Colchester Hospital

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First report 27 Feb 2026•Latest report 27 Feb 2026

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

  1. Essex

    AI-generated summary

    David James FENN · 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

    David James FENN was admitted to hospital with suspected sepsis and septic left knee arthritis, after attending several days earlier with similar symptoms and being discharged home. He subsequently developed severe sepsis and multiorgan failure and died on 12 February 2025. The principal concerns were that sepsis was not appropriately recognised on 28 January, the Sepsis 6 pathway was not followed, timely consultant review was not obtained, and relevant clinical discussions and escalation did not occur adequately.

    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to seek an alternative Consultant's opinion

    Wider context from the report

    “5) An alternative Consultant's opinion was not sought. ”
    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to challenge a Consultant's view to discharge

    Wider context from the report

    “4) The junior doctor did not feel able to challenge the view of the Consultant to discharge nor did they seek to reapproach them with fuller information. ”
    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of the multidisciplinary team meeting to discuss the patient's case

    Wider context from the report

    “6) The Multi Disciplinary Team meeting the following morning did not discuss Mr Fenn's case when it should have. ”
    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to follow the Sepsis 6 Pathway

    Wider context from the report

    “1) Signs of sepsis where not appropriately recognised and the Sepsis 6 Pathway was not followed. ”
    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to appropriately recognise signs of sepsis

    Wider context from the report

    “1) Signs of sepsis where not appropriately recognised and the Sepsis 6 Pathway was not followed. ”
    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to fully impart and understand crucial clinical information

    Wider context from the report

    “3) The later attempt to seek the Consultant's views was hampered by the use of a mobile phone which had poor signal in the operating theatre and crucial information was not fully imparted/understood. ”
    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to seek an early Consultant Review

    Wider context from the report

    “2) An early Consultant Review was not sought. ”
    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 Colchester Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to reapproach the Consultant with fuller information

    Wider context from the report

    “4) The junior doctor did not feel able to challenge the view of the Consultant to discharge nor did they seek to reapproach them with fuller information. ”
    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