Recipient

The Langford Centre

First report 10 Nov 2023•Latest report 10 Nov 2023

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
Published responses: 100%
Concerns addressed: 3
Stated actions: 7

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.

100%published responses found

7stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

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

10 Nov2023
East Sussex
Concerns raised3
1. Unavailability of NHS notes to private healthcare providers at admission
2. Failure to obtain and record previous methods of self-harm and suicide at referral and admission
3. Failure to seek and record relevant information from family at referral and admission
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 6
1. Action
  Amend initial medical and risk assessments to capture patients’ previous suicide attempts and self-harm histories.
  Stated completed
2. Action
  Roll out company-wide training for staff handling referrals, initial assessments, ward rounds, and multidisciplinary meetings on the amended processes and requested information.
  Stated completed
3. Action
  Amend initial medical and risk assessments to record consent, next-of-kin details, and information obtained from patients’ families.
  Stated completed
1. Action
  Require staff to obtain family contact information and speak with next of kin when agreed, recording the information provided.
  Stated completed
2. Action
  Provide qualified medical staff with read-only access to referred patients’ NHS medical records.
  Stated completed
3. Action
  Amend the initial referral form to require referrers to record previous suicide methods and self-harm methods, with explanations for incomplete information.
  Stated completed
Respondent positions 2
1. Position
  Obtaining information from an informal patient’s family depends on the patient’s consent.
  Unable to act
1. Position
  Referring Trusts or bodies are responsible for completing previous suicide-method information in the initial referral form.
  Redirects responsibility
AI-generated summary

Christopher Richard ALLUM · 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

Christopher Richard Allum had escalating mental health issues and a history of deliberate self-harm before being admitted to the Langford Centre on 14 May 2022. He was found unresponsive in his room on the evening of 15 May 2022, and death was confirmed at 23:01; the inquest concluded that he died as a result of suicide. The concerns identified included gaps in obtaining and recording previous methods of self-harm and relevant family information at referral and admission, and difficulties accessing NHS notes in private healthcare settings.

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 Langford Centre; that does not assign responsibility.
PFD Monitor interpretation
Unavailability of NHS notes to private healthcare providers at admission
Wider context from the report
“Initial referral - there seems to be a gap at the initial referral and admission stage in obtaining information about and recording previous methods of self-harm and suicide. There also appears to be a gap in the seeking and recording of relevant information from an individual's family at the point of referral and admission. An individual's family is often able to provide detailed and useful information about events that may not have been previously reported and/or be able to bridge the gap in communications between various health agencies involved in someone's care. Access to notes - the other concerning issue is the difficulty prevalent within the private sector in accessing of NHS notes. It appears to be the position across the private sector that access to an individual's notes is not provided as standard. This means that there may be a significant gap in the information available when someone is admitted to a premises run by a private healthcare provider, even within an NHS allocated bed. This gap in information can have an impact on an individual's risk assessment and their subsequent care plan. ”
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 Langford Centre; that does not assign responsibility.
PFD Monitor interpretation
Failure to obtain and record previous methods of self-harm and suicide at referral and admission
Wider context from the report
“Initial referral - there seems to be a gap at the initial referral and admission stage in obtaining information about and recording previous methods of self-harm and suicide. There also appears to be a gap in the seeking and recording of relevant information from an individual's family at the point of referral and admission. An individual's family is often able to provide detailed and useful information about events that may not have been previously reported and/or be able to bridge the gap in communications between various health agencies involved in someone's care. Access to notes - the other concerning issue is the difficulty prevalent within the private sector in accessing of NHS notes. It appears to be the position across the private sector that access to an individual's notes is not provided as standard. This means that there may be a significant gap in the information available when someone is admitted to a premises run by a private healthcare provider, even within an NHS allocated bed. This gap in information can have an impact on an individual's risk assessment and their subsequent care plan. ”
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 Langford Centre; that does not assign responsibility.
PFD Monitor interpretation
Failure to seek and record relevant information from family at referral and admission
Wider context from the report
“Initial referral - there seems to be a gap at the initial referral and admission stage in obtaining information about and recording previous methods of self-harm and suicide. There also appears to be a gap in the seeking and recording of relevant information from an individual's family at the point of referral and admission. An individual's family is often able to provide detailed and useful information about events that may not have been previously reported and/or be able to bridge the gap in communications between various health agencies involved in someone's care. Access to notes - the other concerning issue is the difficulty prevalent within the private sector in accessing of NHS notes. It appears to be the position across the private sector that access to an individual's notes is not provided as standard. This means that there may be a significant gap in the information available when someone is admitted to a premises run by a private healthcare provider, even within an NHS allocated bed. This gap in information can have an impact on an individual's risk assessment and their subsequent care plan. ”
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
Amend initial medical and risk assessments to capture patients’ previous suicide attempts and self-harm histories.

Verbatim wording from the response
“In order to further explore possible past suicide attempts and to ensure full capture of a patient’s self-harm history at the admission stage, both the initial medical assessment and formation of risk assessment, completed by the triaging doctor at Langford, include the same subsections.”

Source location
Response from Bramley Health
Page 2 · response
Published 14 November 2023
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
Roll out company-wide training for staff handling referrals, initial assessments, ward rounds, and multidisciplinary meetings on the amended processes and requested information.

Verbatim wording from the response
“Finally, as there have been amendments to our initial processes, training updates have been rolled out company wide. This includes training to staff who triage our initial referral documents, medical doctors who conduct the initial assessments and consultants who oversee our ward rounds and MDT’s. All staff have been fully informed of the additional processes and the sensitivities surrounding the nature and detail of the information being requested.”

Source location
Response from Bramley Health
Page 3 · response
Published 14 November 2023
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
Amend initial medical and risk assessments to record consent, next-of-kin details, and information obtained from patients’ families.

Verbatim wording from the response
“b) In respect of seeking information from an informal patient’s family, this step is entirely dependent upon the individual’s consent.”

Source location
Response from Bramley Health
Page 2 · response
Published 14 November 2023
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
Require staff to obtain family contact information and speak with next of kin when agreed, recording the information provided.

Verbatim wording from the response
“If agreed, a qualified member of staff is subsequently tasked with reaching out to the family and recording vital information. The document includes a section to record the information provided by a family or relative. Obtaining contact information and speaking with the next of kin are now a mandatory task at Langford.”

Source location
Response from Bramley Health
Page 3 · response
Published 14 November 2023
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
Provide qualified medical staff with read-only access to referred patients’ NHS medical records.

Verbatim wording from the response
“I note that in relation to your further concern relating to difficulties in accessing a patient’s NHS notes, you made reference during your conclusions to the unprecedented steps The Langford”

Source location
Response from Bramley Health
Page 1 · response
Published 14 November 2023
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
Amend the initial referral form to require referrers to record previous suicide methods and self-harm methods, with explanations for incomplete information.

Verbatim wording from the response
“In order to address concerns relevant to The Langford Centre, we have been liaising with SPFT, and the following corrective measures have been agreed with our partners to be implemented from 1st January 2024;”

Source location
Response from Bramley Health
Page 2 · response
Published 14 November 2023
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
Obtaining information from an informal patient’s family depends on the patient’s consent.

Verbatim wording from the response
“b) In respect of seeking information from an informal patient’s family, this step is entirely dependent upon the individual’s consent.”

Source location
Response from Bramley Health
Page 2 · response
Published 14 November 2023
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
Referring Trusts or bodies are responsible for completing previous suicide-method information in the initial referral form.

Verbatim wording from the response
“a) Our initial referral form has been amended to include an additional field, entitled ‘Previous Suicide Methods’, which must be completed by the referrer. This field includes a supporting sub-section headed ‘Previous Suicide Methods Used,’ which is intended to record details of the self-harm methods.”

Source location
Response from Bramley Health
Page 2 · response
Published 14 November 2023
Open published response

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

Reports, concerns and published responses

Reports over time

Concerns raised3

Unavailability of NHS notes to private healthcare providers at admission

Failure to obtain and record previous methods of self-harm and suicide at referral and admission

Failure to seek and record relevant information from family at referral and admission

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.6

Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.2

Actions described in response 6

Respondent positions 2