St Mary's Hospital, Warrington

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First report 19 Mar 2014•Latest report 19 Mar 2014

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 St Mary's Hospital, Warrington linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Cheshire

    AI-generated summary

    CHRISTOPHER RICARDO WILLIAMS · 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

    Christopher Ricardo Williams was detained under the Mental Health Act and resident in a medium secure unit when he became unresponsive and was pronounced dead at the scene on 6 November 2013. The inquest concluded that the death was from natural causes, with the medical cause recorded as massive pulmonary embolism. Concerns included a defibrillator not working, failure to check it daily, absence of a cross-check system, and no hospital policy for managing sudden or unexpected deaths.

    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 St Mary's Hospital, Warrington; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a cross-check or double-check system

    Wider context from the report

    “(3) There was no ‘cross-check’ or ‘double check’ system in place. ”
    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 St Mary's Hospital, Warrington; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a policy or protocol for managing sudden or unexpected deaths

    Wider context from the report

    “(4) There was no policy or protocol in place at the hospital for the management of sudden / unexpected deaths. ”
    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 St Mary's Hospital, Warrington; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to check defibrillator equipment daily for serviceability

    Wider context from the report

    “(2) The defibrillator had not been checked on 5 November, although there was a requirement for the equipment to be checked daily for serviceability by the nursing staff. ”
    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 St Mary's Hospital, Warrington; that does not assign responsibility.

    PFD Monitor interpretation

    Defibrillator malfunction

    Wider context from the report

    “(1) The defibrillator machine did not work, even when the battery pack was changed. ”
    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