30 Jan 2025 Liam Stephen Allan · Prevention of Future Deaths report West London
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Concerns raised 2 Delays in police alerting of the LFB and subsequent emergency response View source Inadequate visibility of riverside buoyancy aids View source
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No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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AI-generated summary
Liam Stephen Allan · 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
Liam Stephen Allan was arrested alongside the River Thames on the evening of 26 August 2022, entered the river, and drowned. The report identified concerns about inadequate lighting and visibility of riverside buoyancy aids, and about delays in alerting the London Fire Brigade because notification was made by telephone rather than through the faster CAD-mediated system.
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How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Delays in police alerting of the LFB and subsequent emergency response
Wider context from the report “The process for alerting the LFB by the Metropolitan Police Service (MPS) uses a telephone to transmit information from the MPS to the LFB , rather than using a CAD-mediated system to transfer information electronically from the Police to the LFB which is faster than transmitting information by telephone . This delay means that there is a risk that future deaths could occur due to a delay in the LFB being alerted by the Police and a corresponding delay to the LFB's subsequent response to an emergency incident .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Inadequate visibility of riverside buoyancy aids
Wider context from the report “The lighting of buoyancy aids on the riverside is not adequate , meaning that they are not able to be identified rapidly and then deployed without delay in an emergency situation.
Buoyancy aids are more visible when painted with white stripes and/or reflective white stripes. However, not all buoyancy aids are so painted , meaning that they are not able to be identified rapidly and then deployed without delay in an emergency situation.
” Open source report
8 Apr 2022 Saima Usman · Prevention of Future Deaths report Inner West London
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Concerns raised 1 Lack of a registered landlord scheme requiring installation of smoke and carbon monoxide detectors View source
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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AI-generated summary
Saima Usman · 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
Saima Usman, aged 44, was found deceased at her home following a fire on 8 July 2021. The fire did not contribute to her death; the recorded conclusion was an accidental drug-related death. The substantive concern was that people living in privately rented accommodation in Wandsworth may be at greater risk because the borough did not have a registered landlord scheme requiring smoke and carbon monoxide detectors.
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How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Lack of a registered landlord scheme requiring installation of smoke and carbon monoxide detectors
Wider context from the report “That those living in privately rented accommodation within the London Borough of Wandsworth are at greater risk of death from exposure to fire or CO, as it does not currently have registered landlord scheme through which in order to be registered smoke and CO detectors would have to be installed .
” Open source report
7 Mar 2018 Mrs Elizabeth Marion Griffin · Prevention of Future Deaths report Inner West London
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Concerns raised 13 Failure to provide accessible appliance registration for people with limited computer literacy View source Delays in launching appliance repair or withdrawal campaigns View source Failure to make linked fire alarms a contractual requirement for telecare clients View source Failure to escalate fire-alarm activations to the fire brigade within 30 seconds View source Artificially differentiated fire-safety treatment of watch-only and wider telecare clients View source Failure to visibly flag unlinked fire alarms in client records View source Unlinked household fire alarms in telecare users' homes View source Failure to identify and replace unlinked fire alarms in a timely and auditable manner View source Lack of working relationships with local fire brigades to facilitate client home fire-risk assessments View source Inadequate staff training on standards-compliant fire-alarm response View source Failure to train staff to recognise and escalate linked and unlinked fire-alarm sounds View source Lack of a central appliance-owner registration and contact mechanism View source Failure of telecare systems to maintain communication throughout clients' properties View source See 10 more concerns
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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AI-generated summary
Mrs Elizabeth Marion Griffin · 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
Mrs Elizabeth Marion Griffin, who was wheelchair bound due to advanced multiple sclerosis, was alone at home in bed when a dishwasher fire started on 14 July 2017. She activated her pendant alarm, but the responder did not recognise the smoke alarm, could not communicate effectively with her, and did not call the fire brigade; Mrs Griffin later died in hospital on 21 August 2017 from smoke inhalation injuries and bronchopneumonia. The concerns included delayed action by the dishwasher manufacturer, lack of appliance-owner registration and contact, and shortcomings in telecare arrangements, including unlinked fire alarms, responder training, communication, and escalation procedures.
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× 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Failure to provide accessible appliance registration for people with limited computer literacy
Wider context from the report “3. That any such campaign be also targeted at those who are less computer literate and consideration be given as to how to address their needs in relation to registration .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Delays in launching appliance repair or withdrawal campaigns
Wider context from the report “1. That it simply took too long for Whirlpool UK to launch the repair/withdrawal campaign .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Failure to make linked fire alarms a contractual requirement for telecare clients
Wider context from the report “8. That telecare systems providers and WWA in particular, insist that their clients, who by definition are vulnerable, have linked fire alarms as a contractual requirement for both new and existing clients in the same way that such providers insist on the provision to them by the client of keys to the clients’ homes.
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Failure to escalate fire-alarm activations to the fire brigade within 30 seconds
Wider context from the report “7. That telecare system operators and WWA in particular, apply the British Standards Institute requirement to call for the help of the fire brigade after 30 seconds maximum of trying to contact a client if the client’s fire alarm goes off .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Artificially differentiated fire-safety treatment of watch-only and wider telecare clients
Wider context from the report “4. That there is an artificial distinction between service users and clients who are “watch” only services, and those with wider telecare support . Either type of client would be vulnerable to fire .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Failure to visibly flag unlinked fire alarms in client records
Wider context from the report “12. That telecare systems providers and WWA in particular, highlight on the front screen of the client details, if that client has an unlinked fire alarm , until such a time as the unlinked alarm is replaced by a linked one, so as to alert call responders that sounds heard in the back ground or call may represent an activated fire alarm and thus the fire brigade may need to be called to the client’s home by the call responder.
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Unlinked household fire alarms in telecare users' homes
Wider context from the report “5. That users of telecare systems have the fire alarms in their homes directly linked to the telecare systems .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Failure to identify and replace unlinked fire alarms in a timely and auditable manner
Wider context from the report “9. That telecare systems providers and WWA in particular, take active steps to identify clients without linked fire alarms and arrange for them to be replaced with linked fire alarms and that this should be done in a timely and auditable fashion .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Lack of working relationships with local fire brigades to facilitate client home fire-risk assessments
Wider context from the report “13. That telecare systems providers and WWA in particular, develop working relationships with their local fire brigades to facilitate fire risk assessments visits to the homes of the clients by the fire brigade being offered to telecare clients and accepted by them.
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Inadequate staff training on standards-compliant fire-alarm response
Wider context from the report “10. That telecare systems providers and WWA in particular, train their staff on the appropriate response to the activation of a fire alarm and that this should be according to the standards laid down by the British Standards Institute .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Failure to train staff to recognise and escalate linked and unlinked fire-alarm sounds
Wider context from the report “11. That telecare systems providers and WWA in particular, train their staff as to what fire alarm activation sounds like whether from a linked or unlinked alarm and that they should call the fire brigade appropriately if they are heard by the responder to be activated .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Lack of a central appliance-owner registration and contact mechanism
Wider context from the report “2. That there should be a safety campaign encouraging owners of appliances to register their details through a central portal such as AMBIA so that if concerns about an appliance arise they may be promptly contacted .
” 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 London Borough of Wandsworth; that does not assign responsibility.
PFD Monitor interpretation Failure of telecare systems to maintain communication throughout clients' properties
Wider context from the report “6. That telecare systems be organised such that a client operating a pendant alarm can talk with the responder no matter where the client is within their property such as to allow a client with mobility problems to be in proper communication with their telecare system operator at all times .
” Open source report