Epilepsy Action

Private and voluntary organisations · Registered charity

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First report 12 Feb 2021•Latest report 12 Feb 2021

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

  1. Surrey

    AI-generated summary

    LUCY PATRICIA COLGATE · 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

    Lucy Patricia Colgate, who had poorly controlled generalised epilepsy, suffered an epileptic fit at home on 28 March 2019 and became wedged behind an inward-opening door in a prone position. She developed positional asphyxia and a hypoxic cardiac arrest before paramedics could free her; the evidence indicated that an outward-opening door was likely to have allowed her to survive, and that this risk was not widely appreciated.

    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 Epilepsy Action; that does not assign responsibility.

    PFD Monitor interpretation

    Inward-opening doors in confined spaces

    Wider context from the report

    “1. ████████ who was Lucy Colgate’s Consultant Neurologist gave evidence that the risks posed to epilepsy sufferers from locked doors is a recognised risk but that the risk posed by having inward opening doors to confined spaces is not widely appreciated. If the door had been outward opening Lucy Colgate is likely to have survived. ”
    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 Epilepsy Action; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of widespread appreciation of the risks of inward-opening doors in confined spaces

    Wider context from the report

    “1. ████████ who was Lucy Colgate’s Consultant Neurologist gave evidence that the risks posed to epilepsy sufferers from locked doors is a recognised risk but that the risk posed by having inward opening doors to confined spaces is not widely appreciated. If the door had been outward opening Lucy Colgate is likely to have survived. ”
    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