PFD report

Abigail Hall · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 9 Dec 2018•South Yorkshire (Western)

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
2

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
6

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised2

  1. Failure to provide first aid training to Derwent staff
    Part of recurring concern: Inadequate staff competence to provide first aid
  2. Unavailability of a defibrillator at the premises
    Part of recurring concern: Unreliable availability and readiness of defibrillators for emergency response
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. Action

    Deliver a programme of Emergency First Aid at Work training for staff, targeting approximately 80% of relevant personnel.

    Stated by Derwent Facilities Management LimitedStated in progressThe respondent said that this action was in progress when they made their response on 8 January 2019.
  2. Action

    Purchase and install an automated external defibrillator at the premises.

    Stated by Derwent Facilities Management LimitedStated plannedThe respondent said that this action was planned when they made their response on 8 January 2019.
  3. Action

    Approve the purchase and installation of an automated external defibrillator at the premises.

    Stated by Derwent Facilities Management LimitedStated completedThe respondent said that this action was complete when they made their response on 8 January 2019.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to provide first aid training to Derwent staff

Wider context from the report

“During the inquest, evidence showed:- There was no defibrillator at the premises nor were Derwent staff first aid trained. This position apparently still persists. ”

Is this part of a recurring concern?

Yes — Inadequate staff competence to provide first aid.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Unavailability of a defibrillator at the premises

Wider context from the report

“During the inquest, evidence showed:- There was no defibrillator at the premises nor were Derwent staff first aid trained. This position apparently still persists. ”

Is this part of a recurring concern?

Yes — Unreliable availability and readiness of defibrillators for emergency response.

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

Deliver a programme of Emergency First Aid at Work training for staff, targeting approximately 80% of relevant personnel.

Verbatim wording from the response

“1. Derwent has reviewed its training schedule and a programme of emergency first aid training for staff has commenced. The training is not compulsory. The training that is scheduled to be delivered will be Emergency First Aid at Work. The Course overview is attached to this response as Appendix 1.”

Source location

2018-0286-Response-by-Derwent-Facilities-Management-Limited
Page 1 · response
Published 8 January 2019

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

Purchase and install an automated external defibrillator at the premises.

Verbatim wording from the response

“2.3 The purchase and installation of an AED has been approved and this will take place in due course; and”

Source location

2018-0286-Response-by-Derwent-Facilities-Management-Limited
Page 1 · response
Published 8 January 2019

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

Approve the purchase and installation of an automated external defibrillator at the premises.

Verbatim wording from the response

“2.3 The purchase and installation of an AED has been approved and this will take place in due course; and”

Source location

2018-0286-Response-by-Derwent-Facilities-Management-Limited
Page 1 · response
Published 8 January 2019

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

Review the staff training schedule to address emergency first-aid provision.

Verbatim wording from the response

“1. Derwent has reviewed its training schedule and a programme of emergency first aid training for staff has commenced. The training is not compulsory. The training that is scheduled to be delivered will be Emergency First Aid at Work. The Course overview is attached to this response as Appendix 1.”

Source location

2018-0286-Response-by-Derwent-Facilities-Management-Limited
Page 1 · response
Published 8 January 2019

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Install automated external defibrillators at two company sites following risk-assessment findings.

    Stated by Derwent Facilities Management LimitedStated completedThe respondent said that this action was complete when they made their response on 8 January 2019.
  2. 2

    Highlight the location and route to the nearest automated external defibrillator in the premises reception area.

    Stated by Derwent Facilities Management LimitedStated completedThe respondent said that this action was complete when they made their response on 8 January 2019.

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

Install automated external defibrillators at two company sites following risk-assessment findings.

Verbatim wording from the response

“2.4 2 of Derwent's 11 sites already have an AED installed on site. The AEDs have been installed on these sites following the need being highlighted by the completion of a risk assessment.”

Source location

2018-0286-Response-by-Derwent-Facilities-Management-Limited
Page 1 · response
Published 8 January 2019

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

Highlight the location and route to the nearest automated external defibrillator in the premises reception area.

Verbatim wording from the response

“2.2 The location and route to the nearest Automated External Defibrillator (AED) has been highlighted within the Premises reception area;”

Source location

2018-0286-Response-by-Derwent-Facilities-Management-Limited
Page 1 · response
Published 8 January 2019

Open published response
Back to top

Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026