Recipient

The Dower House

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First report 17 Apr 2019•Latest report 17 Apr 2019

Recipient record

Reports, concerns and published responses

Health and care · Healthcare site. 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 The Dower House linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Isle of Wight

    AI-generated summary

    Nathan John COOKE · 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

    Nathan John COOKE was found dead at home after being prescribed Methadone and Clomipramine and supplementing these with illicit medication. The inquest concluded that the death was drug related, with the medical cause recorded as cardio-respiratory failure, severe central nervous system depression, and Methadone and Clomipramine overdose. A principal concern was that the known risk associated with QTc prolongation was not adequately addressed through clinical monitoring and medication management.

    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 Dower House; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to regularly monitor patients prescribed medication that could be dangerous to their welfare

    Wider context from the report

    “1. It was agreed that a more appropriate way to manage and control this situation whereby a patient is prescribed medication which could be dangerous to their welfare without regular monitoring would be for the primary care practice to write to the patient, inviting them to attend for a review, and informing them that if they failed to attend the review by a specified date, their medication would be reduced and eventually stopped. The incentive and responsibility to comply with clinicians is thereby passed to the patient. ”
    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