Mount Vernon Hospital

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First report 10 Jun 2015•Latest report 10 Jun 2015

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

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

Concerns and recipient responses

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

  1. North London

    AI-generated summary

    Amanda Susan Harris · 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

    Amanda Susan Harris fell at her care home, fractured a bone in her right foot, and died in bed on 1 November 2014 after being unable to get out of bed. Concerns included that she was not seen by a doctor before leaving the Minor Injuries Unit, anticoagulant therapy was not considered, and the effects of potential immobility were not assessed when arranging her fracture-clinic appointment.

    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 Mount Vernon Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure doctor assessment before discharge from the Minor Injuries Unit

    Wider context from the report

    “That Mrs Harris was not seen by a doctor before leaving the Minor Injuries Unit, that anticoagulant therapy was not considered and that when fixing an appointment for the fracture clinic the potential immobility from the injury and the effects of that immobility were not assessed. ”
    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 Mount Vernon Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to assess injury-related immobility and its effects when arranging fracture clinic appointments

    Wider context from the report

    “That Mrs Harris was not seen by a doctor before leaving the Minor Injuries Unit, that anticoagulant therapy was not considered and that when fixing an appointment for the fracture clinic the potential immobility from the injury and the effects of that immobility were not assessed. ”
    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 Mount Vernon Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to consider anticoagulant therapy

    Wider context from the report

    “That Mrs Harris was not seen by a doctor before leaving the Minor Injuries Unit, that anticoagulant therapy was not considered and that when fixing an appointment for the fracture clinic the potential immobility from the injury and the effects of that immobility were not assessed. ”
    Open source report
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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