Nuffield Road Medical Centre

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First report 10 Oct 2013•Latest report 10 Oct 2013

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 Nuffield Road Medical Centre linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Cambridgeshire (South and West)

    AI-generated summary

    James Edward Mansfield · 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

    James Edward Mansfield had multiple rib fractures after a fall and was later admitted with a large right haemothorax; he died on 9 March 2013. Concerns included delayed review of the hospital discharge summary and failure to assess him after stronger painkillers were requested despite his injuries, lung and chest history, and warfarin treatment.

    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 Nuffield Road Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Delays in receiving and reviewing hospital discharge summaries

    Wider context from the report

    “(1) Mr Mansfield had an xray and was discharged from Addenbrookes Hospital on 25 February. You have arranged that the hospital post discharge letters to your surgery. This was not received until 28th February 2013 by which time Mrs Mansfield had called requesting stronger pain killers. The discharge summary was only reviewed by a doctor on 6 March. You stated that only if a patient was admitted to hospital would their discharge letter get prompt attention. There was no apparent method for differentiating between discharge summaries which involved serious injuries and those which did not. ”
    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 Nuffield Road Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to arrange clinical assessment after a telephone report of pain in a high-risk patient

    Wider context from the report

    “(2) When ████████ telephoned the surgery, complaining of Mr Mansfield’s pain, strong pain killers were prescribed but he was not seen despite a long history of lung and chest complaints, multiple rib fractures and treatment with warfarin. ”
    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 Nuffield Road Medical Centre; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of differentiation and prioritisation of serious-injury discharge summaries

    Wider context from the report

    “(1) Mr Mansfield had an xray and was discharged from Addenbrookes Hospital on 25 February. You have arranged that the hospital post discharge letters to your surgery. This was not received until 28th February 2013 by which time Mrs Mansfield had called requesting stronger pain killers. The discharge summary was only reviewed by a doctor on 6 March. You stated that only if a patient was admitted to hospital would their discharge letter get prompt attention. There was no apparent method for differentiating between discharge summaries which involved serious injuries and those which did not. ”
    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