Recipient

British Society for Haematology

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First report 11 Feb 2025•Latest report 11 Feb 2025

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Health professional body. 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
100%

Found for named reports

Concerns addressed
2

Across all linked responses

Stated actions
8

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.

100%published responses found
8stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from British Society for Haematology linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Cambridgeshire and Peterborough

    AI-generated summary

    Amelia Alexandra Anuszka RIDOUT · 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

    Amelia Ridout, a six-year-old girl with suspected aplastic anaemia, died after a bone marrow aspirate and trephine procedure under general anaesthetic caused internal bleeding from an iliac artery injury. Despite prolonged resuscitation and emergency surgery, the bleeding could not be stopped. The concerns identified were the development and publication of national guidelines and a standard operating procedure for these procedures, including recommended methodology, and the development of a database to record procedures and outcomes.

    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 British Society for Haematology; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of national guidelines and a standard operating procedure for Bone Marrow Aspirate and trephine biopsy methodology

    Wider context from the report

    “To consider the development and publication of a national guidelines and standard operating procedure for the carrying out of Bone Marrow Aspirate (BMA) and trephine biopsy to include recommended methodology. ”
    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 British Society for Haematology; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a database to record Bone Marrow Aspirate and trephine biopsy procedures and outcomes

    Wider context from the report

    “To consider the development of a data base to record these procedures and their outcomes. ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Review literature and evidence on adverse outcomes and safest techniques for bone marrow aspirate and trephine biopsy in adults and children.

    Verbatim wording from the response

    “3. Review the literature and evidence regarding adverse outcomes after bone marrow aspirate and trephine biopsy on adults and children, and safest techniques.”

    Source location

    Response from British Society for Haematology
    Page 1 · response
    Published 12 February 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Explore developing a registry of complications to inform future guidance.

    Verbatim wording from the response

    “6. Explore the possibility of developing a registry of complications to inform future guidelines.”

    Source location

    Response from British Society for Haematology
    Page 1 · response
    Published 12 February 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Develop national guidance on bone marrow procedure methodology, training and competency assessment using the gathered evidence.

    Verbatim wording from the response

    “4. With these sources of information, develop a national guideline for recommended methodology and include recommendations for training and competency assessment.”

    Source location

    Response from British Society for Haematology
    Page 1 · response
    Published 12 February 2025

    Open published response
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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

100%
100%All other recipients 58%
0%100%

How actions were described at the time

This respondent
100%
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