North Shore Surgery

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First report 17 Jun 2014•Latest report 17 Jun 2014

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 North Shore Surgery linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Manchester South

    AI-generated summary

    AUDREY VERA GARLAND · 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

    Audrey Vera Garland developed worsening necrotic and gangrenous ulcers on her legs and feet, and her condition deteriorated until her death. The report identified concerns about failures to recognise and appropriately treat the ulceration, missed hospital appointments because transport was not organised, and inadequate assessment during a GP home visit.

    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 North Shore Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure by the GP to examine the patient’s legs

    Wider context from the report

    “4. A home visit from the GP took place on the 12th September 2013 yet the doctor did not even examine the patient’s legs. He had not taken the simple expedient of arranging for a District Nurse to be in attendance to redress the legs. ”
    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 North Shore Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to arrange District Nurse attendance to redress the legs

    Wider context from the report

    “4. A home visit from the GP took place on the 12th September 2013 yet the doctor did not even examine the patient’s legs. He had not taken the simple expedient of arranging for a District Nurse to be in attendance to redress the legs. ”
    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 North Shore Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure by the District Nursing service to treat necrotic ulcers appropriately

    Wider context from the report

    “2. There was a failure by the District Nursing service to fully appreciate and treat appropriately the necrotic ulcers from which Mrs Garland was suffering. ”
    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 North Shore Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure by the GP practice to recognise the severity of leg ulceration

    Wider context from the report

    “1. There was a failure by the GP practice to recognise or fully appreciate the severity of the ulceration to her legs. ”
    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 North Shore Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure by the District Nursing service to appreciate necrotic ulcers

    Wider context from the report

    “2. There was a failure by the District Nursing service to fully appreciate and treat appropriately the necrotic ulcers from which Mrs Garland was suffering. ”
    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 North Shore Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to organise transport for hospital outpatient appointments

    Wider context from the report

    “3. Despite the fact that she was considered to be in need of an outpatient appointment at Blackpool Hospital on two separate occasions, this did not take place because no-one organised transport for her to get to and from the hospital. ”
    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