Recipient

Patient Transport (UK) Limited

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First report 30 Sep 2021•Latest report 30 Sep 2021

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Private limited company. 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
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

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.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Patient Transport (UK) Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. East London

    AI-generated summary

    Robert Walaszkowski · 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

    Robert Walaszkowski, a detained mental health patient, sustained head and cervical spine injuries after likely colliding with a locked door and later died from catastrophic cervical spine, vertebral artery and hypoxic brain injuries on 15 November 2019. Concerns included excessive lorazepam dosing, failure to perform a cervical spine CT scan and full medical assessment before discharge, and his transfer in an unsuitable vehicle without support or restraints while in very poor physical condition. The inquest heard that placing detained mental health patients on the floor of secure vans appeared to be an accepted practice, and the jury concluded that his death was contributed to by neglect.

    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 Patient Transport (UK) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Accepted practice of placing mental health patients on the floor of the caged transport area

    Wider context from the report

    “It is of concern that: (i) There was no review by Patient Transport UK Ltd into the service provided to Robert in the early hours of 20 October 2019. (ii) The apparently trained transport staff did not re-consider the appropriateness of the vehicle when they observed Robert’s very low level of consciousness and his inability to walk; sit unaided and hold his head upright. (iii) The staff placed Robert, in this concerning condition, on the floor of the vehicle without any seat belt or other mechanism to keep him safe and secure. (iv) Placing mental health patients on the floor of the caged area, seems to be an accepted practice by Patient Transport UK Ltd. ”
    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 Patient Transport (UK) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to reconsider vehicle appropriateness for patients unable to walk, sit unaided or hold their heads upright

    Wider context from the report

    “It is of concern that: (i) There was no review by Patient Transport UK Ltd into the service provided to Robert in the early hours of 20 October 2019. (ii) The apparently trained transport staff did not re-consider the appropriateness of the vehicle when they observed Robert’s very low level of consciousness and his inability to walk; sit unaided and hold his head upright. (iii) The staff placed Robert, in this concerning condition, on the floor of the vehicle without any seat belt or other mechanism to keep him safe and secure. (iv) Placing mental health patients on the floor of the caged area, seems to be an accepted practice by Patient Transport UK Ltd. ”
    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 Patient Transport (UK) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of review of the secure transport service provided

    Wider context from the report

    “It is of concern that: (i) There was no review by Patient Transport UK Ltd into the service provided to Robert in the early hours of 20 October 2019. (ii) The apparently trained transport staff did not re-consider the appropriateness of the vehicle when they observed Robert’s very low level of consciousness and his inability to walk; sit unaided and hold his head upright. (iii) The staff placed Robert, in this concerning condition, on the floor of the vehicle without any seat belt or other mechanism to keep him safe and secure. (iv) Placing mental health patients on the floor of the caged area, seems to be an accepted practice by Patient Transport UK Ltd. ”
    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 Patient Transport (UK) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to secure patients safely in the transport vehicle

    Wider context from the report

    “It is of concern that: (i) There was no review by Patient Transport UK Ltd into the service provided to Robert in the early hours of 20 October 2019. (ii) The apparently trained transport staff did not re-consider the appropriateness of the vehicle when they observed Robert’s very low level of consciousness and his inability to walk; sit unaided and hold his head upright. (iii) The staff placed Robert, in this concerning condition, on the floor of the vehicle without any seat belt or other mechanism to keep him safe and secure. (iv) Placing mental health patients on the floor of the caged area, seems to be an accepted practice by Patient Transport UK Ltd. ”
    Open source report
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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

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

How actions were described at the time

This respondent
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