Queen Mary University of London

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First report 4 Jul 2025•Latest report 4 Jul 2025

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 Queen Mary University of London linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. East London

    AI-generated summary

    Daniel Norman Hatchett · 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

    Daniel Norman Hatchett had declining physical and mental health, including stress alongside chronic health conditions. In the early hours of 9 November 2024, he was found hanging at home and pronounced dead at the scene; the circumstances were deemed non-suspicious. The report identified missed opportunities for mental health follow-up and therapy, and concerns about chronic disease reviews not adequately addressing patients’ mental health, particularly where men may not disclose concerns without being asked directly.

    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 Queen Mary University of London; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of chronic disease review templates to include mental health review

    Wider context from the report

    “3. Templates for GPs, to assist them in reviewing patients with chronic disease, do not include a section for review of mental health. It was considered that such a requirement could assist in identifying patients whose mental health has been adversely affected by declining physical health. This would allow the opportunity for necessary mental health support to be offered to these patients. ”
    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 Queen Mary University of London; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient GP appointment time for holistic review of patients with chronic disease

    Wider context from the report

    “2. GP appointment timings are often insufficient for the necessary holistic review of this cohort of patients. ”
    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 Queen Mary University of London; that does not assign responsibility.

    PFD Monitor interpretation

    Undisclosed mental health concerns among middle aged men in general practice

    Wider context from the report

    “4. The inquest heard that it is well known that middle aged men infrequently open up to their GP to express concerns about their mental health. An express question on a chronic disease review could help to elicit concerns that would otherwise remain undiscovered. ”
    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 Queen Mary University of London; that does not assign responsibility.

    PFD Monitor interpretation

    Mental health decline among patients with chronic disease

    Wider context from the report

    “1. Patients with chronic disease often present with concomitant mental health decline. ”
    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