Hazelmere Medical CentreIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 15 Dec 2016•Latest report 15 Dec 2016

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
100%

Found for named reports

Concerns addressed
3

Across all linked responses

Stated actions
1

Described in responses

Concerns and recipient responses

Statements from Hazelmere Medical Centre linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: The Senior Partner, Hazlemere Medical Centre, Blaby.

    Leicester City and South Leicestershire

    AI-generated summary

    Francis James Lea · 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

    Francis James Lea, who was living in a care home, was transferred to a new GP without his family being informed. After a hospital admission for a seizure, his prescribed anti-epileptic medication was not continued because the new GP was unaware of the admission and prescription. The report raised concerns about involving next of kin, recording the rationale and consent or capacity assessment for changing GP, and ensuring a safe transfer of care between the care home and GP surgeries.

    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 Hazelmere Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to involve next of kin in significant decisions for a patient with declining cognitive function

    Wider context from the report

    “(1) For a patient in a care situation, with declining cognitive function (as set out in his home care plan) it would seem appropriate to consider involving the next of kin in any significant decision such as change of GP. This would have enabled the family (who always ensured they accompanied Mr Lea for any medical care) to pass on the updated information, and this outcome would have been avoided. ”
    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 Hazelmere Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to record the rationale and patient consent for a change of GP

    Wider context from the report

    “(2) There appeared to be no notes on the patient's medical record regarding the rationale for this change, or any consent from the patient that he was in agreement that it should take place. There was also no record of whether any consideration of his capacity had been undertaken, and if so what the outcome of that decision was. ”
    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 Hazelmere Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to record consideration and outcome of the patient's capacity

    Wider context from the report

    “(2) There appeared to be no notes on the patient's medical record regarding the rationale for this change, or any consent from the patient that he was in agreement that it should take place. There was also no record of whether any consideration of his capacity had been undertaken, and if so what the outcome of that decision was. ”
    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Capacity assessments are not routinely undertaken unless there is a medical need.

    Verbatim wording from the response

    “As highlighted the care home was facilitating change of GP and patients were offered the choice of declining to change their registered GP. As mentioned earlier it is not common practice to hold capacity assessment unless there is a medical need.”

    Source location

    2016-0447-Response-by-Hazelmere-Medical-Centre
    Page 1 · response
    Published 12 February 2017

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    There is usually no need to record the rationale for changing a patient's registered GP in the medical record.

    Verbatim wording from the response

    “There is usually no need for documenting on patients medical records regarding rationale for change of GP.”

    Source location

    2016-0447-Response-by-Hazelmere-Medical-Centre
    Page 1 · response
    Published 12 February 2017

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The medical records showed no cognitive decline requiring a formal capacity assessment, so capacity was assumed for the GP change process.

    Verbatim wording from the response

    “The medical records of the patient do not reflect any evidence of declining cognitive function requiring the need for a formal capacity assessment. The communication with the care homes in this project of swapping care home patients between practices was explicit in stating that the change of registered GP was an active informed decision to be communicated to the patient, or if the care home felt there was a lack of capacity for this to be discussed with next of kin. As part of this project letters were written to the care home patients which was sent to Mr Lea as well detailing the above. Hence it was assumed that Mr Lea had capacity to engage in this process.”

    Source location

    2016-0447-Response-by-Hazelmere-Medical-Centre
    Page 1 · response
    Published 12 February 2017

    Open published response
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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