Ordnance Survey

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First report 10 Mar 2026•Latest report 10 Mar 2026

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 Ordnance Survey linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Bedfordshire and Luton

    AI-generated summary

    Darryl JOHNSON · 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

    Darryl JOHNSON was found deceased at home on 24 February 2025 after failing to attend work. Earlier that day, he had called ambulance services with breathing problems and feeling faint, but the crew was directed to a different address because of an address and map database error. The principal concern was why the database lacked full details of his property despite his having purchased it and paid Council Tax there for over 11 years; it remained unclear whether attending the correct address would have avoided his death.

    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 Ordnance Survey; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to maintain accurate and up-to-date CAD address and map data

    Wider context from the report

    “The East of England Ambulance Services Trust confirmed that their CAD system utilises an address and map database supplied by Ordnance Survey but that postal addresses listed in this database along with mapping coordinates to locate the property are not always accurate. Whilst it is accepted that it is not feasible for the database to be 100% accurate and up to date because it will take time for the system to be updated (as for example in the following situations: • New builds • Change of property name/number • Change of use for a property/dwelling) The Deceased had purchased his property over 11 years ago and had been paying Council Tax since that time. It is, therefore, of concern why the database still did not have full details of his address. ”
    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