Recipient

Newbury Park Health Centre

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First report 9 Jul 2021•Latest report 9 Jul 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
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 Newbury Park Health Centre linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. East London

    AI-generated summary

    Anita Mandalia · 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

    Anita Mandalia took an overdose of prescribed medications at home on 7 February 2021 and died in hospital on 11 February 2021 from complications of the overdose. Concerns included prescribing beyond recommended guidance, failure to re-refer her to mental health services when concerns arose, and prescribing pain medication that gave her access to an excess of medication despite overdose-risk mitigation measures.

    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 Newbury Park Health Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to re-refer patients to secondary mental health services when mental health concerns arise

    Wider context from the report

    “2. Despite having received instructions within a discharge summary from a secondary mental health trust in August 2020 that required the surgery to re-refer Mrs Mandalia if concerns arose regarding her mental health, when issues were raised in October and December 2020 to the surgery no referral was made. ”
    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 Newbury Park Health Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to maintain medication supplies within the maximum 7-day limit

    Wider context from the report

    “3. In June 2020 the surgery introduced measures to mitigate the risk of overdose presented by Mrs Mandalia which required medication to be dispensed in a dosette box containing a maximum 7-day supply of medications. However, on 6th January 2021 Mrs Mandalia was prescribed ████████████████████ for pain which allowed her access to an excess of a ████████ ”
    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 Newbury Park Health Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to limit prescribing of the medication to the recommended duration

    Wider context from the report

    “1. Mrs Mandalia had been prescribed ████████ NICE guidance and BNF guidance stipulated that this medication ought not to be prescribed for longer than ████████ Mrs Mandalia had received that prescription far longer than the recommended period. The GP surgery had not checked the appropriateness of that prescription. ”
    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 Newbury Park Health Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to check the appropriateness of medication prescriptions

    Wider context from the report

    “1. Mrs Mandalia had been prescribed ████████ NICE guidance and BNF guidance stipulated that this medication ought not to be prescribed for longer than ████████ Mrs Mandalia had received that prescription far longer than the recommended period. The GP surgery had not checked the appropriateness of that prescription. ”
    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