First report 10 Jan 2014•Latest report 10 Jan 2014
Recipient record
Reports, concerns and published responses
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
5
Across all linked responses
Stated actions
3
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
3stated actions described
Topic comparisons are not available in the current evidence snapshot.
Concerns and recipient responses
Statements from Browning Street Surgery linked to the concerns in each report. Select any concern, action or position to view the source wording.
Addressed to: Practice Manager, Browning Street Surgery.
Staffordshire South
Concerns raised5
Lack of a formal medication review process for long-term medication prescribing
Failure to listen to family concerns about changed patient behaviour
Lack of team meetings to discuss challenging patients
Failure to safely assess morphine prescribing alongside high-dose painkillers and alcohol dependence
Lack of a timely proactive approach to involving community mental health services
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.2
Action
Develop structured criteria and a protocol for identifying complex patients who would benefit from discussion at clinical meetings.
Stated in progressThe respondent said that this action was in progress when they made their response on 10 January 2014.
Action
Consider and initiate independent medication reviews by asking an uninvolved doctor to review complex patients’ medication when appropriate.
Stated plannedThe respondent said that this action was planned when they made their response on 10 January 2014.
Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.5
Position
Morphine was considered appropriate because pain was significant, alternatives had failed, alcohol intake had reduced, and prescribing was regularly reviewed.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Existing computerised reviews, weekly prescriptions and consultations were considered sufficient to monitor and control medication access.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Earlier mental-health referral or compulsory admission was not considered necessary while the patient refused referral, retained capacity and was not sufficiently disturbed.
No action considered necessaryThe respondent said that no further action was needed.
Position
A practice meeting was not considered necessary because the patient appeared relatively stable and was receiving frequent support and supervision.
No action considered necessaryThe respondent said that no further action was needed.
Position
The paranoid thoughts were considered unrelated to morphine and more likely associated with stress and previous similar episodes.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Includes reports addressed to a minister or senior office-holder acting for this organisation.
Pin
Request correction
Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations