The Hospital of St Thomas the Apostle in DoncasterIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 14 Dec 2015•Latest report 14 Dec 2015

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 Hospital of St Thomas the Apostle in Doncaster linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: Amanda Pritchard, Acting Chief Executive, St Thomas’ Hospital.

    Central and South East Kent

    AI-generated summary

    Kevin John Gilbert · 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

    Kevin John Gilbert suffered an aortic root dissection on 29 January 2015 and died after cardiac arrest during transfer from William Harvey Hospital to St Thomas’ Hospital. The concerns included confusion about transfer protocols, delay in accepting him for transfer, and refusal to escalate the decision to a consultant; the report stated that his chances of survival would have been greater had the delay been avoided.

    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 Hospital of St Thomas the Apostle in Doncaster; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of clarity about protocols for transfer of patients with aortic dissection

    Wider context from the report

    “• There appeared to be confusion on the part of ████████ as to the standing protocols at St Thomas’ Hospital concerning transfer of patients with a diagnosis of aortic dissection. ”
    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 Hospital of St Thomas the Apostle in Doncaster; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to escalate transfer acceptance decisions to a Consultant when requested

    Wider context from the report

    “• It was not reasonable to decline ████████ request for the decision to accept Mr Gilbert to be escalated to a Consultant on the basis that ████████ was in theatre and unable to talk to ████████ ”
    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 Hospital of St Thomas the Apostle in Doncaster; that does not assign responsibility.

    PFD Monitor interpretation

    Delays in accepting transfer of suspected aortic dissection patients while awaiting CT imagery

    Wider context from the report

    “• Given that Mr Gilbert was presenting at William Harvey Hospital as an acute emergency requiring specialist surgery at a tertiary centre and that his diagnosis of suspicion made on presenting clinical symptoms by a Consultant in Accident and Emergency medicine which was confirmed by CT scan, it was not reasonable for ████████ to rely on his understanding of the procedure of accepting such patients and wait for the CT imagery before agreeing that he could be transferred. ”
    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