Recipient

Select Healthcare Group

Pin Request correction

First report 24 Feb 2020•Latest report 24 Feb 2020

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Multi-service care provider. 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 Select Healthcare Group linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Norfolk

    AI-generated summary

    Jake Edmund Lee · 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

    Jake Edmund Lee suffered a spinal cord infarction causing loss of feeling and immobility below the waist. After he collapsed at a rehabilitation unit, CPR was not commenced promptly, and the nurse in charge left him in the care of an untrained healthcare assistant while making another call. The principal concerns were the nurse’s lack of training and ability to respond to a collapse, her failure to remain with the patient, and her lack of knowledge about the bed and appropriate CPR and airway procedures.

    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 Select Healthcare Group; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to position the patient correctly and assess airway obstruction during an emergency

    Wider context from the report

    “(1) Inability, lack of training/experience of nurse in charge to deal with an arrest/collapse of a patient. Clear panic in the face of an emergency. (2) Nurse leaving collapsed patient in care of untrained HCA whilst she made an unnecessary second phone call, she denied that there was a phone she could have used in his room. (3) Her lack of knowledge about the special bed which Mr Lee had, which allowed CPR on the bed and her stating that she put Mr Lee into the recovery position when he was semi recumbent, she did not flatten the bed and she did not do a mouth sweep to see if his airway was occluded by his tongue. ”
    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 Select Healthcare Group; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of knowledge and failure to use a CPR-capable special bed correctly

    Wider context from the report

    “(1) Inability, lack of training/experience of nurse in charge to deal with an arrest/collapse of a patient. Clear panic in the face of an emergency. (2) Nurse leaving collapsed patient in care of untrained HCA whilst she made an unnecessary second phone call, she denied that there was a phone she could have used in his room. (3) Her lack of knowledge about the special bed which Mr Lee had, which allowed CPR on the bed and her stating that she put Mr Lee into the recovery position when he was semi recumbent, she did not flatten the bed and she did not do a mouth sweep to see if his airway was occluded by his tongue. ”
    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 Select Healthcare Group; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of training and experience to deal with patient arrest or collapse

    Wider context from the report

    “(1) Inability, lack of training/experience of nurse in charge to deal with an arrest/collapse of a patient. Clear panic in the face of an emergency. (2) Nurse leaving collapsed patient in care of untrained HCA whilst she made an unnecessary second phone call, she denied that there was a phone she could have used in his room. (3) Her lack of knowledge about the special bed which Mr Lee had, which allowed CPR on the bed and her stating that she put Mr Lee into the recovery position when he was semi recumbent, she did not flatten the bed and she did not do a mouth sweep to see if his airway was occluded by his tongue. ”
    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 Select Healthcare Group; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to maintain appropriate trained supervision of a collapsed patient

    Wider context from the report

    “(1) Inability, lack of training/experience of nurse in charge to deal with an arrest/collapse of a patient. Clear panic in the face of an emergency. (2) Nurse leaving collapsed patient in care of untrained HCA whilst she made an unnecessary second phone call, she denied that there was a phone she could have used in his room. (3) Her lack of knowledge about the special bed which Mr Lee had, which allowed CPR on the bed and her stating that she put Mr Lee into the recovery position when he was semi recumbent, she did not flatten the bed and she did not do a mouth sweep to see if his airway was occluded by his tongue. ”
    Open source report
Back to top

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