Recipient

Milestones Trust

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First report 25 Jan 2018•Latest report 25 Jan 2018

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Company limited by guarantee. 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 Milestones Trust linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Avon

    AI-generated summary

    Ms. Sandra Miller · 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

    Ms. Sandra Miller, who had multiple health conditions and required a urinary catheter, became unwell with sepsis and was admitted to hospital on 15 June 2016. The catheter had been left open to drain, with its end in or near faecal matter, and was found to be dirty and blocked. She died in hospital on 21 June 2016; the medical cause of death was pneumonia, with E. coli septicaemia due to a urinary tract infection and heart failure also recorded. The concerns were that open-ended catheter drainage had continued, and that safe catheter-care procedures and staff training were inadequate.

    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 Milestones Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to prevent open-ended urinary catheters from draining freely

    Wider context from the report

    “(1) Urgent action must be taken to ensure the practice of allowing open ended urinary catheters to drain freely is stopped in all homes and facilities under the management and control of Milestones Trust. (2) Proper procedures must introduced with regard to the safe care and management of urinary catheters with the assistance of specialist advice if necessary. (3) All relevant staff must be properly trained in the care and management of urinary catheters. ”
    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 Milestones Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of proper procedures for the safe care and management of urinary catheters

    Wider context from the report

    “(1) Urgent action must be taken to ensure the practice of allowing open ended urinary catheters to drain freely is stopped in all homes and facilities under the management and control of Milestones Trust. (2) Proper procedures must introduced with regard to the safe care and management of urinary catheters with the assistance of specialist advice if necessary. (3) All relevant staff must be properly trained in the care and management of urinary catheters. ”
    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 Milestones Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to properly train relevant staff in urinary catheter care and management

    Wider context from the report

    “(1) Urgent action must be taken to ensure the practice of allowing open ended urinary catheters to drain freely is stopped in all homes and facilities under the management and control of Milestones Trust. (2) Proper procedures must introduced with regard to the safe care and management of urinary catheters with the assistance of specialist advice if necessary. (3) All relevant staff must be properly trained in the care and management of urinary catheters. ”
    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