Recipient

Mildmay Medical PracticeIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 28 Apr 2015•Latest report 28 Apr 2015

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Multi-service care provider. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

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

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 Mildmay Medical Practice linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: Partners, Mildmay Medical Practice.

    Inner North London

    AI-generated summary

    Rita Paton · 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

    Rita Paton, who had type 2 diabetes, hypertension, chronic kidney disease and dementia, died on 8 December 2014 from ischaemic and hypertensive heart disease, contributed to by chronic kidney disease and diabetes mellitus. Concerns included the lack of a system to ensure requested blood tests were completed and reported, the absence of a clear process for involving family when a patient lacks capacity to make decisions about appointments, and limited access to patients’ medical and medication information for attending medical crews.

    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 Mildmay Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of patients’ past medical and medication history to attending medical crews

    Wider context from the report

    “(3) The lack of information available to the attending medical crews on 7 December 2014 was also a concern of Mrs Paton’s family, which I share. I heard evidence from the attending Paramedic that there is rarely such information available but that it can be of vital importance when undertaking assessments. There was no evidence that, had information regarding Mrs Paton’s past medical and medication history been available, the outcome would have been different. However, I am concerned that such circumstances will exist and that the risk of non-availability of this information should be addressed. ”
    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 Mildmay Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure requested blood tests are taken and reported back to GP practices

    Wider context from the report

    “(1) I am concerned that there is no system in place to ensure that requested blood tests are actually taken and reported back to the GP practice. Although there was no evidence that this issue caused or contributed to Mrs Paton’s death, I am concerned that there is a risk of deaths occurring in similar circumstances, unless this issue is appropriately addressed. ”
    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 Mildmay Medical Practice; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a back-up process to ensure follow-up of medical appointments for patients lacking decision-making capacity

    Wider context from the report

    “(2) Mrs Paton’s family had concerns, which I share, that where a patient does not have capacity to make decisions about attending medical appointments they might be inadvertently missed when family members are not copied into correspondence. It was accepted that patient confidentiality would normally preclude such direct family involvement but that there may be circumstances when it is in a patient’s best interests to use this approach, to ensure that follow-up occurs. It was not clear from the evidence heard at the inquest what steps are taken when a patient is deemed not to have capacity to make this type of health decision. Concerns were raised that there is no ‘back-up’ process in place and that future deaths could occur as a consequence. ”
    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