Recipient

Mother of the deceased

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First report 2 Dec 2014•Latest report 2 Dec 2014

Recipient record

Reports, concerns and published responses

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 Mother of the deceased linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Inner South London

    AI-generated summary

    Moses Andrew Arthur McDonald · 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

    Moses Andrew Arthur McDonald, who had paranoid schizophrenia and was taking Clozapine, was found deceased at home on 2 April 2013 after experiencing frequent urination and extreme thirst. He had not undergone glucose testing since May 2012. The principal concern was the lack of mandatory and regular glucose testing by the Clozapine clinic while he was receiving antipsychotic medication; the inquest concluded that diabetic ketoacidosis contributed to his death.

    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 Mother of the deceased; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of mandatory and regular glucose testing for people on antipsychotic medication

    Wider context from the report

    “(1) The lack of mandatory and regular glucose testing while on antipsychotic medication by the Clozapine clinic. ”
    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