Recipient

Tunstall Response

First report 19 Jul 2016•Latest report 19 Jul 2016

Recipient record

Reports, concerns and published responses

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

19 Jul2016
Inner West London
Concerns raised6
1. Insufficient training for escalating concerns after no response from an emergency call system user
2. Failure to raise immediate concerns with appropriate agencies after no response from an emergency call system user
3. Lack of refresher training for contacting resident managers after Westminster residents' medical emergency calls
1. Failure to contact the manager for emergency callers where a manager is available
2. Failure to obtain further information or reassess when directed by emergency services or relevant professionals
3. Failure to pass requested further information back to the requesting agency or professional
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

Patricia Mercieca · 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

Patricia Mercieca, who had severe COPD and asthma and lived in assisted accommodation, pulled her emergency cord on 14 July 2015 and said that she could not breathe. She arrested shortly afterwards and was found deceased when the ambulance service arrived. Concerns included failures to provide correct information and follow up when she did not respond, to contact the resident manager, and to pass on relevant medical history and information requested by emergency services.

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 Tunstall Response; that does not assign responsibility.
PFD Monitor interpretation
Insufficient training for escalating concerns after no response from an emergency call system user
Wider context from the report
“(4) That call handlers be trained such that if they get no response when contacting a person who has contacted them and that person is a user of the emergency call system, then immediate concerns should be raised with the appropriate agencies for example the LAS and resident scheme manager. ”
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 Tunstall Response; that does not assign responsibility.
PFD Monitor interpretation
Failure to raise immediate concerns with appropriate agencies after no response from an emergency call system user
Wider context from the report
“(4) That call handlers be trained such that if they get no response when contacting a person who has contacted them and that person is a user of the emergency call system, then immediate concerns should be raised with the appropriate agencies for example the LAS and resident scheme manager. ”
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 Tunstall Response; that does not assign responsibility.
PFD Monitor interpretation
Lack of refresher training for contacting resident managers after Westminster residents' medical emergency calls
Wider context from the report
“(1) That the call handlers need to be refresher trained in relation to contacting resident managers for Westminster residents following a medical emergency call. ”
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 Tunstall Response; that does not assign responsibility.
PFD Monitor interpretation
Failure to contact the manager for emergency callers where a manager is available
Wider context from the report
“(2) That wherever there is a person contacting them in an emergency where there is a manager, that manager should be contacted whatever authority covers the person contacting the call handler. ”
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 Tunstall Response; that does not assign responsibility.
PFD Monitor interpretation
Failure to obtain further information or reassess when directed by emergency services or relevant professionals
Wider context from the report
“(3) That if a call handler is directed by emergency services such as the LAS, or other relevant professionals such as a doctor to obtain further information or reassess then they should do so and pass any information so gained back to the agency or professional that requested it. ”
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 Tunstall Response; that does not assign responsibility.
PFD Monitor interpretation
Failure to pass requested further information back to the requesting agency or professional
Wider context from the report
“(3) That if a call handler is directed by emergency services such as the LAS, or other relevant professionals such as a doctor to obtain further information or reassess then they should do so and pass any information so gained back to the agency or professional that requested it. ”
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

Insufficient training for escalating concerns after no response from an emergency call system user

Failure to raise immediate concerns with appropriate agencies after no response from an emergency call system user

Lack of refresher training for contacting resident managers after Westminster residents' medical emergency calls

Failure to contact the manager for emergency callers where a manager is available

Failure to obtain further information or reassess when directed by emergency services or relevant professionals

Failure to pass requested further information back to the requesting agency or professional