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First report 23 Sep 2013•Latest report 23 Sep 2013

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 Recipient name withheld linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Milton Keynes

    AI-generated summary

    Yvonne Sydney Annie Perry · 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

    Yvonne Sydney Annie Perry fractured her left hip after a fall at home, and the possibility of the fracture identified on 19 December 2012 was not acted upon until early January 2013. She later developed a severe urinary tract infection and died of sepsis on 2 February 2013; concerns included the lack of a robust process for tracking radiology reports and the absence of GP access to electronic hospital notes and records.

    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a robust process for tracking review of radiology reports by emergency department consultants

    Wider context from the report

    “(1) That the x-ray taken of Mrs. Perry’s hip, reported on by the consultant radiologist on the 19th December 2012, was not acted upon until the 3rd January 2013. It was recognised that the Hospital “do not have a robust process for tracking that the emergency department consultants have looked at the radiology reports.” Without such a system I believe further deaths may occur in the future. ”
    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of access to electronic hospital notes and records for GPs attending the Windsor Intermediate Care Unit

    Wider context from the report

    “(2) The GPs who attend the Windsor Intermediate Care Unit do not have access to the electronic hospital notes and records and those witnesses from WICU who attended the inquest considered that such access would improve the care afforded to patients. Similarly without access to the patients notes further deaths may occur in the future. ”
    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