Recipient

Northern Lincolnshire and Goole NHS Foundation Trust

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First report 13 Mar 2015•Latest report 13 Mar 2015

Recipient record

Reports, concerns and published responses

Health and care · NHS trust. 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
300%

Found for named reports

Concerns addressed
2

Across all linked responses

Stated actions
15

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.

300%published responses found
15stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Northern Lincolnshire and Goole NHS Foundation Trust linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. North Lincolnshire and Grimsby

    AI-generated summary

    Maurice Cowling and 2 others · 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

    Maurice Cowling and Robert Cannon died directly as a result of a procedure, while Leonard Ireland died later from complications arising from the procedure. The report raises concerns that resources within the Trust area may have been inadequate to manage recognised complications during or after such procedures.

    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 Northern Lincolnshire and Goole NHS Foundation Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Inadequate resources for managing recognised procedural complications

    Wider context from the report

    “Despite evidence of the rarity of deaths occurring as a consequence of such procedures three cases have received the attention of the Coroner within a short period. Two procedures were carried out within the Trust, the third (Mr. Connon) by St Hugh’s Hospital under an NHS contract. In the latter case the deceased was transferred to a Trust hospital for emergency management. Evidence led in the cases raise concerns that resources within the Trust area may be inadequate to deal with recognised complications occurring either during the procedure or later ”
    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

    Keep the Trust’s arrangements for managing post-operative complications under review.

    Verbatim wording from the response

    “In conclusion, from the Trust’s review it is felt that the Trust has in place appropriate arrangements to deal with post-operative complications of the nature experienced. Whilst no further specific actions have been identified, this will be kept under review.”

    Source location

    2015-0096-Response-by-Northern-Lincolnshire-Goole-NHS-Trust
    Page 4 · response
    Published 13 March 2015

    Open published response

    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

    Existing arrangements are considered appropriate for managing post-operative complications, so no further specific actions have been identified, subject to review.

    Verbatim wording from the response

    “In conclusion, from the Trust’s review it is felt that the Trust has in place appropriate arrangements to deal with post-operative complications of the nature experienced. Whilst no further specific actions have been identified, this will be kept under review.”

    Source location

    2015-0096-Response-by-Northern-Lincolnshire-Goole-NHS-Trust
    Page 4 · response
    Published 13 March 2015

    Open published response
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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

300%
300%All other recipients 58%
0%100%

How actions were described at the time

This respondent
67%33%
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