Recipient

Medway Maritime Hospital

First report 20 Aug 2019•Latest report 23 Apr 2021

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: 3
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

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 Medway Maritime Hospital linked to the concerns in each report. Select any concern, action or position to view the source wording.

23 Apr2021
Mid Kent and Medway
Concerns raised1
1. Chronic shortages of falls alarm equipment for patients assessed as requiring it
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.
AI-generated summary

Derek Albert RUSSELL · 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

Derek Albert Russell, who had a history of falls, was admitted to hospital after an unwitnessed fall and was assessed as being at high risk of further falls. Despite repeated requests, falls alarm equipment was unavailable, and he later suffered another unwitnessed fall and brain haemorrhages before developing COVID-19 and dying. The principal concern was the chronic shortage of falls alarm equipment at Medway Maritime Hospital, which increased patients’ risk of falls and serious injury and compromised clinical staff’s ability to monitor and reduce that risk.

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 Medway Maritime Hospital; that does not assign responsibility.
PFD Monitor interpretation
Chronic shortages of falls alarm equipment for patients assessed as requiring it
Wider context from the report
“I am concerned that: (a) Patients who are assessed as requiring falls alarm equipment in future will not receive it due to chronic shortages of that equipment in the Medway Maritime Hospital. (b) By failing to provide adequate falls alarm equipment, patients are at increased risk of falling and sustaining fatal injuries (or injuries such as fractures and brain injury that can lead to immobility, susceptibility to infection and death). (c) The ability of clinical staff to monitor and reduce the risk of patients falling and sustaining fatal injuries is seriously compromised by the lack of this basic safety equipment and is putting lives at risk. ”
Open source report
8 Mar2021
Mid Kent and Medway
Concerns raised5
1. Reliance on agency nurses
2. Insufficient nursing staff numbers in A&E and on the ward
3. Lack of equipment available to nursing staff on the ward
1. Failure to undertake required patient observations
2. Lack of nursing staff experience and breadth of skills
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.
AI-generated summary

Rodney Gates · 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

Rodney Gates, aged 84, was struck by an HGV while crossing a road and sustained a fracture of the right proximal femur. He deteriorated from bleeding while on a hospital ward and died on 6 April 2018 despite treatment and resuscitation attempts. Concerns included missed clinical observations, low nursing staffing levels, reliance on agency nurses, limited staff experience and skills, and insufficient equipment.

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 Medway Maritime Hospital; that does not assign responsibility.
PFD Monitor interpretation
Reliance on agency nurses
Wider context from the report
“(3) the reliance on agency nurses ”
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 Medway Maritime Hospital; that does not assign responsibility.
PFD Monitor interpretation
Insufficient nursing staff numbers in A&E and on the ward
Wider context from the report
“(2) the overall low number of nursing staff both within the A&E department and on the ward ”
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 Medway Maritime Hospital; that does not assign responsibility.
PFD Monitor interpretation
Lack of equipment available to nursing staff on the ward
Wider context from the report
“(5) the lack of equipment available to nursing staff on the ward ”
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 Medway Maritime Hospital; that does not assign responsibility.
PFD Monitor interpretation
Failure to undertake required patient observations
Wider context from the report
“(1) the failure to undertake at all the required observations of a patient pursuant to clinical direction and / or the NEWS protocol which was directly attributable to the conditions of the nursing staff on the ward, those being - ”
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 Medway Maritime Hospital; that does not assign responsibility.
PFD Monitor interpretation
Lack of nursing staff experience and breadth of skills
Wider context from the report
“(4) the lack of experience and narrow spectrum of skill set of the nursing staff ”
Open source report

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 raised1

Chronic shortages of falls alarm equipment for patients assessed as requiring it

Concerns raised5

Reliance on agency nurses

Insufficient nursing staff numbers in A&E and on the ward

Lack of equipment available to nursing staff on the ward

Failure to undertake required patient observations

Lack of nursing staff experience and breadth of skills