Recipient

Masta Limited

First report 4 Sep 2018•Latest report 4 Sep 2018

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Private limited company. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 100%
Concerns addressed: 2
Stated actions: 12

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.

100%published responses found

12stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Masta Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

4 Sep2018
Inner North London
Concerns raised2
1. Lack of auditing of the accuracy of nurses' medical records
2. Failure to record medical conditions through a method independent of verbal communication
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 5
1. Action
  Provide clinics with a laminated copy of the medical questions for patients to review with nurses during risk assessments.
  Stated in progress
2. Action
  Conduct rotating face-to-face clinic audits, investigate concerns through action plans and re-audits, and maintain scheduled rolling coverage.
  Stated in progress
3. Action
  Produce and finalize a pre-consultation medical-question fact sheet explaining the questions and their importance.
  Stated in progress
1. Action
  Test digital pads for storing patients’ signed confirmation that medical questions were understood and answered accurately.
  Stated in progress
2. Action
  Implement a standardized nurse audit covering completion and documentation of the medical risk-assessment process.
  Stated completed
Respondent positions 1
1. Position
  A patient-completed tick-box questionnaire is considered less effective because last-minute attendance and context-free questions may cause errors.
  Disputes the concern
AI-generated summary

Collin Gary GRIFFITHS · 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

Collin Gary Griffiths received a yellow fever vaccination on 23 March 2018 despite having previously undergone a thymectomy for a thymoma, and subsequently died from yellow fever vaccine-associated viscerotropic disease and multi-organ failure. The concerns identified were reliance on verbal communication to record medical conditions and the lack of auditing of the accuracy of nurses’ records at the travel clinic.

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 Masta Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of auditing of the accuracy of nurses' medical records
Wider context from the report
“2. MASTA currently has no way of auditing whether the record a nurse makes is accurate. This could be assessed by questioning patients as they leave, or by sending in a patient specifically to test this anonymously. ”
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 Masta Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to record medical conditions through a method independent of verbal communication
Wider context from the report
“1. The recording of medical conditions was entirely dependent on the verbal communication, which in this instance was sub optimal. Would there be anything to stop MASTA handing out a tick box questionnaire (similar to the ones for blood donors) for patients to fill in while they are waiting to be seen? There seems to be a need for an added layer of security, rather than just relying on patients listening to a long list of conditions being read out. ”
Open source report
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Provide clinics with a laminated copy of the medical questions for patients to review with nurses during risk assessments.

Verbatim wording from the response
“• The clinics will be provided with the new medical questions in a laminated document to be given to travelers to read through with the nurse, as they go through their individual risk assessment, preventing any misunderstanding - please see enclosed document 4. The draft has been sent to the marketing team to format on the 26th October 2018”

Source location
2018-Response-by-Masta
Page 4 · response
Published 18 January 2019
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Conduct rotating face-to-face clinic audits, investigate concerns through action plans and re-audits, and maintain scheduled rolling coverage.

Verbatim wording from the response
“• Face to face audits have been carried out at selected clinics in October and this will be alternated monthly going forwards to ensure that all clinics are covered; then this will be reviewed and any clinics of concern will be issued with an action plan and re-audited; this will work on a rolling basis. Previously this had been a bespoke audit, but has now been written to ensure consistency, in re-audit. Re-audits of 3 clinics have been scheduled during November 2018.”

Source location
2018-Response-by-Masta
Page 4 · response
Published 18 January 2019
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Produce and finalize a pre-consultation medical-question fact sheet explaining the questions and their importance.

Verbatim wording from the response
“• We have written a fact sheet detailing all the medical questions that a traveler will be asked during the consultation and the reasons why the questions are important. This fact sheet will be emailed out to travelers before their consultation, along with the Travel Health Brief - please see enclosed document 3. This factsheet is currently going through final review stage before going live.”

Source location
2018-Response-by-Masta
Page 4 · response
Published 18 January 2019
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Test digital pads for storing patients’ signed confirmation that medical questions were understood and answered accurately.

Verbatim wording from the response
“• We are currently testing digital pads to obtain a written signature that can be stored in our bespoke medical records system. The intention is that this would be signed by the client once all the medical questions have been covered as a declaration that they have understood the questions asked and that they have read from the laminated question document.”

Source location
2018-Response-by-Masta
Page 3 · response
Published 18 January 2019
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Implement a standardized nurse audit covering completion and documentation of the medical risk-assessment process.

Verbatim wording from the response
“• We have written an audit for the nurses, to ensure that the assessments are being completed in full, looking at how the risk assessment is conducted, but more specifically looking to ensure the following actions are taken;”

Source location
2018-Response-by-Masta
Page 4 · response
Published 18 January 2019
Open published response
Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
A patient-completed tick-box questionnaire is considered less effective because last-minute attendance and context-free questions may cause errors.

Verbatim wording from the response
“We acknowledge that the coroner has suggested each patient complete a tick box questionnaire whilst waiting for their consultation. We do not feel this would be as effective as all the improvements detailed above. From experience patients turn up last minute for their appointments and would not therefore have the required time to digest and complete the medical questions. There is also the risk that questions without the context and ability to ask questions of a medical professional could lead to errors.”

Source location
2018-Response-by-Masta
Page 3 · response
Published 18 January 2019
Open published response

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

Reports, concerns and published responses

Reports over time

Concerns raised2

Lack of auditing of the accuracy of nurses' medical records

Failure to record medical conditions through a method independent of verbal communication

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.5

Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.1

Actions described in response 5

Respondent positions 1