Recipient

The Fremantle Trust

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First report 29 Sep 2017•Latest report 29 Sep 2017

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Registered charity. 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 Fremantle Trust linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Buckinghamshire

    AI-generated summary

    Helen Yuk Ying BANNISTER · 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

    Helen Bannister underwent a procedure to insert a PEG feeding tube on 13 May 2016. After discharge, the PEG loosened, causing a leak into her abdomen and an infection; she died of sepsis at Wexham Park Hospital on 17 May 2016. The report identified concerns about incomplete records of care, fluid intake, diet, nutrition, hospital discharge arrangements and aftercare instructions, which could compromise responses to unfolding events.

    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 Fremantle Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to maintain accurate records of care, fluid intake, diet, nutrition, hospital discharge arrangements and aftercare instructions

    Wider context from the report

    “There was, understandably, a significant volume of documents and records from Lent Rise used to record the various elements of the care Helen Bannister received whilst at Lent Rise. During the course of the investigation and in evidence at the inquest, whilst there was an indication that procedures, documentation and staff awareness had been under review since the death of Helen Bannister, there remains a significant concern that the keeping of accurate records in respect of all aspects of care, fluid intake, diet and nutrition and the proper recording of hospital discharge arrangements and aftercare instructions needs to be improved. There remains a continuing risk that the ability of care workers, nurses, doctors and hospitals to react properly to unfolding events may be compromised by incomplete records intended to accurately document all actions taken and the relevant timings of those actions in the care of a resident. ”
    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 Fremantle Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to document all care actions and their relevant timings

    Wider context from the report

    “There was, understandably, a significant volume of documents and records from Lent Rise used to record the various elements of the care Helen Bannister received whilst at Lent Rise. During the course of the investigation and in evidence at the inquest, whilst there was an indication that procedures, documentation and staff awareness had been under review since the death of Helen Bannister, there remains a significant concern that the keeping of accurate records in respect of all aspects of care, fluid intake, diet and nutrition and the proper recording of hospital discharge arrangements and aftercare instructions needs to be improved. There remains a continuing risk that the ability of care workers, nurses, doctors and hospitals to react properly to unfolding events may be compromised by incomplete records intended to accurately document all actions taken and the relevant timings of those actions in the care of a resident. ”
    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