Recipient

Heathview Medical Practice

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First report 11 Oct 2022•Latest report 11 Oct 2022

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
100%

Found for named reports

Concerns addressed
1

Across all linked responses

Stated actions
4

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.

100%published responses found
4stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

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

  1. Stoke-on-Trent and North Staffordshire

    AI-generated summary

    Eirwen Rebecca Hollister · 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

    Eirwen Rebecca Hollister, who had a history of mental health issues and overdoses of prescribed medication, was found deceased at home on 10 May 2022. Evidence at the inquest identified that prescriptions continued after overdoses, and that there was no process to prevent further prescriptions before a full review.

    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 Heathview Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a process to prevent prescriptions being issued before full GPO review following a prescribed-medication overdose

    Wider context from the report

    “(1) Evidence was given during the inquest that there was no process or procedure in place to ensure that when a patient, registered with the GP practice, took an overdose of prescribed medication, no prescriptions were issued before a full review by a GPO was undertaken. . ”
    Open source report

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Discuss the overdose policy and significant event analysis with all practice staff at the scheduled 15 November meeting.

    Verbatim wording from the response

    “• The Policy and the significant event will be discussed with all the staff in a practice meeting on 15th November 2022”

    Source location

    Response from Heathview Medical Practice
    Page 2 · response
    Published 14 October 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Review the overdose policy, discuss it with clinicians, and make it accessible to staff on the shared drive.

    Verbatim wording from the response

    “• The ‘Overdose Policy’ has been reviewed and discussed with all clinicians at Heathview Medical Practice on 21/10/22. The Policy is on the shared drive and can be accessed by all staff. Please find attached a copy of the Policy.”

    Source location

    Response from Heathview Medical Practice
    Page 2 · response
    Published 14 October 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Teach clinical staff how to action hospital letters concerning overdoses.

    Verbatim wording from the response

    “• Teaching has been carried out to all clinical staff on how to action Docman letters (Clinical letters from Hospital) which involve overdoses on 21/10/2022”

    Source location

    Response from Heathview Medical Practice
    Page 2 · response
    Published 14 October 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Complete a significant event analysis and discuss its findings with all clinicians.

    Verbatim wording from the response

    “• We have carried out a significant event analysis to identify any failings and learning points. The results of the significant analysis were discussed with all clinicians in a meeting on 21/10/22. Please find attached a copy of the significant event analysis.”

    Source location

    Response from Heathview Medical Practice
    Page 2 · response
    Published 14 October 2022

    Open published response
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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

100%
100%All other recipients 58%
0%100%

How actions were described at the time

This respondent
75%25%
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