Clevedon Medical Centre

Health and care · Healthcare site

First report 20 Jun 2016•Latest report 20 Jun 2016

Reports, concerns and published responses

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

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

20 Jun2016
Avon
Concerns raised1
1. Lack of daily staff checks that all GP messages have been countersigned as received or acted on
No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Stephanie Louise Augusta Marks · 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

Stephanie Louise Augusta Marks died from untreated hypokalaemia, in a setting of anorexia nervosa and hypokalaemia. The report identified inconsistent systems for passing blood results to GPs and no evidence that staff checked each evening that GP messages had been countersigned as received or acted on.

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 Clevedon Medical Centre; that does not assign responsibility.
PFD Monitor interpretation
Lack of daily staff checks that all GP messages have been countersigned as received or acted on
Wider context from the report
“1. There was no evidence that staff check at 6.30pm each day that all GP messages have been countersigned as received/acted on by the GP’s, for that day. ”
Open source report

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