Recipient

Specsavers Optical Group Limited

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First report 7 Jan 2021•Latest report 7 Jan 2021

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Private limited company. 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 Specsavers Optical Group Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Gwent

    AI-generated summary

    John BERROW · 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

    On 11 October 2019, John Berrow attended an optician with unequal pupils and altered eyesight, was referred routinely to an eye hospital, then collapsed later that day and died in hospital. His death was attributed to a ruptured Berry aneurysm. Concerns included failure to recognise unequal pupils as a possible sign of intracranial bleeding or aneurysm, the lack of practical clinical reference tools, and the absence of a mechanism for sharing learning from clinical incidents among practitioners at Specsavers.

    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 Specsavers Optical Group Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of practical clinical reference tools and manuals for clinical decision-making

    Wider context from the report

    “He also stated that there were no practical reference tools or clinical manuals available to him within Specsavers and was dependent upon referring to Google to assist him in his clinical decision making. ”
    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 Specsavers Optical Group Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to consider unequal pupils alone as a sign of increased intracranial pressure due to a bleed or aneurysm

    Wider context from the report

    “████████ gave oral evidence at the inquest hearing. In evidence he admitted that he failed to consider unequal pupils alone as a sign of increased intracranial pressure due to a bleed or aneurysm and has rectified this in his current practice. ”
    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 Specsavers Optical Group Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a mechanism for disseminating clinical incident information and improving learning from similar events

    Wider context from the report

    “I was also informed that whilst ████████ shared his experience locally, that there is no mechanism for disseminating information relating to clinical incidents or to improve learning from similar events amongst practitioners at Specsavers. ”
    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