Claypath and University Medical Group

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First report 7 Mar 2022•Latest report 7 Mar 2022

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
100%

Found for named reports

Concerns addressed
1

Across all linked responses

Stated actions
4

Described in responses

Concerns and recipient responses

Statements from Claypath and University Medical Group linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. County Durham and Darlington

    AI-generated summary

    Jane Elizabeth ALLISON · 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

    Jane Elizabeth ALLISON died in hospital on 20 November 2021 after being admitted with severe type 1 respiratory failure. She had received a 10-day course of nitrofurantoin for a urinary tract infection, and the inquest concluded that she died from the effects of prescribed medication. The principal concern was that BNF guidance did not sufficiently alert clinicians to the risk of sudden pulmonary deterioration or provide adequate monitoring advice in this circumstance.

    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 Claypath and University Medical Group; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of nitrofurantoin prescribing guidance to provide advice on monitoring for sudden pulmonary deterioration during short-term treatment in elderly patients

    Wider context from the report

    “In effect, my concern is that the BNF content had not advised to be alerted to the danger of sudden pulmonary deterioration in an elderly patient, and certainly not one who was fit and active, and not in the context of the duration of a prescribing, dispensing and administration period of only 10 days. Effectively, the BNF content did not cover the eventuality of this case in that it was deficient in providing advice as to monitoring and being alert for pulmonary failure. ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Alert prescribing clinicians to nitrofurantoin’s serious breathlessness side effects and the need for prompt patient reporting.

    Verbatim wording from the response

    “1. An email has been sent to all prescribing clinicians alerting them to the rare but significant and potentially life-threatening side effects of nitrofurantoin causing acute breathlessness and the need to advise patients to promptly report such symptoms.”

    Source location

    Response from Claypath and University Medical Group
    Page 1 · response
    Published 8 March 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Write to the Local Medicine Management Team highlighting nitrofurantoin’s life-threatening side effect.

    Verbatim wording from the response

    “4. One of our partners has agreed to write to the Local Medicine Management Team highlighting this life-threatening side effect and expecting possible changes to the local guidelines.”

    Source location

    Response from Claypath and University Medical Group
    Page 1 · response
    Published 8 March 2022

    Open published response
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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