PFD report

William John Abrahams · Prevention of Future Deaths report

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Issued 6 Mar 2018•Inner North London

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.

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Concerns
3

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
3

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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

Concerns raised3

  1. Failure to invite people over 65 at screening programme introduction for abdominal aortic aneurysm screening
    Part of recurring concern: Inadequate detection and management of abdominal aortic aneurysms
  2. Patients may not appreciate the benefits of opting into screening for asymptomatic abdominal aortic aneurysms
    Part of recurring concern: Inadequate detection and management of abdominal aortic aneurysms
  3. High mortality associated with ruptured abdominal aortic aneurysms
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.3

  1. Action

    Deliver targeted outreach through GPs, health providers, media, community events, patient groups, social media and the programme website to promote AAA screening access.

    Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 16 June 2018.
  2. Action

    Continue supporting London AAA screening providers to improve men’s awareness of screening options.

    Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 16 June 2018.
  3. Action

    Implement a local quality standard requiring programmes to record older men’s self-referrals to AAA screening.

    Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 16 June 2018.

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

  1. Position

    Existing self-referral arrangements and communications are considered sufficient to enable men over 65 to access AAA screening and understand their options.

    Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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 invite people over 65 at screening programme introduction for abdominal aortic aneurysm screening

Wider context from the report

“(1) Mr Abrahams was not invited for screening to check whether he had an Abdominal Aortic Aneurysm, as he was over 65 at the time that the screening programme was introduced. ”

Is this part of a recurring concern?

Yes — Inadequate detection and management of abdominal aortic aneurysms.

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

Patients may not appreciate the benefits of opting into screening for asymptomatic abdominal aortic aneurysms

Wider context from the report

“(3) As Abdominal Aortic Aneurysms are asymptomatic until they begin to leak, the benefits of “opting in” to the screening programme may not be apparent to patients. ”

Is this part of a recurring concern?

Yes — Inadequate detection and management of abdominal aortic aneurysms.

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

High mortality associated with ruptured abdominal aortic aneurysms

Wider context from the report

“(2) Only about 20% of people that have a ruptured Abdominal Aortic Aneurysm survive ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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 targeted outreach through GPs, health providers, media, community events, patient groups, social media and the programme website to promote AAA screening access.

Verbatim wording from the response

“In 2018-19 NHS England London Region Public Health Commissioners will continue to support London AAA screening programme providers to ensure that programmes work to improve men’s awareness of their options to attend screening. A local quality standard implemented by NHS England London ensures that programmes record the numbers of men in each local Clinical Commissioning Group over 65 who Self-Refer to the screening programme. This is monitored by local and informs screening programme communication strategies with the local population. In 2018-19 this will include:”

Source location

2018-0074-Response-by-NHS-England
Page 3 · response
Published 16 June 2018

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

Continue supporting London AAA screening providers to improve men’s awareness of screening options.

Verbatim wording from the response

“In 2018-19 NHS England London Region Public Health Commissioners will continue to support London AAA screening programme providers to ensure that programmes work to improve men’s awareness of their options to attend screening. A local quality standard implemented by NHS England London ensures that programmes record the numbers of men in each local Clinical Commissioning Group over 65 who Self-Refer to the screening programme. This is monitored by local and informs screening programme communication strategies with the local population. In 2018-19 this will include:”

Source location

2018-0074-Response-by-NHS-England
Page 3 · response
Published 16 June 2018

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

Implement a local quality standard requiring programmes to record older men’s self-referrals to AAA screening.

Verbatim wording from the response

“In 2018-19 NHS England London Region Public Health Commissioners will continue to support London AAA screening programme providers to ensure that programmes work to improve men’s awareness of their options to attend screening. A local quality standard implemented by NHS England London ensures that programmes record the numbers of men in each local Clinical Commissioning Group over 65 who Self-Refer to the screening programme. This is monitored by local and informs screening programme communication strategies with the local population. In 2018-19 this will include:”

Source location

2018-0074-Response-by-NHS-England
Page 3 · response
Published 16 June 2018

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

Existing self-referral arrangements and communications are considered sufficient to enable men over 65 to access AAA screening and understand their options.

Verbatim wording from the response

“The North East London NAAASP began in April 2013. At this time Mr Abrahams was 81 years and would therefore not have received an invitation to have AAA screening. However he would have received screening had he asked for an appointment.”

Source location

2018-0074-Response-by-NHS-England
Page 2 · response
Published 16 June 2018

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

The UK National Screening Committee determines eligible screening ages and reviews new evidence that might justify changing those recommendations.

Verbatim wording from the response

“With regards to point 1, men are currently invited to NHS Abdominal Aortic Aneurysm Screening Programme (“NAAASP”) in the year they are 65. The programme was introduced in England in 2009 on the recommendations of the UK National Screening Committee (“UKNSC”) following review of research evidence and data from existing local screening programmes against specific criteria.¹ This evidence showed a reduction in deaths from aneurysms when men were offered screening in their 65th year. Subsequently the UKNSC concluded that the ultrasound screening should be offered to men in their 65th year with men over 65 being able to self-refer or ‘opt in’ and request screening.²”

Source location

2018-0074-Response-by-NHS-England
Page 1 · response
Published 16 June 2018

Open published response
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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