Plastic Surgeons to attend round-table analysis during SI investigations

    Wider context from the report

    “2. That when asked for help at the time and during the investigation, there seems to have been a lack of engagement from the Plastic Surgeons. They failed to join the Orthopaedic Registrar in theatre at the time of the incident and then failed to attend the round table analysis as part of the SI investigation. ”
    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 Bradford Royal Infirmary; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of timely and effective handover between surgical specialties

    Wider context from the report

    “1. There has been lack of timely and effective hand over been the different surgical specialties, with an absence of formal protocol. ”
    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 Bradford Royal Infirmary; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of Plastic Surgeons to attend in theatre when their help is requested

    Wider context from the report

    “2. That when asked for help at the time and during the investigation, there seems to have been a lack of engagement from the Plastic Surgeons. They failed to join the Orthopaedic Registrar in theatre at the time of the incident and then failed to attend the round table analysis as part of the SI investigation. ”
    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 Bradford Royal Infirmary; that does not assign responsibility.

    PFD Monitor interpretation

    Absence of a formal handover protocol between surgical specialties

    Wider context from the report

    “1. There has been lack of timely and effective hand over been the different surgical specialties, with an absence of formal protocol. ”
    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