PFD report

Marion Joanne Turner · Prevention of Future Deaths report

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Issued 25 Jun 2014•Essex

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
1

Raised in this report

Recipients
1

Named on the report

Responses found
0

Of 1 recipient

Stated actions
0

Described in responses

Source document

Full report text

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Concerns and recipient responses

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Report evidence summary

Concerns raised1

  1. Failure to ensure messages for mental health staff are read promptly
    Part of recurring concern: Unreliable circulation of safety-critical mental health information
Responses linked to these concerns

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No linked response statements

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Source evidence

How this individual concern was interpreted

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PFD Monitor interpretation

Failure to ensure messages for mental health staff are read promptly

Wider context from the report

“(1) Evidence was given that the day before Ms Turner’s death, her solicitor, as a result of concerns about her mental health, had telephoned into the mental health trust office and left a message for Ms Turner’s CPN. This message remained on a slip of paper, unread, in a pigeon hole until sometime the next day. ”

Is this part of a recurring concern?

Yes — Unreliable circulation of safety-critical mental health information.

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

Official responses located
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Data last updated 7 September 2026

No official response is included in the current published snapshot.