Recipient

Care UK

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First report 6 Dec 2013•Latest report 15 Oct 2025

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Multi-service care provider. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
27

Naming this recipient

Published responses
74%

Found for named reports

Concerns addressed
86

Across all linked responses

Stated actions
120

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.

74%published responses found
120stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

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

  1. North London

    AI-generated summary

    Michaela Jade Christoforou · 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

    Michaela Jade Christoforou was a 17-year-old patient at Rhodes Farm Hospital who died at St Mary’s Hospital Paddington on 17 April 2013 after being found suspended by bunting around her neck in a hospital classroom. The substantive concern was that not all staff at the unit carried a ligature cutter.

    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 Care UK; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of all unit staff to carry ligature cutters

    Wider context from the report

    “That all staff at the unit did not carry with them a ligature cutter. ”
    Open source report

  2. County Durham and Darlington

    AI-generated summary

    Kirk Duboise · 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

    Kirk Duboise arrived at HMP Durham with documents highlighting self-harm risks, but the documents were not seen and an ACCT was not opened. He was found dead in his cell approximately eight hours after arrival; concerns included the failure to identify the relevant forms and a delay in summoning an ambulance.

    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 Care UK; that does not assign responsibility.

    PFD Monitor interpretation

    Delay in summoning an ambulance

    Wider context from the report

    “(1) The delay in summoning an ambulance. ”
    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 Care UK; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure that relevant forms are seen during the reception process

    Wider context from the report

    “(2) That not all relevant forms were seen by those involved in the reception process one of whose duties at such time was to properly assess the risk of self harm of the new prisoner, particularly a prisoner who had not been in custody before. ”
    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

74%
74%All other recipients 58%
0%100%

How actions were described at the time

This respondent
59%18%22%<1%
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