Recipient

Heathcote Street Surgery

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First report 6 Aug 2014•Latest report 6 Aug 2014

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

  1. Addressed to The Surgery, Chesterton, now represented here by Heathcote Street Surgery.

    Birmingham and Solihull

    AI-generated summary

    Jack Dulson · 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

    Jack Dulson became seriously ill after initially being diagnosed with a viral illness and was later diagnosed with pericarditis causing a pericardial effusion. He suffered a cardiac arrest on 03/04/14 and could not be resuscitated. The concerns identified were that the GP practice had no system for reviewing abnormal blood test results and that the results were reviewed only after the family arranged and insisted on an appointment.

    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 Heathcote Street Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of timely review of abnormal blood test results

    Wider context from the report

    “(1) The GP practice had no system in place to review abnormal blood test results when they were received and to then review the patient and provide treatment. (2) The abnormal blood tests were only reviewed when the family arranged and insisted on an appointment – this was over 24 hours after the tests results were available. ”
    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 Heathcote Street Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide treatment after abnormal blood test results

    Wider context from the report

    “(1) The GP practice had no system in place to review abnormal blood test results when they were received and to then review the patient and provide treatment. (2) The abnormal blood tests were only reviewed when the family arranged and insisted on an appointment – this was over 24 hours after the tests results were available. ”
    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 Heathcote Street Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to review the patient after abnormal blood test results

    Wider context from the report

    “(1) The GP practice had no system in place to review abnormal blood test results when they were received and to then review the patient and provide treatment. (2) The abnormal blood tests were only reviewed when the family arranged and insisted on an appointment – this was over 24 hours after the tests results were available. ”
    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