Recipient

Prospect Park Hospital

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First report 18 Oct 2018•Latest report 18 Oct 2018

Recipient record

Reports, concerns and published responses

Health and care · Healthcare site. 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 Prospect Park Hospital linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Berkshire

    AI-generated summary

    Anne Roberts · 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

    Anne Roberts died at Prospect Park Hospital, Reading, on 28 September 2017 after choking on a bolus of food consisting of a sandwich and chocolate brownie cake. The report raised concerns about bank-staff training, dissemination and recording of choking-risk information, management of patients eating in bedrooms, and frontline staff training on the interaction between mental disorders and choking risks.

    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 Prospect Park Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to manage choking risk during bedroom meals alongside risks of harm to patients and others

    Wider context from the report

    “3. Concerns about how risk of choking is managed when patients eat in their bedrooms in conjunction with managing risk of harm to themselves and others at the same time. ”
    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 Prospect Park Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to disseminate information relating to choking risk

    Wider context from the report

    “2. Concerns about the dissemination of information relating to risk of choking particularly with respect to ensuring that hospital records are full, accurate, and up to date. ”
    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 Prospect Park Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to maintain full, accurate, and up-to-date hospital records about choking risk

    Wider context from the report

    “2. Concerns about the dissemination of information relating to risk of choking particularly with respect to ensuring that hospital records are full, accurate, and up to date. ”
    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 Prospect Park Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of front-line ward staff training on the interaction between mental disorders and choking risks

    Wider context from the report

    “4. Training of front-line ward staff (including nurses and healthcare assistants/support workers) around the interaction between mental disorders and choking risks, as distinct from choking risks caused by dysphagia ”
    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 Prospect Park Hospital; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of training for bank staff in caring for patients at risk of choking

    Wider context from the report

    “1. Concerns about the training of Bank Staff in relation to the care of patients at risk of choking, including patients who are mentally ill. ”
    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