Concerns raised 5 Failure to provide and verify appropriate PPE training before infectious-disease ward work View source Failure to preserve records of appropriate PPE training View source Lack of information about staff members’ medical conditions View source Failure of nursing agencies to provide hospitals with support workers’ work locations View source Failure of nursing agencies to provide hospitals with support workers’ health vulnerabilities View source See 2 more concerns
Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised. 1
Action
Audit subcontractor compliance with required occupational health checks and PPE training.
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AI-generated summary
Macloud Nyeruke · 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
Macloud Nyeruke was admitted to hospital on 23 November 2019 with fever, cough and confusion, and died there on 22 February 2020. He had multidrug-resistant tuberculosis and multidrug-resistant bacterial infections. The concerns included that his medical conditions were not disclosed to the Trust, uncertainty about appropriate PPE training, and risks associated with nursing agencies supplying support workers without knowledge of their health vulnerabilities or work location.
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× 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 Reed Specialist Recruitment Limited; that does not assign responsibility.
PFD Monitor interpretation Failure to provide and verify appropriate PPE training before infectious-disease ward work
Wider context from the report “(2) There is scant evidence as to whether Mr Nyeruke underwent appropriate training in respect of PPE such as masks before being permitted to work on a ward involving infectious diseases . The difficulties involved (where a support worker supplied by a nursing agency is only in the hospital for a brief period) are acknowledged. Nonetheless, the risk of an adverse transmission of infection either to, or from, the staff member necessitates stringent standards being enforced , with appropriate records preserved.
” 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 Reed Specialist Recruitment Limited; that does not assign responsibility.
PFD Monitor interpretation Failure to preserve records of appropriate PPE training
Wider context from the report “(2) There is scant evidence as to whether Mr Nyeruke underwent appropriate training in respect of PPE such as masks before being permitted to work on a ward involving infectious diseases. The difficulties involved (where a support worker supplied by a nursing agency is only in the hospital for a brief period) are acknowledged. Nonetheless, the risk of an adverse transmission of infection either to, or from, the staff member necessitates stringent standards being enforced, with appropriate records preserved .
” 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 Reed Specialist Recruitment Limited; that does not assign responsibility.
PFD Monitor interpretation Lack of information about staff members’ medical conditions
Wider context from the report “(1) Mr Nyeruke’s medical conditions were not made known to the Trust . In consequence, he had worked on wards where patients had infections involving multi-resistant organisms. Given his compromised immune state, this situation involved risk to both patients and Mr Nyeruke himself. In the absence of information concerning a particular staff member’s medical condition there is an increased risk of transmission of infections either to or from the staff member .
” 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 Reed Specialist Recruitment Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of nursing agencies to provide hospitals with support workers’ work locations
Wider context from the report “(3) Nursing agencies which supply support workers to hospitals without knowledge of their particular health vulnerabilities, or where they will be working , give rise to a risk that they may be adversely affected or may give rise to adverse effects on patients or colleagues .
” 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 Reed Specialist Recruitment Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of nursing agencies to provide hospitals with support workers’ health vulnerabilities
Wider context from the report “(3) Nursing agencies which supply support workers to hospitals without knowledge of their particular health vulnerabilities , or where they will be working, give rise to a risk that they may be adversely affected or may give rise to adverse effects on patients or colleagues .
” Open source report
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Audit subcontractor compliance with required occupational health checks and PPE training.
Verbatim wording from the response “At the point when Mr Nyeruke was first introduced to LTHT this was via ID Medical in November 2016, as prior to Reed's involvement with LTHT ID Medical had a contract direct with the Trust and not a sub-contractual arrangement via Reed. Reed then entered into a sub-contracting arrangement with ID Medical in January 2019 as part of Reed then managing the staff bank, for the supply of Mr Nyeruke. After having thoroughly investigated the matter, I can confirm that Reed has fully complied with its contractual obligations towards LTHT and received confirmation from ID Medical to confirm that Mr Nyeruke was suitably vetted and medically fit to commence the temporary assignment at LTHT. Moreover, Reed did also perform the necessary audits on ID Medical to confirm that the required health checks and training (in relation to PPE) for Mr Nyeruke were performed.” Source location 2020-0177-Response-from-Reed-Specialist-Recruitment-Ltd-Redacted.pdf
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Reed says it fulfilled contractual obligations and audited subcontractor health checks and PPE training for supplied workers.
Verbatim wording from the response “At the point when Mr Nyeruke was first introduced to LTHT this was via ID Medical in November 2016, as prior to Reed's involvement with LTHT ID Medical had a contract direct with the Trust and not a sub-contractual arrangement via Reed. Reed then entered into a sub-contracting arrangement with ID Medical in January 2019 as part of Reed then managing the staff bank, for the supply of Mr Nyeruke. After having thoroughly investigated the matter, I can confirm that Reed has fully complied with its contractual obligations towards LTHT and received confirmation from ID Medical to confirm that Mr Nyeruke was suitably vetted and medically fit to commence the temporary assignment at LTHT. Moreover, Reed did also perform the necessary audits on ID Medical to confirm that the required health checks and training (in relation to PPE) for Mr Nyeruke were performed.” Source location 2020-0177-Response-from-Reed-Specialist-Recruitment-Ltd-Redacted.pdf
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Reed cannot investigate underlying medical declarations or fully scrutinise subcontractor training content beyond issued clearance certificates.
Verbatim wording from the response “Both contractually and legislatively the responsibility on ID Medical was to carry out an occupational health assessment and training. I can confirm Reed have seen evidence of this dating back to 2012 which falls in line with when Mr Nyeruke first engaged with ID Medical. However, Reed are unable to investigate the detailed evidence beyond the health clearance such as the medical declarations made by Mr Nyeruke, and other supporting evidence that underpin the occupational health fitness to work certificate, nor can we fully scrutinise the training content that sits behind the certificates. This is a matter for the regulator and Crown Commercial Service, which is why we escalated this matter to them within 24/76 hours of receiving your initial report.” Source location 2020-0177-Response-from-Reed-Specialist-Recruitment-Ltd-Redacted.pdf
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation ID Medical, as employer and supplier, should receive the report and take additional measures to protect temporary workers supplied through its arrangements.
Verbatim wording from the response “My suggestion to re-address the Regulation 28 Report to ID Medical was made on the basis that Reed is unable to take any steps other that I have set out above in relation to individuals supplied by sub-contractors and that ID Medical as the employer/supplier, should be made aware of this Report in order to take additional measures (you deem fit) to protect the health and safety of temporary workers they engage.” Source location 2020-0177-Response-from-Reed-Specialist-Recruitment-Ltd-Redacted.pdf
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Occupational health assessment and training were ID Medical’s responsibility, while regulatory scrutiny belonged to the regulator and Crown Commercial Service.
Verbatim wording from the response “Both contractually and legislatively the responsibility on ID Medical was to carry out an occupational health assessment and training. I can confirm Reed have seen evidence of this dating back to 2012 which falls in line with when Mr Nyeruke first engaged with ID Medical. However, Reed are unable to investigate the detailed evidence beyond the health clearance such as the medical declarations made by Mr Nyeruke, and other supporting evidence that underpin the occupational health fitness to work certificate, nor can we fully scrutinise the training content that sits behind the certificates. This is a matter for the regulator and Crown Commercial Service, which is why we escalated this matter to them within 24/76 hours of receiving your initial report.” Source location 2020-0177-Response-from-Reed-Specialist-Recruitment-Ltd-Redacted.pdf
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Request correction
Addressed to “Reed Nursing Agency”, a trading name of Reed Specialist Recruitment Limited.
Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations