Recipient

Recipient name withheld

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First report 24 Oct 2018•Latest report 24 Oct 2018

Recipient record

Reports, concerns and published responses

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

  1. Inner West London

    AI-generated summary

    Jennifer Anne Lacey · 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

    Jennifer Anne Lacey was found deceased in a hotel room in Morden on 4 June 2018, having consumed a large amount of alcohol and 210 tramadol tablets. The concerns were that potentially dangerous and addictive drugs were freely available over the internet, could be prescribed without contact with the patient’s regular doctor or access to medical records, and might be dispensed by UK pharmacies without further checks.

    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

    Unrestricted internet availability of potentially dangerous and addictive drugs

    Wider context from the report

    “1. That such potentially dangerous and addictive drugs are so freely available over the internet. 2. That they can be prescribed without any contact with the patient’s regular medical practitioner or access to the patient’s medical records. 3. That such prescriptions of such potentially dangerous and addictive drugs may be being filled in UK pharmacies without any further checks. ”
    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

    Failure to perform further checks when filling prescriptions for potentially dangerous and addictive drugs in UK pharmacies

    Wider context from the report

    “1. That such potentially dangerous and addictive drugs are so freely available over the internet. 2. That they can be prescribed without any contact with the patient’s regular medical practitioner or access to the patient’s medical records. 3. That such prescriptions of such potentially dangerous and addictive drugs may be being filled in UK pharmacies without any further checks. ”
    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

    Failure to access the patient’s medical records before prescribing potentially dangerous and addictive drugs

    Wider context from the report

    “1. That such potentially dangerous and addictive drugs are so freely available over the internet. 2. That they can be prescribed without any contact with the patient’s regular medical practitioner or access to the patient’s medical records. 3. That such prescriptions of such potentially dangerous and addictive drugs may be being filled in UK pharmacies without any further checks. ”
    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

    Failure to contact the patient’s regular medical practitioner before prescribing potentially dangerous and addictive drugs

    Wider context from the report

    “1. That such potentially dangerous and addictive drugs are so freely available over the internet. 2. That they can be prescribed without any contact with the patient’s regular medical practitioner or access to the patient’s medical records. 3. That such prescriptions of such potentially dangerous and addictive drugs may be being filled in UK pharmacies without any further checks. ”
    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