Chesterfield Royal Hospital

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First report 9 Jun 2014•Latest report 4 Feb 2020

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
3

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

  1. Derby and Derbyshire

    AI-generated summary

    Mr Gordon Gillott · 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

    Mr Gordon Gillott presented with a ruptured abdominal aneurysm, underwent surgery, and later died from sepsis secondary to a bowel perforation. The principal concern was a substantial ambulance delay in transferring him, caused by resourcing issues, creating a risk of future deaths among acutely ill patients requiring urgent transfers.

    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 Chesterfield Royal Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of urgent transfers for acutely ill patients due to resourcing issues

    Wider context from the report

    “1. Whilst this delay did not affect Mr Gillott, were this to happen again in the future, there is a risk of future death if urgent transfers are not available to acutely ill patients due to resourcing issues. ”
    Open source report

  2. Derby and Derbyshire

    AI-generated summary

    Barbara Christine Sturgess · 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

    Barbara Christine Sturgess, who had advanced dementia and was at high risk of falls, sustained a cervical spinal fracture in a fall at her nursing home on 20 May 2017 and died of bronchopneumonia on 8 June 2017. The hospital did not initially inform the nursing home or GP practice of the fracture or necessary care measures; although this was not evidenced to have contributed to her death, it had the potential to adversely affect her wellbeing and could contribute to death in similar cases.

    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 Chesterfield Royal Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to communicate confirmed fractures and necessary care measures to relevant care providers

    Wider context from the report

    “The Chesterfield Royal Hospital did not inform the nursing home or the GP practice that Barbara Christine Sturgess had sustained a cervical spinal fracture nor of any necessary measures in her care and treatment. Her daughter attended a fracture clinic appointment with her on 24 May 2017 where a Doctor told the daughter that a fracture had been sustained and that care should be exercised in her management on account of the fracture. It was only on 26 May 2017, as a result of enquiries by the nursing home, that formal confirmation of the fracture was provided by the hospital. Although there was no evidence that the failure of the hospital to properly confirm and advise on the fracture was a factor in Barbara Christine Sturgess’s death this did have the potential to adversely affect her wellbeing. Very importantly if there were to be further similar failings in communication it could be that for some patients this could be a contributory factor in death. ”
    Open source report

  3. Derby and Derbyshire

    AI-generated summary

    William Leonard Beckwith · 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

    William Leonard Beckwith sustained a cervical spine fracture after a fall at home, was discharged from hospital without the fracture being diagnosed, and died on 11 October 2013 after readmission with acute stridor and subsequent deterioration. The principal concern was that, despite his age and history of falls, he was discharged home in the early hours without formal assessment of his abilities, his home environment, or his wife’s ability to care for him, and without post-discharge planning or needs assessment.

    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 Chesterfield Royal Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of formal assessment of the patient’s abilities, home environment and carer’s ability to provide care

    Wider context from the report

    “A 91 year old patient, with a history of falls and who had attended A&E due to a fall was discharged home at 04:17 hours in the early morning to his elderly wife. There was no formal assessment as to his abilities, the home environment or his wife’s abilities to look after him. No consideration was given to post discharge planning or assessment of needs such as district nurse or social care follow up. The Department, at that time, did not have in place any formal policy or procedure for risk assessing the safety of discharging a frail, elderly patient to home in the early hours of the morning. ”
    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 Chesterfield Royal Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a formal policy or procedure for risk assessing early-hours discharge of frail elderly patients to home

    Wider context from the report

    “A 91 year old patient, with a history of falls and who had attended A&E due to a fall was discharged home at 04:17 hours in the early morning to his elderly wife. There was no formal assessment as to his abilities, the home environment or his wife’s abilities to look after him. No consideration was given to post discharge planning or assessment of needs such as district nurse or social care follow up. The Department, at that time, did not have in place any formal policy or procedure for risk assessing the safety of discharging a frail, elderly patient to home in the early hours of the morning. ”
    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 Chesterfield Royal Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to undertake post-discharge planning and assessment of follow-up care needs

    Wider context from the report

    “A 91 year old patient, with a history of falls and who had attended A&E due to a fall was discharged home at 04:17 hours in the early morning to his elderly wife. There was no formal assessment as to his abilities, the home environment or his wife’s abilities to look after him. No consideration was given to post discharge planning or assessment of needs such as district nurse or social care follow up. The Department, at that time, did not have in place any formal policy or procedure for risk assessing the safety of discharging a frail, elderly patient to home in the early hours of the morning. ”
    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