Recipient

Consultant trauma and orthopaedic surgeon

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First report 21 Apr 2023•Latest report 21 Apr 2023

Recipient record

Reports, concerns and published responses

This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

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

Reports over time

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 Consultant trauma and orthopaedic surgeon linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Berkshire

    AI-generated summary

    Peter William Frederick Lawrence · 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

    Peter William Frederick Lawrence underwent spinal surgery on 11 January 2022, developed infection and abscesses, and died at the Royal Berkshire Hospital on 3 March 2022. The report raised concerns that a clinician’s failure to maintain formal medical records, instead retaining information in personal memory, posed a risk to patient safety and to future patients, including a risk of death.

    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 Consultant trauma and orthopaedic surgeon; that does not assign responsibility.

    PFD Monitor interpretation

    Reliance on individual clinicians’ memory for storing information

    Wider context from the report

    “████████ should review his record-keeping approach, perhaps with the benefit of legal advice and referee to GMC guidance. An approach of ‘storing’ information in an individual clinician’s memory carries a risk (including a risk of death) for future patients. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

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