Cheltenham General Hospital

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First report 21 Oct 2015•Latest report 21 Oct 2015

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 Cheltenham General Hospital linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Gloucestershire

    AI-generated summary

    Samantha Beach · 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

    Samantha Beach developed severe chest pain and intermittent tachycardia shortly after giving birth to her third child, but her symptoms were not appropriately investigated or escalated. She later suffered cardiac arrests and died after surgery for bleeding from a ruptured splenic artery aneurysm. Concerns included inadequate escalation of care, poor sharing of information between community and hospital services, and failure to involve the obstetric department when she attended the Emergency Department.

    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 Cheltenham General Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to escalate clinical care to more senior colleagues in the obstetric department

    Wider context from the report

    “(1) The clinical care provided to Sam in the obstetric department was not escalated appropriately to more senior colleagues, ”
    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 Cheltenham General Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to involve the obstetric department in Emergency Department care for post-natal patients

    Wider context from the report

    “(3) When Sam attended the Emergency Department as a post-natal patient (7 days post partum) the obstetric department were not involved in her care. ”
    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 Cheltenham General Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a process for sharing information and joining up care between community and obstetric providers

    Wider context from the report

    “(2) When Sam was being cared for in the community, there was no process to ensure the sharing of information or joining up of care between the midwives, out of hours, GP and obstetric department. ”
    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