Recipient

Castlegate & Derwent Surgery

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First report 23 Oct 2025•Latest report 23 Oct 2025

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 Castlegate & Derwent Surgery linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Cumbria

    AI-generated summary

    MARK RYAN FOSTER · 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

    Dr Mark Ryan Foster, who had experienced breathlessness since December 2023, collapsed at home on 17 February 2024 and died despite resuscitation. Post-mortem examination found a pulmonary embolism. The report identified missed opportunities for in-person assessment and hospital referral, and raised concerns about the practice’s leadership and governance and its method of investigating incidents.

    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 Castlegate & Derwent Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of unified leadership and governance

    Wider context from the report

    “1. Castlegate & Derwent Practice does not have unified leadership and governance. ”
    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 Castlegate & Derwent Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a robust method for investigating incidents

    Wider context from the report

    “2. Castlegate & Derwent Practice does not yet have a robust method of investigating incidents. ”
    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