The Crescent Surgery

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First report 18 Feb 2026•Latest report 18 Feb 2026

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
100%

Found for named reports

Concerns addressed
2

Across all linked responses

Stated actions
4

Described in responses

Concerns and recipient responses

Statements from The Crescent Surgery linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Blackpool and the Fylde

    AI-generated summary

    Martin Ormond · 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

    Martin Ormond died in hospital on 25 January 2025 after suffering an acute myocardial infarction. An ECG performed two days earlier led to reports indicating possible serious cardiac disease, but he was not advised to attend hospital and a cardiology referral was made instead. The concerns identified were that relevant ECG reports and amended information were not effectively communicated to the GP, and that the urgency of a later ECG was under-appreciated by ambulance personnel.

    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 Crescent Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure amended-report information reaches relevant GPs before important patient decisions

    Wider context from the report

    “2. In the event the external company decides to submit an amended report, there appeared to be no effective process in place to ensure what may be important additional information reaches the relevant GP before important decisions are made regarding 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 Crescent Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure GPs are provided with necessary information before making decisions

    Wider context from the report

    “1. At the GP surgery, a GP made decisions in the absence of the necessary information – notably two reports submitted by an external company asked to interpret an ECG trace - and it did not seem that there was an effective process in place for ensuring GPs are provided with the necessary information. ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Record amended ECG reports in patient records and ensure same-day On Call GP review.

    Verbatim wording from the response

    “As a result of this review, the Practice has updated its Standard Operating Procedure (SOP) to ensure that:”

    Source location

    2026-0098 - Response from The Crescent Surgery
    Page 1 · response
    Published 23 February 2026

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Log amended urgent ECG reports as Significant Events and immediately flag them to the Practice Manager for internal review.

    Verbatim wording from the response

    “As a result of this review, the Practice has updated its Standard Operating Procedure (SOP) to ensure that:”

    Source location

    2026-0098 - Response from The Crescent Surgery
    Page 1 · response
    Published 23 February 2026

    Open published response
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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