Recipient

Thornbury Hospital

First report 25 Jun 2014•Latest report 25 Jun 2014

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: 0%
Concerns addressed: 0
Stated actions: 0

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 Thornbury Hospital linked to the concerns in each report. Select any concern, action or position to view the source wording.

25 Jun2014
South Yorkshire (Eastern)
Concerns raised6
1. Delays in initiating investigative procedures
2. Unavailability of private investigative procedures
3. Inconsistent timing and pathways for investigative procedures in differential diagnosis including ARVC
1. Delays in multidisciplinary review of syncope investigations
2. Inconsistent advice to fit young athletes about future exercise
3. Inconsistent national management of syncope in young athletes
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Peter John Hinchliffe · 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

Peter John Hinchliffe, a fit 33-year-old man, died after collapsing while cycling on 11 September 2010; the inquest concluded that the cause of death was arrhythmogenic right ventricular cardiomyopathy, which was undiagnosed and untreated. The principal concerns were delays and differing approaches in investigating syncope, including delays in transferring investigations to the NHS, and inconsistent advice about exercise for young athletes in a recognised red-flag situation.

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 Thornbury Hospital; that does not assign responsibility.
PFD Monitor interpretation
Delays in initiating investigative procedures
Wider context from the report
“(2) In the private sector there was delay initiating investigative procedures after the consultation on 29th June 2010. ”
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 Thornbury Hospital; that does not assign responsibility.
PFD Monitor interpretation
Unavailability of private investigative procedures
Wider context from the report
“(1) All investigative procedures could not be undertaken privately and transfer to the National Health Service was necessary to complete investigations. ”
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 Thornbury Hospital; that does not assign responsibility.
PFD Monitor interpretation
Inconsistent timing and pathways for investigative procedures in differential diagnosis including ARVC
Wider context from the report
“(4) Evidence revealed significant differences in the times and routes taken to undertake investigative procedures in cases where there is a differential diagnosis including ARVC. ”
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 Thornbury Hospital; that does not assign responsibility.
PFD Monitor interpretation
Delays in multidisciplinary review of syncope investigations
Wider context from the report
“(3) Although Peter John Hinchliffe died approximately two weeks after transfer into the NHS system no further progress would have been made until after the MDT meeting in early October some 4 – 5 months after the incident of syncope. ”
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 Thornbury Hospital; that does not assign responsibility.
PFD Monitor interpretation
Inconsistent advice to fit young athletes about future exercise
Wider context from the report
“(5) The evidence revealed inconsistencies of approach in advice to fit young athletes as to future exercise in what was generally acknowledged to be a ‘red flag’ situation. ”
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 Thornbury Hospital; that does not assign responsibility.
PFD Monitor interpretation
Inconsistent national management of syncope in young athletes
Wider context from the report
“(6) Whilst there has been greater awareness since 2010 both locally and nationally of the need for timely and appropriate management of syncope in young athletes the approach to the problem does not appear to be consistent nationally and there is a continuing need to emphasise and act on this issue. ”
Open source report

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 raised6

Delays in initiating investigative procedures

Unavailability of private investigative procedures

Inconsistent timing and pathways for investigative procedures in differential diagnosis including ARVC

Delays in multidisciplinary review of syncope investigations

Inconsistent advice to fit young athletes about future exercise

Inconsistent national management of syncope in young athletes