Hull Royal InfirmaryIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 28 Oct 2025•Latest report 3 Nov 2025

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
2

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 Hull Royal Infirmary linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: Chief Executive – Hull Royal Infirmary.

    East Riding and Hull

    AI-generated summary

    Kathleen Rose WARD · 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

    Kathleen Rose WARD, who had terminal mesothelioma, was admitted to Hull Royal Infirmary’s emergency department on 19 February 2025 because no bed was available at Queens Centre. She remained there for 21 hours and died at Hull Royal Infirmary on 20 February 2025; the inquest recorded pneumonia as the immediate cause of death, with mesothelioma, immunotherapy-induced myocarditis and chronic kidney disease contributing. The principal concern was that insufficient specialist end-of-life bed capacity resulted in patients receiving palliative care in unsuitable emergency-department environments, with potential delays to appropriate emergency treatment.

    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 Hull Royal Infirmary; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to move people requiring ward-based care out of the emergency department

    Wider context from the report

    “1. During the evidence it was heard that the emergency department still has people being held in their department who should be getting ward based care. Additionally, that there has been no increase in the bed space available for Queens Centre. This meant that I could have no reassurance that the circumstances of Mrs Ward’s death would not be repeated, but also that people requiring emergency treatment may be delayed in receiving the appropriate emergency 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 Hull Royal Infirmary; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient bed space in Queens Centre

    Wider context from the report

    “1. During the evidence it was heard that the emergency department still has people being held in their department who should be getting ward based care. Additionally, that there has been no increase in the bed space available for Queens Centre. This meant that I could have no reassurance that the circumstances of Mrs Ward’s death would not be repeated, but also that people requiring emergency treatment may be delayed in receiving the appropriate emergency care. ”
    Open source report

  2. Addressed to: Chief Executive – Hull Royal Infirmary.

    East Riding and Hull

    AI-generated summary

    Raymond LEAKE · 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

    Raymond LEAKE fell and sustained a head injury in hospital on 13 February 2025. An authorised CT scan was not booked by radiology and was carried out more than 13 hours after the fall, revealing a catastrophic bleed; he died on 16 February 2025. The principal concerns were the failure to complete and audit revised radiology processes, the delayed scan, inadequate communication with his family, and poor record keeping.

    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 Hull Royal Infirmary; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to complete audits of radiology scanning processes

    Wider context from the report

    “1. During the evidence it was heard that efforts were made to review why the scan was missed. No exact reason was found, and it was believed likely human error. It was acknowledged that a number of processes had been put into place in March in an effort to improve the radiology scanning processes including training, markers and portering; however, the audit of these new processes was still not completed by the time Mr Leake’s death came to light. I was informed the believed reason for not reviewing the audit was staff numbers. This meant that I could have no reassurance that these processes are working appropriately or that further urgent scans would not be missed in future. ”
    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