Bute House Surgery

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First report 4 Apr 2017•Latest report 4 Apr 2017

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
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from Bute House Surgery linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Somerset

    AI-generated summary

    Christina Ingrid Smith · 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

    Christina Ingrid Smith was referred to Yeovil District Hospital on 30 March 2016 and returned later that day for investigation of a suspected abdominal aneurysm. She deteriorated overnight and died at home; the inquest concluded that she died from a naturally occurring haemorrhage associated with a ruptured dissecting aortic aneurysm. Concerns included that her thoracic aneurysm was not communicated to her or her GP and was not placed under surveillance.

    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 Bute House Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to communicate identified thoracic aneurysms to patients and GPs

    Wider context from the report

    “(3) There appears to have been a breakdown in communication with regard to advising both Mrs Smith and her GP as to the existence of the Thoracic Aneurysm. ”
    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 Bute House Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to place identified thoracic aneurysms under surveillance

    Wider context from the report

    “(2) Only Mrs Smith's Abdominal Aneurysm was placed under surveillance so as to monitor any possible increase in size. Mrs Smith’s Thoracic Aneurysm was not placed under surveillance. ”
    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 Bute House Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to inform GPs of identified thoracic aneurysms

    Wider context from the report

    “(1) A report on Mrs Smith of 2011 identified both an Abdominal Aneurysm and a Thoracic Aneurysm. It appears Mrs Smith was never told of the existence of the Thoracic Aneurysm. It appears Mrs Smith's GP was never told of the existence of the Thoracic Aneurysm. ”
    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 Bute House Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to inform patients of identified thoracic aneurysms

    Wider context from the report

    “(1) A report on Mrs Smith of 2011 identified both an Abdominal Aneurysm and a Thoracic Aneurysm. It appears Mrs Smith was never told of the existence of the Thoracic Aneurysm. It appears Mrs Smith's GP was never told of the existence of the Thoracic Aneurysm. ”
    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