Hinchingbrooke Hospital

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First report 9 Sep 2014•Latest report 9 Sep 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 Hinchingbrooke Hospital linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to Hinchingbrooke Hospital (Hinchingbrooke Health Care NHS Trust era), now represented here by Hinchingbrooke Hospital.

    South and West Cambridgeshire

    AI-generated summary

    Anne Elizabeth Sandever · 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

    Anne Elizabeth Sandever, a diabetic woman with acute on chronic renal failure, was admitted to hospital on 3 February 2014, deteriorated after transfer to Walnut ward, and died on 6 February 2014. The concerns included gaps in nursing and medical observation, poor communication and handover about her diabetes, lack of intravenous fluids despite renal failure, and insufficient investigation of the incident.

    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 Hinchingbrooke Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to identify and manage patients' diabetic control

    Wider context from the report

    “(2) Communication and handover was poor, no one on the ward knew Mrs Sandever was diabetic or took appropriate care of her diabetic control. ”
    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 Hinchingbrooke Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Poor communication and handover of patient information

    Wider context from the report

    “(2) Communication and handover was poor, no one on the ward knew Mrs Sandever was diabetic or took appropriate care of her diabetic control. ”
    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 Hinchingbrooke Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to investigate serious incidents and prevent recurrence

    Wider context from the report

    “(4) There has been no SUI inquiry and the hospital has not investigated this sufficiently to ensure that this does not recur and has not taken the necessary steps to assure me of this. ”
    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 Hinchingbrooke Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide intravenous fluids to patients with renal failure

    Wider context from the report

    “(3) She was left without intravenous fluids for many hours despite having renal failure. ”
    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 Hinchingbrooke Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of nursing observation and care

    Wider context from the report

    “(1) There was a lack on nursing care afforded to Mrs. Sandever, She was not seen by any nurse or medical staff from until 1030 until 1610 whilst on Walnut ward. ”
    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