Recipient

Cricket Green Medical Practice

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First report 28 Sep 2017•Latest report 28 Sep 2017

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

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 Cricket Green Medical Practice linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. London Inner (West)

    AI-generated summary

    GILLIAN O’KEEFFE · 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

    Gillian O’Keeffe had a serious mental illness and died at home on 19 March 2017 after taking her own life while the balance of her mind was disturbed. The concerns included her discharge from community mental health services for non-engagement despite family and professional concerns, inadequate communication with her GP and family, and the absence of a clear process for following up urgent concerns or referrals.

    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 Cricket Green Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Unlikelihood of self-referral by patients unable to engage with mental health services

    Wider context from the report

    “(2) In view of her history and the inability of the Trust or GP surgery to make contact with Mrs O’Keeffe it was highly unlikely that she would self-refer. ”
    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 Cricket Green Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Inappropriate discharge of patients in greatest need of mental health support for non-engagement

    Wider context from the report

    “(1) That the decision to discharge Mrs O’Keeffe ‘for non-engagement’ from the local Mental Health NHS Foundation Trust care in January 2017 appeared illogical when it was likely, having regard to the facts, that she was in greatest need of their help: she was a service user of long standing, she had an acute deterioration in her mental state in March 2016, that there had been concerns raised by her family in October 2016 and that no professionals had been able to make visual contact with her since October 2016. ”
    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 Cricket Green Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to coordinate pre-discharge handover and transition with the GP surgery

    Wider context from the report

    “(3) There was no pre-discharge multidisciplinary meeting to include and inform the GP before discharge nor attempt to ensure that there was a seamless transition to the GP surgery. ”
    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 Cricket Green Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of an accessible mechanism for families to share mental health concerns with the professional team

    Wider context from the report

    “(5) There appeared no easy or appropriate way that the family were able to share information and their concerns about Mrs O’Keeffe’s mental health with the professional team, consequently, notwithstanding the family’s continual and concerted attempts to notify Mrs O’Keeffe’s care co-ordinator, they felt that the professionals were unaware of the parlous state of Mrs O’Keeffe’s mental health and the family’s serious concerns. ”
    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 Cricket Green Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a procedure for following up urgent GP concerns or referrals

    Wider context from the report

    “(4) Evidence was given at the inquest that there was no procedure or policy in place at the Trust to follow up GP concerns or referrals particularly where there was likely to be a degree of urgency. ”
    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