13 Jun 2025 Chloe Alicia Ellis · Prevention of Future Deaths report West Yorkshire Eastern
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Concerns raised 1 Failure to commission access to NHS 111 online assessment outcomes for Emergency Department clinicians View source
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AI-generated summary
Chloe Alicia Ellis · 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
Chloe Alicia Ellis died on 3 September 2024 after attending an Emergency Department with chest and back pain and breathlessness, where she was diagnosed with a viral illness and discharged. The principal concern was that the outcome of her NHS 111 online assessment, which suspected pulmonary embolism and recorded her oral contraceptive use, was not available to Emergency Department clinicians. The report also raised concern that NHS 111 online assessments were not commissioned to be accessible to clinicians at the relevant hospital, although such access might help obtain a full history and provide a failsafe against inadequate history taking.
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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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure to commission access to NHS 111 online assessment outcomes for Emergency Department clinicians
Wider context from the report “(1) The inquest was told that it is possible for the outcomes of NHS 111 online assessments to be made accessible to Emergency Department clinicians , and that the decision whether or not to commission that accessibility in a particular hospital rests with the relevant Integrated Care Board .
(2) The inquest was told that the West Yorkshire Integrated Care Board has not commissioned accessibility to NHS 111 online assessments for the Mid Yorkshire Teaching NHS Trust .
(3) If the NHS online assessment completed by Chloe had been available to the relevant clinicians at Dewsbury District Hospital, her history of oral contraceptive use and the suspicion of a pulmonary embolism would have been visible to them.
(4) The availability of NHS 111 online assessments to clinicians in Emergency Departments may assist in the obtaining of a full history and may act as a failsafe against inadequate history taking in Emergency Departments.
” Open source report
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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 Work with national and local partners, including MYTT and NHS England, to facilitate interoperability and transfer of critical patient information.
Verbatim wording from the response “Adoption of BaRS is the responsibility of individual NHS trusts and their suppliers. However, compatibility with many existing NHS IT systems — such as Symphony, currently used within Mid Yorkshire Teaching Trust (MYTT) — is not yet in place and still under development. WYICB is working actively with national and local partners to facilitate this integration. It is anticipated that NHS 111 Online assessment data could be available to EDs in West Yorkshire by March 2026.” Source location Response from West Yorkshire Integrated Care Board
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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 Adopt the Booking and Referral Standard in West Yorkshire to enable secure transfer of NHS 111 online assessment data to emergency departments.
Verbatim wording from the response “However, there is now a national solution in development which is designed to enable the safe, structured transfer of such information across systems. This is called the Booking and Referral Standard (BaRS). Our approach will be to use the BaRS in West Yorkshire.” Source location Response from West Yorkshire Integrated Care Board
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Individual NHS trusts and their suppliers are responsible for adopting the Booking and Referral Standard.
Verbatim wording from the response “Adoption of BaRS is the responsibility of individual NHS trusts and their suppliers. However, compatibility with many existing NHS IT systems — such as Symphony, currently used within Mid Yorkshire Teaching Trust (MYTT) — is not yet in place and still under development. WYICB is working actively with national and local partners to facilitate this integration. It is anticipated that NHS 111 Online assessment data could be available to EDs in West Yorkshire by March 2026.” Source location Response from West Yorkshire Integrated Care Board
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation NHS England, not the Integrated Care Board, directly commissions NHS 111 Online services.
Verbatim wording from the response “At present, NHS 111 Online is commissioned nationally by NHS England (NHSE) and not directly by the West Yorkshire Integrated Care Board (WYICB). When a patient completes an NHS 111 Online assessment, the system advises them on the most appropriate local service to attend. We have been considering options for the development of “interoperable” systems locally that can routinely share data, including these assessments, between NHS111 and EDs.” Source location Response from West Yorkshire Integrated Care Board
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15 Jul 2024 Josh Andrew Smith · Prevention of Future Deaths report East Riding and Hull
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Concerns raised 2 Failure to achieve target ambulance response standards for Category 1 and Category 2 calls View source Failure to achieve the 15-minute ambulance hospital handover target View source
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Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Josh Andrew Smith · 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
Josh Andrew Smith had longstanding medical complications following quadriplegia from a 2009 road traffic incident. He was found unresponsive and not breathing on 19 December 2022, was diagnosed with hypoxic brain injury, bronchopneumonia and influenza A, and died on 22 December 2022 despite treatment. Concerns included continuing ambulance response delays and hospital handover delays, with response standards and the 15-minute handover target not being achieved.
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× 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure to achieve target ambulance response standards for Category 1 and Category 2 calls
Wider context from the report “I heard evidenced that whilst the Yorkshire Ambulance Service have taken a number of steps within their powers to try to reduce the delays experienced by patients waiting for an ambulance within the community, that those delays continue .
Specifically, I was told that the response standards for both Category 1 and Category 2 calls (for the year to date) , whilst improved from the time of Mr Smith’s death, still remain outside of the target response standards (both on average and at the 90ᵗʰ centile) .
The evidence heard was that the national target for hospital handover by the ambulance service, of 15 minutes, is still not being achieved. Evidence suggested that whilst there has and continues to be efforts made by the ambulance service and acute hospitals to increase the speed at which ambulances handover their patients, that delays in this process continue to impact upon the speed of the ambulance response to patients waiting within the community.
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure to achieve the 15-minute ambulance hospital handover target
Wider context from the report “I heard evidenced that whilst the Yorkshire Ambulance Service have taken a number of steps within their powers to try to reduce the delays experienced by patients waiting for an ambulance within the community, that those delays continue.
Specifically, I was told that the response standards for both Category 1 and Category 2 calls (for the year to date), whilst improved from the time of Mr Smith’s death, still remain outside of the target response standards (both on average and at the 90ᵗʰ centile).
The evidence heard was that the national target for hospital handover by the ambulance service, of 15 minutes, is still not being achieved . Evidence suggested that whilst there has and continues to be efforts made by the ambulance service and acute hospitals to increase the speed at which ambulances handover their patients, that delays in this process continue to impact upon the speed of the ambulance response to patients waiting within the community .
” Open source report
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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 Work jointly through the Executive Led Partnership Board to agree ambulance-service improvement priorities and allocate additional investment.
Verbatim wording from the response “Since April 2023, the three Integrated Care Boards (ICBs) across Yorkshire and Humber have worked jointly through an Executive Led Partnership Board (ELB) with YAS to agree joint priorities to improve performance and to allocate additional investment. This investment is aimed at recruiting additional ambulance crews, developing new ways of working to avoid conveyance to hospital and investment in new vehicles, all of which are aimed at being able to provide a timelier response and meet increasing demand.” Source location Response from NHS West Yorkshire ICB
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How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Share the Regulation 28 response, report and concerns with the Hull and East Riding Urgent and Emergency Care Transformation Programme.
Verbatim wording from the response “This response and the Regulation 28 report and matters of concern will be shared with Hull and East Riding Urgent and Emergency Care Transformation Programme. This oversees the local improvement of ambulance handover and delivery of timely responses in that community.” Source location Response from NHS West Yorkshire ICB
Open published response
Concerns raised 2 Delays in offloading ambulance patients at hospitals View source Failure to provide ambulance responses within the required 40 minutes View source
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Sophie HINDMARSH · 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
Sophie HINDMARSH had complex needs and required full-time care. After her father called 999 because she was vomiting brown liquid, felt hot to the touch and had a leaking feeding tube, the ambulance arrived 4 hours and 46 minutes after the call; concerns centred on delays in ambulance response and hospital handovers that reduced available ambulance resources.
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× 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Delays in offloading ambulance patients at hospitals
Wider context from the report “The ambulance service was called at 0245 on 21 July 2022 and the call was coded as a Category 2 at 0251 call requiring a response within 40 minutes. The ambulance finally arrived at 0731 on 21 July 2022, 4 hours and 46 minutes after the call.
There was a significant delay in offloading patients at hospitals which tied up ambulance resource on that day and meant they were unable to respond to emergency calls .
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure to provide ambulance responses within the required 40 minutes
Wider context from the report “The ambulance service was called at 0245 on 21 July 2022 and the call was coded as a Category 2 at 0251 call requiring a response within 40 minutes . The ambulance finally arrived at 0731 on 21 July 2022, 4 hours and 46 minutes after the call .
There was a significant delay in offloading patients at hospitals which tied up ambulance resource on that day and meant they were unable to respond to emergency calls.
” Open source report
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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 Introduce and enact a Duty to Rescue protocol enabling senior clinical decisions on rapid handover and ambulance release during significant operational pressure.
Verbatim wording from the response “Implementation of Duty to Rescue protocol - this protocol was introduced ahead of the winter period (2023/24) and is now enacted at times of significant operational pressure. On occasions when there are high number of ambulances waiting to handover patients, the protocol allows for senior clinical decision makers from YAS and our hospitals to agree to the rapid handover and timely release of an ambulance crew to attend to a specific 999 call, or one who has been awaiting conveyance and is deteriorating. The introduction of this protocol has been welcomed by all parties and allows for clinical risks to be better managed in the system.” Source location Response from West Yorkshire ICB
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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 Agree and use a Joint Escalation Action Plan defining organisational actions to improve ambulance handover during system pressures.
Verbatim wording from the response “YAS and Sheffield Teaching Hospitals (including other South Yorkshire Hospitals) have agreed a new Joint Escalation Action Plan (JEAP), for when system pressures increase. This plan provides specific actions that organisations must employ to support the improvement of ambulance handover.” Source location Response from West Yorkshire ICB
Open published response
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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 Develop and improve alternative care pathways, including Urgent Community Response and direct Same Day Emergency Care access, to avoid appropriate hospital conveyance.
Verbatim wording from the response “Alternatives to Accident and Emergency (A&E) Departments – more alternative pathways of care are available for use by YAS Ambulance crews or staff within the Emergency Operations Centre (EOC) to safely and appropriately avoid conveyance to hospital.” Source location Response from West Yorkshire ICB
Open published response
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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 Implement quality-improvement initiatives with acute trusts to reduce ambulance handover delays.
Verbatim wording from the response “The correlation between handover delays at Emergency Departments and overall ambulance response times is widely acknowledged. Handover times vary amongst our acute trusts in the region. We seek to ensure the root causes are understood.” Source location Response from West Yorkshire ICB
Open published response
Concerns raised 2 Delays in offloading patients at hospitals tying up ambulance resources View source Failure to provide Category 2 ambulance responses within 40 minutes View source
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Jean WALKER · 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
Jean WALKER became unwell at home on 4 November 2022 and was struggling to breathe when her daughter called 999 at 0348. She died before the ambulance arrived at 0542 and was pronounced dead at 0551. The principal concerns were the delayed ambulance response and hospital offloading delays that reduced available ambulance resources; the inquest concluded that the delay resulted in a missed opportunity to provide medical assistance, although it could not be said that earlier intervention would have prevented her death.
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× 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Delays in offloading patients at hospitals tying up ambulance resources
Wider context from the report “(2) There was a significant delay in offloading patients at hospitals which tied up ambulance resource and meant they were unable to respond to emergency calls .
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure to provide Category 2 ambulance responses within 40 minutes
Wider context from the report “(1) The ambulance service was called at 0348 on 4 November 2022 and the call was coded as a Category 2 call requiring a response within 40 minutes . The ambulance finally arrived at 0542 on 4 November 2022, 1 hour and 56 minutes after the call .
” Open source report
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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 Participate with YAS and regional ICBs in joint priority-setting, performance improvement and additional investment allocation.
Verbatim wording from the response “Since April 2023, the three Integrated Care Boards (ICBs) across Yorkshire and Humber have worked jointly through an Executive Leadership Board (ELB) with YAS to agree joint priorities and to improve performance and allocate additional investment. This investment was aimed at recruiting additional ambulance crews, developing new ways of working to avoid conveyance to hospital, and investment in new vehicles, all of which are aimed at being able to provide a more timely response and meet increasing demand.” Source location Response from West Yorkshire ICB
Open published response
Concerns raised 4 Insufficient Emergency Medical Dispatcher staffing to meet forecasted demand View source Delays in ambulance response times View source Delays in offloading ambulance patients at hospitals View source YAS staffing below the level required to meet expected demand View source See 1 more concern
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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AI-generated summary
Shaun PARKS · 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
Shaun PARKS attended Doncaster Royal Infirmary with a heart attack and waited for an ambulance transfer to the Northern General Hospital. He deteriorated and died during a procedure on 13 December 2022. Concerns included a 3-hour 18-minute ambulance response delay, insufficient emergency dispatch staffing, and hospital delays in offloading patients that reduced ambulance availability.
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× 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Insufficient Emergency Medical Dispatcher staffing to meet forecasted demand
Wider context from the report “(2) There were insufficient Emergency Medical Dispatcher's available to meet the forecasted demand . Staffing at YAS was below the requirement to meet the expected demand.
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Delays in ambulance response times
Wider context from the report “(1) The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Delays in offloading ambulance patients at hospitals
Wider context from the report “(3) There was a significant delay in offloading patients at hospitals , which tied up resources and meant they were unable to respond to emergency calls.
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation YAS staffing below the level required to meet expected demand
Wider context from the report “(2) There were insufficient Emergency Medical Dispatcher's available to meet the forecasted demand. Staffing at YAS was below the requirement to meet the expected demand .
” Open source report
8 Dec 2023 Jasbir Pahal · Prevention of Future Deaths report West Yorkshire Eastern
View report summary
Concerns raised 3 Reliance on ad hoc voluntary interventional neuroradiologist availability for out-of-hours thrombectomy View source Failure of the nearest hyper-acute stroke hospital to offer a thrombectomy service View source Insufficient commissioned out-of-hours thrombectomy provision for stroke patients View source
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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AI-generated summary
Jasbir Pahal · 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
Jasbir Pahal suffered an acute left middle cerebral artery stroke on 13 November 2022 and was transferred between hospitals while arrangements for thrombectomy were being considered. Imaging later showed extensive infarction, active treatment was withdrawn on 27 November, and she died on 30 November 2022. The principal concern was that thrombectomy access for patients at Calderdale Royal Hospital was available only during limited weekday hours, leaving patients without reliable access to potentially life-saving treatment outside those hours and subjecting access to local arrangements.
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× 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Reliance on ad hoc voluntary interventional neuroradiologist availability for out-of-hours thrombectomy
Wider context from the report “(6) That this level of service is inadequate is illustrated by the historical practice of thrombectomies being performed at LGI outside of the stated hours on an occasional ad hoc basis, dependent (among other factors) upon the availability and willingness of an interventional neuroradiologist to attend on a voluntary basis when not on call , to perform a potentially life-saving procedure. Among other reasons, it being considered inappropriate that clinicians should be exposed to the moral dilemma of agreeing or declining to perform such a life-saving procedure outside of their working or on-call hours, LTHT has as from June 2023 stopped accepting such ad hoc referrals .
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure of the nearest hyper-acute stroke hospital to offer a thrombectomy service
Wider context from the report “(1) Calderdale Royal Hospital (CRH), the hospital with a hyper-acute stroke unit closest to Jasbir’s home address, does not offer a thrombectomy service, whether in or out of hours .
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Insufficient commissioned out-of-hours thrombectomy provision for stroke patients
Wider context from the report “(3) In common with similar arrangements applying to other district general hospital NHS Trusts in West Yorkshire, NHS England has commissioned the provision of a thrombectomy service to Calderdale and Huddersfield NHS Foundation Trust (CHFT) stroke patients by Leeds Teaching Hospitals NHS Trust (LTHT), whereby stroke patients admitted to Calderdale Royal Hospital and potentially requiring thrombectomy can be transferred for this purpose to Leeds General Infirmary (LGI).
(4) No similar service has been commissioned for CHFT stroke patients from any other Trust.
(5) The existing arrangement between CHFT and LTHT (and between other Trusts within the Regional Integrated Stroke Delivery Network and LTHT) operates only between 0800 and 1500 hrs on weekdays (Monday to Friday), that is, for 35 out of 168 hours in a week (or 20.8%). Anyone who needs heart hyper-acute stroke unit is at a district general hospital in West Yorkshire and who suffers a stroke outside of those hours during the week, or between 1500 hrs on a Friday and 0800 hrs the following Monday, does not have access to a thrombectomy service .
” Open source report
Concerns raised 2 Failure to ensure CAMHS referral pathways remain operable where school psychology services are unavailable View source Failure to provide consistent referral advice between health and education professionals View source
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Ursula Niamh MacEochaigh Keogh · 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
On 22 January 2018, 11-year-old Ursula Niamh MacEochaigh Keogh left school, got off the bus early and jumped from North Bridge in Halifax; she was later found in the river and pronounced deceased. The inquest heard concerns about inconsistent advice and communication between health and education professionals regarding referral for assessment of Ursula’s self-harm, as well as preventative measures at North Bridge.
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× 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure to ensure CAMHS referral pathways remain operable where school psychology services are unavailable
Wider context from the report “During the inquest I heard that Ursula’s mother contacted Ursula’s GP at Spring Hall Medical Centre by telephone on 13/11/17 in order to discuss her concerns about Ursula’s history of self-harm and that this resulted in her mother being advised by a GP to get Ursula’s school involved. Although the school subsequently advised Ursula’s mother to contact her GP, during the telephone conversation of 14/12/17 to further discuss Ursula’s self-harming, the GP advised her mother to contact the Psychology Team attached to the school, so that Ursula could be assessed for referral to Child & Adolescent Mental Health Team if necessary, in accord with the protocol previously issued by Calderdale CAMHS referral pathway , notwithstanding that at this time the school did not have the services of a Psychology team to make the referral .
” 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 West Yorkshire Integrated Care Board; that does not assign responsibility.
PFD Monitor interpretation Failure to provide consistent referral advice between health and education professionals
Wider context from the report “During the inquest I heard that Ursula’s mother contacted Ursula’s GP at Spring Hall Medical Centre by telephone on 13/11/17 in order to discuss her concerns about Ursula’s history of self-harm and that this resulted in her mother being advised by a GP to get Ursula’s school involved. Although the school subsequently advised Ursula’s mother to contact her GP , during the telephone conversation of 14/12/17 to further discuss Ursula’s self-harming, the GP advised her mother to contact the Psychology Team attached to the school , so that Ursula could be assessed for referral to Child & Adolescent Mental Health Team if necessary, in accord with the protocol previously issued by Calderdale CAMHS referral pathway, notwithstanding that at this time the school did not have the services of a Psychology team to make the referral.
” Open source report
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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 Review the CAMHS referral pathway for GPs and schools.
Verbatim wording from the response “1. To review the current practice of referral by GP to the school for consideration as to the appropriateness of referral to CAMHS.” Source location 2018-0370-Response-by-Calderdale-CCG
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How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation The existing CAMHS referral pathway was considered accurate and sufficient, although external training and education gaps required new actions.
Verbatim wording from the response “1. To review the current practice of referral by GP to the school for consideration as to the appropriateness of referral to CAMHS.” Source location 2018-0370-Response-by-Calderdale-CCG
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Addressed to NHS Calderdale Clinical Commissioning Group, now represented here by NHS West Yorkshire Integrated Care Board.
Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations