Green Surgery ManchesterIncludes reports addressed to a minister or senior office-holder acting for this organisation.

Private and voluntary organisations · Multi-service care provider

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First report 15 Oct 2014•Latest report 15 Oct 2014

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 Green Surgery Manchester linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: ████████and the Practice Director, Green Surgery, Manchester.

    Manchester (North)

    AI-generated summary

    Lucasz Lewandowski · 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

    Lucasz Lewandowski suffered catastrophic head injuries after jumping from the roof of his employer’s building on 16 July, and died two days later. The principal concerns included delays and communication failures in emergency and mental-health responses, failures in psychiatric information-sharing and continuity of care, and issues concerning clinical decision-making and responsibility for his safety.

    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 Green Surgery Manchester; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of communication between GMP and MEDACS about the existence of an escalation protocol

    Wider context from the report

    “2. Lack of communication between GMP and MEDACS regarding the existence of their escalation protocol resulting in the delayed attendance of an FME. ”
    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 Green Surgery Manchester; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of resources for mental health response

    Wider context from the report

    “3. The use of S.136 of the Mental Health Act due to lack of resources – albeit on logical, pragmatic grounds. ”
    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 Green Surgery Manchester; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to adhere to or use escalation and call grading protocols

    Wider context from the report

    “1. The timeliness of GMP’s response, against a backdrop of lack of adherence to/use of the escalation and call grading protocols. ”
    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 Green Surgery Manchester; that does not assign responsibility.

    PFD Monitor interpretation

    Failure and reluctance to correspond with patients’ GPs and other healthcare professionals after consultation

    Wider context from the report

    “4. The psychiatric practice’s failure and reluctance to correspond with a patient’s GPs and/or other healthcare professionals following consultation, jeopardising continuity of care. ”
    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 Green Surgery Manchester; that does not assign responsibility.

    PFD Monitor interpretation

    Clinical decision-making by a non-medically qualified Practice Manager

    Wider context from the report

    “5. Clinical decision-making by a non-medically qualified Practice Manager. ”
    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 Green Surgery Manchester; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of clinicians to retain responsibility for patients’ safety and wellbeing in the community

    Wider context from the report

    “6. The view of the physician - that responsibility for maintaining a patient’s safety and wellbeing within the community rests entirely with the family and/or patient rather than the clinician. ”
    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 Green Surgery Manchester; that does not assign responsibility.

    PFD Monitor interpretation

    Delays in GMP responses

    Wider context from the report

    “1. The timeliness of GMP’s response, against a backdrop of lack of adherence to/use of the escalation and call grading protocols. ”
    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