Recipient

Colchester Hospital

First report 27 Feb 2026•Latest report 27 Feb 2026

Recipient record

Reports, concerns and published responses

Health and care · Healthcare site. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found

0stated actions described

Topic comparisons are not available in the current evidence snapshot.

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.

27 Feb2026
Essex
Concerns raised8
1. Failure to seek an alternative Consultant's opinion
2. Failure to challenge a Consultant's view to discharge
3. Failure of the multidisciplinary team meeting to discuss the patient's case
1. Failure to follow the Sepsis 6 Pathway
2. Failure to appropriately recognise signs of sepsis
3. Failure to fully impart and understand crucial clinical information
4. Failure to seek an early Consultant Review
5. Failure to reapproach the Consultant with fuller information
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
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

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

Reports, concerns and published responses

Reports over time

Concerns raised8

Failure to seek an alternative Consultant's opinion

Failure to challenge a Consultant's view to discharge

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

Failure to follow the Sepsis 6 Pathway

Failure to appropriately recognise signs of sepsis

Failure to fully impart and understand crucial clinical information

Failure to seek an early Consultant Review

Failure to reapproach the Consultant with fuller information