Recipient

Northampton General Hospital

First report 17 May 2016•Latest report 28 Jan 2026

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: 4
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

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 Northampton General Hospital linked to the concerns in each report. Select any concern, action or position to view the source wording.

28 Jan2026
Northamptonshire
Concerns raised1
1. Lack of hospital doctors’ electronic access to detailed primary care medical notes
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.
AI-generated summary

Akhona MOYO · 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

Akhona Moyo, aged 4, died on 26 November 2022 at Queens Medical Centre, Nottingham, from a brain tumour. The principal concern was that hospital doctors lacked electronic access to detailed primary care records, which the evidence indicated would assist in delivering better treatment and care, particularly for patients who are autistic and non-verbal.

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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Lack of hospital doctors’ electronic access to detailed primary care medical notes
Wider context from the report
“Hospital doctors, including in the Emergency Department and Paediatrics, do not have electronic access to primary care medical notes e.g. GP notes, community mental health notes etc. At Northampton General Hospital, a new electronic system known as “Nerve Centre” contains only hospital notes. Hospital doctors also have access to the “Northamptonshire Care Record” which contains basic lists of GP visits and medication, but no detailed entries. All the doctors that gave evidence to the Inquest stated that access to primary care records would undoubtedly assist them in delivering better patient treatment and care. It was felt that access to such information was particularly important in cases such as the present when a patient is autistic and non-verbal. There may be a multitude of other reasons why a patient or their family may not be able to relay to doctors a full and accurate medical history. Access may also enable doctors to have a more global view of a patient’s medical condition rather than, as it was put at Inquest, “working in silos”. ”
Open source report
22 Dec2025
Northamptonshire
Concerns raised3
1. Failure to accurately and completely record fluid and food intake
2. Limited food options for patients requiring gluten- and dairy-free, bite-sized diets
3. Failure to establish and communicate patients’ gluten and dairy intolerance status
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.
AI-generated summary

Elaine Jean GRIFFITHS · 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

Elaine Jean Griffiths died at Northampton General Hospital on 7 October 2022 from COVID pneumonitis, with congestive cardiac failure and a fall resulting in a fractured neck of femur also recorded. Concerns included incomplete fluid and diet charts, uncertainty about her gluten and dairy intolerance, limited suitable food options, and family-provided food not being recorded; the report states these matters were not causative of death in this case.

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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Failure to accurately and completely record fluid and food intake
Wider context from the report
“Given the importance of accurately monitoring both fluid and food intake in this context, I have the following concerns albeit I did not find that these matters were causative of death in the present case:- A) The Ward Sister said in her evidence that “on occasional days, the fluid and diet charts were only partially completed”. B) There was confusion about whether or not Mrs G was gluten and dairy intolerant. A Mental Health Nurse recorded on 31.08.22 “she was eating and drinking poorly as she follows a gluten and dairy free diet and reported the ward only give her lentil casseroles”. However, the Consultant/Orthogeriatric said in his evidence “.she had very poor oral intake and family were insisting she had an allergy to gluten and lactose despite Mrs Griffiths denying this”. C) The family say that the choice of options for those with gluten and dairy intolerance and also requiring bite sized food was very limited, which disproportionately affects the elderly. D) The family say that the fluid and diet charts were not accurate as the family were bringing in food and this was not being recorded. As the charts were inaccurate, this would also have made it more difficult for the dietician to offer meaningful advice. ”
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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Limited food options for patients requiring gluten- and dairy-free, bite-sized diets
Wider context from the report
“Given the importance of accurately monitoring both fluid and food intake in this context, I have the following concerns albeit I did not find that these matters were causative of death in the present case:- A) The Ward Sister said in her evidence that “on occasional days, the fluid and diet charts were only partially completed”. B) There was confusion about whether or not Mrs G was gluten and dairy intolerant. A Mental Health Nurse recorded on 31.08.22 “she was eating and drinking poorly as she follows a gluten and dairy free diet and reported the ward only give her lentil casseroles”. However, the Consultant/Orthogeriatric said in his evidence “.she had very poor oral intake and family were insisting she had an allergy to gluten and lactose despite Mrs Griffiths denying this”. C) The family say that the choice of options for those with gluten and dairy intolerance and also requiring bite sized food was very limited, which disproportionately affects the elderly. D) The family say that the fluid and diet charts were not accurate as the family were bringing in food and this was not being recorded. As the charts were inaccurate, this would also have made it more difficult for the dietician to offer meaningful advice. ”
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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Failure to establish and communicate patients’ gluten and dairy intolerance status
Wider context from the report
“Given the importance of accurately monitoring both fluid and food intake in this context, I have the following concerns albeit I did not find that these matters were causative of death in the present case:- A) The Ward Sister said in her evidence that “on occasional days, the fluid and diet charts were only partially completed”. B) There was confusion about whether or not Mrs G was gluten and dairy intolerant. A Mental Health Nurse recorded on 31.08.22 “she was eating and drinking poorly as she follows a gluten and dairy free diet and reported the ward only give her lentil casseroles”. However, the Consultant/Orthogeriatric said in his evidence “.she had very poor oral intake and family were insisting she had an allergy to gluten and lactose despite Mrs Griffiths denying this”. C) The family say that the choice of options for those with gluten and dairy intolerance and also requiring bite sized food was very limited, which disproportionately affects the elderly. D) The family say that the fluid and diet charts were not accurate as the family were bringing in food and this was not being recorded. As the charts were inaccurate, this would also have made it more difficult for the dietician to offer meaningful advice. ”
Open source report
4 Apr2025
Northamptonshire
Concerns raised1
1. Failure to investigate care concerns raised by clinicians
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.
AI-generated summary

Linda Christine FARMER · 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

Linda Farmer died at Northampton General Hospital on 22 August 2023 from bronchopneumonia, with underlying medical conditions and poor nutritional status contributing. Concerns were raised about the low albumin levels during her previous admission, but these care concerns were not investigated despite a recommendation for a detailed investigation, leaving potential underlying system issues unresolved.

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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Failure to investigate care concerns raised by clinicians
Wider context from the report
“Not investigating care concerns raised by clinicians employed by the Trust in August 2023, compounded by not following the recommendation in the Trust's own Structured Judgement Review (2024) to carry out a "detailed investigation" into the care concerns raised. The absence of such investigations, having been identified by Trust processes as having been recommended, means that the care concerns raised have not been investigated, and any underlying system issues contributing to these have not been identified or resolved. This means they are at risk of occurring again, putting patients' lives at risk. ”
Open source report
17 May2016
Northamptonshire
Concerns raised3
1. Failure to undertake a specific falls risk assessment before or upon care-home placement
2. Failure to consider other preventative equipment
3. Failure to provide care-home supervision at the required constant level
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.
AI-generated summary

Mrs Freda Cordy · 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

Mrs Freda Cordy, a 93-year-old woman with dementia and a history of falls, was admitted to a care home after a fall but received checks only every two hours despite an identified need for constant supervision. She suffered two further falls from her bed, sustaining head injuries and a subdural haematoma, and died in hospital on 1 November 2015. The principal concerns were the lack of constant supervision, the absence of a specific falls risk assessment, and limited consideration of preventative equipment.

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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Failure to undertake a specific falls risk assessment before or upon care-home placement
Wider context from the report
“2) Despite the previous history of falls and admission to hospital on 5th August 2015 being precisely due to a fall, no specific falls risk assessment was undertaken either before or upon Mrs Cordy’s placement in the care home. ”
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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Failure to consider other preventative equipment
Wider context from the report
“3) Although the provision of equipment was considered on 7th October 2015, this resulted only in the placing of a mattress on the floor and no other preventative equipment was considered. ”
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 Northampton General Hospital; that does not assign responsibility.
PFD Monitor interpretation
Failure to provide care-home supervision at the required constant level
Wider context from the report
“1) Despite the medical team identifying a need for constant supervision, the multi disciplinary team placed Mrs Cordy in Templemore Care Home which was only able to provide 2 hourly checks. ”
Open source report

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 raised1

Lack of hospital doctors’ electronic access to detailed primary care medical notes

Concerns raised3

Failure to accurately and completely record fluid and food intake

Limited food options for patients requiring gluten- and dairy-free, bite-sized diets

Failure to establish and communicate patients’ gluten and dairy intolerance status

Concerns raised1

Failure to investigate care concerns raised by clinicians

Concerns raised3

Failure to undertake a specific falls risk assessment before or upon care-home placement

Failure to consider other preventative equipment

Failure to provide care-home supervision at the required constant level