The British Association of Urological Surgeons Limited

Private and voluntary organisations · Health professional body

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First report 18 Jul 2022•Latest report 18 Jul 2022

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 The British Association of Urological Surgeons Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. East London

    AI-generated summary

    Mr Graham Edgar White · 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

    Mr Graham Edgar White was treated for a ureteric stone in November 2019 with an antegrade ureteric stent intended for temporary use. The stent remained in place for 20 months despite deterioration observed on multiple occasions, and was removed after he developed a urinary tract infection and right perinephric abscess. He developed sepsis and died in hospital on 18 August 2021. Concerns included the absence of a stent registry for monitoring and recall, uncertainty about other patients at risk, and delayed identification of the death as a serious incident.

    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 The British Association of Urological Surgeons Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a registry of patients fitted with stents for monitoring and recall

    Wider context from the report

    “1. Trust did not have in place a registry of those fitted with stents that would facilitate monitoring and recall of patients. ”
    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 The British Association of Urological Surgeons Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to identify and escalate deaths through governance procedures as serious incidents for investigation

    Wider context from the report

    “3. The Trust did not successfully identify and escalate this death through its governance procedures as a serious incident for investigation until the issue was raised by the Coroner. ”
    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 The British Association of Urological Surgeons Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to assess whether patients with stents inserted prior to May 22 are at risk of similar deterioration

    Wider context from the report

    “2. At the time of the inquest the Trust are unable to assess whether they have patients with stents inserted prior to May 22 who are at risk of a similar deterioration. ”
    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