Kent and Medway Cancer Alliance

Health and care · Health-system partnership

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First report 21 Jan 2016•Latest report 21 Jan 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
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from Kent and Medway Cancer Alliance linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Central and South East Kent

    AI-generated summary

    Alice Ada Phyllis Dickenson · 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

    Alice Ada Phyllis Dickenson died after a lesion, which was in fact a gastric varix, was biopsied during an endoscopy and caused gastrointestinal haemorrhage. The report identified concern that important medical history, including haemochromatosis recorded on the patient questionnaire, was not transferred to the endoscopy assessment information available to the endoscopist.

    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 Kent and Medway Cancer Alliance; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of the GP referral form to capture important medical conditions or history for endoscopy referrals

    Wider context from the report

    “That important past medical history may be omitted when referring the patient to the rapid access scheme for an endoscopy. The GP referral form is limited therefore enabling the omission of important medical conditions or history which would assist the endoscopist. ”
    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