Park and St Francis Surgery

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First report 26 Jan 2018•Latest report 26 Jan 2018

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 Park and St Francis Surgery linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Central Hampshire

    AI-generated summary

    Joan Elizabeth Betteridge · 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

    Joan Elizabeth Betteridge, aged 88, died during surgery for a displaced fractured neck of femur after a series of falls and delays in identifying the fracture. She developed bradycardia shortly after bone cement was inserted and was pronounced dead despite resuscitation attempts; the post-mortem identified bone cement implantation syndrome, with ischaemic heart disease as a contributory condition. The concerns included delays in requesting and progressing repeat X-rays and a radiology review system that did not identify the fracture promptly.

    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 Park and St Francis Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to correctly classify radiology review requests from discharged emergency department patients

    Wider context from the report

    “I heard from ████████, Director of Surgical Services, that many changes have been made to date and some are still ongoing such as planned future audits. He also confirmed that when an acute patient like Mrs Betteridge is discharged from ED back home for community care, the radiology review is the fall back system. Priority is given to ED and GP referrals and the reason there was a delay in this case from 31 May until 12 June was that the request for a review was registered as an inpatient referral not an ED referral. Why that happened was not known but clearly Mrs Betteridge was never an inpatient on 31 May. ”
    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 Park and St Francis Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure timely making and progression of X-ray requests

    Wider context from the report

    “I heard evidence that ████████ intended to request a repeat X-ray on 1 June but nothing happened until the physiotherapist queried this with a different GP in the same surgery. This raises concerns either that the request was not made or if it was made then it was not progressed in a timely fashion. A further request was made on 7 June and took place on 9 June, two days later. ”
    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