Recipient

King Street Medical Centre

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First report 7 Jan 2014•Latest report 30 Sep 2019

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
2

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 King Street Medical Centre linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Manchester South

    AI-generated summary

    Kaiya Sonja Campbell · 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

    Kaiya Sonja Campbell was born at Tameside General Hospital on 28 September 2019 following her mother’s extensive bleeding and early rupture of the membranes. She lived briefly and died soon after birth, with the medical cause recorded as extreme prematurity at 19 weeks and 6 days’ gestation. Concerns included gaps in records of her mother’s anticonvulsant prescriptions, failure to seek urgent neurology guidance, and the offering of a routine rather than appropriately identified high-risk consultant 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 King Street Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of GP practice records of recent medication prescribing

    Wider context from the report

    “Her GP practice did not have any records of recent medication being prescribed although there was clear evidence given to the inquest of regular request for repeat prescriptions being requested and dispensed by a local pharmacy. It was not possible to establish at the inquest why this gap in records existed; ”
    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 King Street Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to identify high-risk status when determining consultant appointment urgency

    Wider context from the report

    “Despite her mother falling into the high risk category, a routine consultant appointment was offered. There was no clarity as to how this need was not picked up at the time. ”
    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 King Street Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of clinical staff to seek urgent neurology guidance on ongoing prescribing

    Wider context from the report

    “When Kaiya's mother attended at her GP appointment and her midwifery booking-in appointment, the clinical staff involved did not appreciate the need to seek urgent guidance themselves from the neurology department regarding ongoing prescribing to reduce the risk of foetal abnormalities to the unborn child; ”
    Open source report

  2. Manchester South

    AI-generated summary

    Jonathan Alan Thorpe · 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

    Jonathan Alan Thorpe took his own life by hanging from a tree branch in a local cemetery while using illicit drugs and experiencing deteriorating family issues. The report raises concerns that, despite his known history of self-harm and previous involvement with mental health services, his GP consultations did not refer to or seek input from Mental Health Services.

    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 King Street Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to seek advice from or consider further input from Mental Health Services

    Wider context from the report

    “The deceased registered with your GP practice on the 20th March 2013, was seen by ████████ on the 25th March and was issued a ‘sick note’ and was prescribed Amitriptyline for depression (despite being a known self-harmer). He was then seen on the 28th March by ████████ when a further ‘sick note’ was issued, this time back dated for one month. On neither of these consultations was there any reference to Mental Health Services, either for advice as to his previous involvement with them nor as to whether he needed further input from them. ”
    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