Wandsworth Community Drug and Alcohol Service

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First report 13 Feb 2018•Latest report 13 Feb 2018

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 Wandsworth Community Drug and Alcohol Service linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Inner West London

    AI-generated summary

    Ms Angela Caroline Byrne · 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

    Ms Angela Caroline Byrne, who had a long history of drug misuse and was prescribed methadone alongside other medication, died at home on 29 July 2017 after taking an accidental overdose of prescribed and illicit drugs. The principal concerns related to risk assessment and planning, application of staff training, communication between inpatient and community services, separate clinical records, and shared rather than core-team care for patients with complex needs.

    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 Wandsworth Community Drug and Alcohol Service; that does not assign responsibility.

    PFD Monitor interpretation

    Inadequate communication between inpatient and community services

    Wider context from the report

    “3. That communications between the inpatient and community services need to be improved. ”
    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 Wandsworth Community Drug and Alcohol Service; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to appropriately assess and plan for risks of vulnerable patients

    Wider context from the report

    “2. That as a result of this, vulnerable patients such as Ms Byrne do not have their risks appropriately assessed and planned for. ”
    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 Wandsworth Community Drug and Alcohol Service; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of W-CDAS staff to apply received training in practice

    Wider context from the report

    “1. That the staff at W-CDAS are not applying the training that they receive in practice. ”
    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 Wandsworth Community Drug and Alcohol Service; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide core W-CDAS team treatment for patients with complex needs instead of shared care with GPs

    Wider context from the report

    “5. That patients with complex needs such as Ms Byrne are treated by the core W-CDAS team rather than via shared care with the GP. ”
    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 Wandsworth Community Drug and Alcohol Service; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of one consistent set of clinical records for inpatient and community use

    Wider context from the report

    “4. That consideration be given to one consistent set of clinical records for both in-patients and for use in the community. ”
    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