Recipient

NHS Telford and Wrekin Clinical Commissioning Group

First report 18 Dec 2013•Latest report 18 Dec 2013

Recipient record

Reports, concerns and published responses

Health and care · Clinical commissioning group. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 100%
Concerns addressed: 1
Stated actions: 7

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.

100%published responses found

7stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from NHS Telford and Wrekin Clinical Commissioning Group linked to the concerns in each report. Select any concern, action or position to view the source wording.

18 Dec2013
Shropshire, Telford and Wrekin
Concerns raised3
1. Failure to share significant safeguarding information between concerned professionals
2. Failure to refer and assess an adult at risk as a vulnerable adult or victim of domestic violence
3. Failure to inform an adult at risk of increased domestic violence risk
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 3
1. Action
  Fund and deliver a multi-agency safeguarding and domestic abuse education event for Telford and Wrekin GPs and practice nurses.
  Stated planned
2. Action
  Distribute domestic abuse leaflets and guidance to all Telford and Wrekin GP practices.
  Stated completed
3. Action
  Recirculate the Adult Safeguarding Policy and Thresholds to all Telford and Wrekin GP practices.
  Stated completed
AI-generated summary

Christine Ann WILLIAMSON · 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

Christine Ann Williamson, aged 62, died following a physical assault by her husband, who had advanced Alzheimer’s dementia and was unaware of his actions or their consequences. The concerns included the absence of an earlier referral and assessment of her as a vulnerable adult at risk, and inadequate information sharing that might have enabled preventative 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 NHS Telford and Wrekin Clinical Commissioning Group; that does not assign responsibility.
PFD Monitor interpretation
Failure to share significant safeguarding information between concerned professionals
Wider context from the report
“(2) Had such an earlier assessment as a Vulnerable Adult been made then discussions would have taken place with all concerned with every having significant information sharing it with others. This would have increased the likelihood that preventative measures would have been put in place as the deceased being better or fully informed as to the increased risk she was putting herself in by continuing to live with her husband whose condition was deteriorating. The best illustration of this lack of shared information is that the evidence given at the Inquest when all relevant witnesses were present, should have taken place in a meeting before the situation became critical. ”
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 NHS Telford and Wrekin Clinical Commissioning Group; that does not assign responsibility.
PFD Monitor interpretation
Failure to refer and assess an adult at risk as a vulnerable adult or victim of domestic violence
Wider context from the report
“(1) A referral and assessment should have been made that the deceased was a Vulnerable Adult at risk from her husband. Such a referral and assessment could have been made before or after April 2012, but most notably on or around the 2nd - 4th April 2012 when the deceased’s GP made a direct referral to social services. This should have led to an assessment as a Vulnerable Adult but if not as the victim of domestic violence. ”
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 NHS Telford and Wrekin Clinical Commissioning Group; that does not assign responsibility.
PFD Monitor interpretation
Failure to inform an adult at risk of increased domestic violence risk
Wider context from the report
“(2) Had such an earlier assessment as a Vulnerable Adult been made then discussions would have taken place with all concerned with every having significant information sharing it with others. This would have increased the likelihood that preventative measures would have been put in place as the deceased being better or fully informed as to the increased risk she was putting herself in by continuing to live with her husband whose condition was deteriorating. The best illustration of this lack of shared information is that the evidence given at the Inquest when all relevant witnesses were present, should have taken place in a meeting before the situation became critical. ”
Open source report
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Fund and deliver a multi-agency safeguarding and domestic abuse education event for Telford and Wrekin GPs and practice nurses.

Verbatim wording from the response
“3) An education and training event for all Telford & Wrekin GPs and Practice Nurses will be funded and delivered with a focus on safeguarding requirements and domestic abuse. I have written to all GPs to request full attendance as far as possible. This event is part of the CCG’s Protected Learning Time Programme and will be delivered on 14th May.”

Source location
2013-0371-Response-by-Telford-Wrekin-Clinical-Commissioning-Group
Page 2 · response
Published 18 December 2013
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Distribute domestic abuse leaflets and guidance to all Telford and Wrekin GP practices.

Verbatim wording from the response
“2) Domestic abuse leaflets and guidance has been circulated to all GP Practices.”

Source location
2013-0371-Response-by-Telford-Wrekin-Clinical-Commissioning-Group
Page 1 · response
Published 18 December 2013
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Recirculate the Adult Safeguarding Policy and Thresholds to all Telford and Wrekin GP practices.

Verbatim wording from the response
“1) The Adult Safeguarding Policy and Thresholds has been recirculated to all GP Practices in Telford & Wrekin to raise awareness of this guidance.”

Source location
2013-0371-Response-by-Telford-Wrekin-Clinical-Commissioning-Group
Page 1 · response
Published 18 December 2013
Open published response

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

Reports, concerns and published responses

Reports over time

Concerns raised3

Failure to share significant safeguarding information between concerned professionals

Failure to refer and assess an adult at risk as a vulnerable adult or victim of domestic violence

Failure to inform an adult at risk of increased domestic violence risk

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.3

Actions described in response 3