Specsavers Optical Group Limited

Private and voluntary organisations · Private limited company

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First report 7 Jan 2021•Latest report 7 Jan 2021

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 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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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