PFD report

Carol Ann Welch · Prevention of Future Deaths report

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Issued 11 Jan 2023•Warwickshire

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
7

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
4

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

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Report evidence summary

Concerns raised7

  1. Failure to assess doctors’ understanding of appropriate clinical guidelines
  2. Lack of familiarity with guidance requiring consultant discussion of unexpected returns within 72 hours
    Part of recurring concern: Delays in consultant review of patientsPart of recurring concern: Unreliable consultant review of patients unexpectedly returning after dischargePart of recurring concern: Unreliable management of patients returning to emergency departments soon after discharge
  3. Lack of checks that staff have considered and understood safety material
    Part of recurring concern: Unreliable staff access to and understanding of safety-critical guidance
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

    Review and revise the clinical aid memoire to place clinically essential information first.

    Stated by George Eliot Hospital NHS TrustStated completedThe respondent said that this action was complete when they made their response on 16 January 2023.
  2. Action

    Develop shared server and intranet locations so staff can access incident-learning reports and written materials.

    Stated by George Eliot Hospital NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 16 January 2023.
  3. Action

    Work with Information Technology to add a 72-hour reattendance alert requiring consultant advice before discharge.

    Stated by George Eliot Hospital NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 16 January 2023.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.3

  1. Position

    Requiring every clinician to confirm reading each guideline is considered impractical because of the high volume and risk of becoming a tick-box exercise.

    Stated by George Eliot Hospital NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

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 assess doctors’ understanding of appropriate clinical guidelines

Wider context from the report

“(2) It was stated that the middle grade doctor who discharged Carol at her second attendance on 28 April 2022 was trained at a reputable institute overseas where Royal College guidance was not applicable. He had undergone a significant period of training and familiarisation and assessment at GEH, but it was not clear as to the way in which his understanding and appreciation of the appropriate guidelines had been assessed. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Lack of familiarity with guidance requiring consultant discussion of unexpected returns within 72 hours

Wider context from the report

“(1) The subsequent investigation by GEH highlighted two areas which needed addressing: • The need to raise awareness of subarachnoid haemorrhage masquerading as a migraine and the need to investigate possible neurological findings. This had been done by means of discussions in meetings and a poster displayed in a staff area. • Doctors were not familiar with the Royal College Guidance that there is a need to discuss with a consultant, all patients who unexpectedly return within 72 hours of discharge from the emergency department. This had been done by circulating an aide memoire to be given to those in training and existing members of the department. ”

Is this part of a recurring concern?

Yes — Delays in consultant review of patients; Unreliable consultant review of patients unexpectedly returning after discharge; Unreliable management of patients returning to emergency departments soon after discharge.

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

Lack of checks that staff have considered and understood safety material

Wider context from the report

“(6) Although staff members would have the opportunity of accessing the material, there did not appear to be any checks to ensure that staff members had considered and understood the material provided. ”

Is this part of a recurring concern?

Yes — Unreliable staff access to and understanding of safety-critical guidance.

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

Failure to ensure all doctors receive learning-point discussions

Wider context from the report

“(4) It did not appear that all doctors would have been present at meetings where the learning points were discussed. ”

Is this part of a recurring concern?

Yes — Unreliable dissemination of safety-critical clinical guidance and learning.

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

Failure to give patient-critical guidance appropriate prominence

Wider context from the report

“(3) The document (described as an aide memoire) which notified all doctors of the Royal College Guidance referred to other matters such as punctuality and staff sick leave. Matters critical to patient care were not clearly identified and given appropriate prominence. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Failure to embed patient-safety learning and convey it to new senior team members

Wider context from the report

“(5) The evidence made it clear that the individuals concerned had subsequently undergone appropriate training and reflection to avoid any recurrence. However, it was less clear how either learning point identified would be embedded in the team as a whole and conveyed to new members joining the team, particularly those joining the team at a more senior level, who would not previously have operated within the guidelines. ”

Is this part of a recurring concern?

Yes — Failure to reliably disseminate contextualised safety learning to relevant staff.

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

Lack of awareness of subarachnoid haemorrhage masquerading as migraine and possible neurological findings

Wider context from the report

“(1) The subsequent investigation by GEH highlighted two areas which needed addressing: • The need to raise awareness of subarachnoid haemorrhage masquerading as a migraine and the need to investigate possible neurological findings. This had been done by means of discussions in meetings and a poster displayed in a staff area. • Doctors were not familiar with the Royal College Guidance that there is a need to discuss with a consultant, all patients who unexpectedly return within 72 hours of discharge from the emergency department. This had been done by circulating an aide memoire to be given to those in training and existing members of the department. ”

Is this part of a recurring concern?

Yes — Unsafe recognition and management of subarachnoid haemorrhage.

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

Review and revise the clinical aid memoire to place clinically essential information first.

Verbatim wording from the response

“The aid memoire provided to the court was an example of key learning that was shared as part of a comprehensive induction and following learning from Mrs Welch’s case. The aid memoire captured essential information and was not in order of priority. In consideration of your comments regarding the aid memoire, this has been reviewed and revised to ensure all clinically essential information is at the top.”

Source location

Response from George Eliot Hospital
Page 3 · response
Published 16 January 2023

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

Develop shared server and intranet locations so staff can access incident-learning reports and written materials.

Verbatim wording from the response

“It is recognised that if an individual wishes to access reports or written material on learning in their own time that at the time of this incident these documents were kept within a restricted folder on our Trust server. To ensure that meeting reports are accessible to all staff for the purpose of learning the directorate is exploring a shared drive on its server and a shared area on its staff intranet platform, so these are easily accessible as the documents do not hold any patient identifiable details.”

Source location

Response from George Eliot Hospital
Page 3 · response
Published 16 January 2023

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

Work with Information Technology to add a 72-hour reattendance alert requiring consultant advice before discharge.

Verbatim wording from the response

“The Trust has, however, noted that the middle grade doctor in question did not follow the appropriate guidance of referring to a consultant if a patient returns to the department within 72 hours with the same clinical condition. The Trust is currently working with its Information Technology Department to add an alert to the Clinical Portal used by UEC to flag/highlight if the patient reattends within 72 hours and mandate that the doctor should seek advice from a consultant prior to discharging the patient from the department. We believe this additional safety measure would prevent future harm in this group of patients who are at higher risk.”

Source location

Response from George Eliot Hospital
Page 4 · response
Published 16 January 2023

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

Audit patients reattending within 72 hours for consultant referral before discharge and share the findings within UEC and at Trust-wide Audit Day.

Verbatim wording from the response

“UEC are in the process of conducting an audit to review patients that have reattended within 72 hours to see whether they were referred to a consultant prior to discharge. The outcome of this review will be shared within UEC and will also be presented at the Trust Wide Audit Day.”

Source location

Response from George Eliot Hospital
Page 4 · response
Published 16 January 2023

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

Requiring every clinician to confirm reading each guideline is considered impractical because of the high volume and risk of becoming a tick-box exercise.

Verbatim wording from the response

“have Royal College Guidelines and NICE Guidelines applicable. Hyperlinks to both of these websites are easily accessible on the department’s bespoke intranet page. The Trust has proactively considered asking every clinician to sign to confirm that they have read each guideline but at this time believe that due to the high volume of applicable guidelines it would be impractical to achieve and worse still it could turn into a tick box exercise.”

Source location

Response from George Eliot Hospital
Page 4 · response
Published 16 January 2023

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

Clinical supervision, monthly reviews and annual appraisals are considered sufficient to monitor doctors’ performance, support and training needs.

Verbatim wording from the response

“Each junior and middle grade doctor within the Trust has an assigned Clinical Supervisor who is appropriately trained and responsible for overseeing the junior/middle grade doctors’ clinical work. The Clinical Supervisors at the Trust are always at a consultant level. The Clinical Supervisors have monthly meetings where they discuss each doctor to review their clinical work, ascertain how well they are doing and whether they require additional support or training in certain fields. In addition, all junior and middle grade doctors also have appraisals undertaken by a trained Appraiser on an annual basis where their performance including training is monitored to ensure they are compliant.”

Source location

Response from George Eliot Hospital
Page 2 · response
Published 16 January 2023

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

Overseas-qualified doctors undergo Royal College accreditation, including assessment of familiarity with relevant guidance, on the same basis as UK-trained doctors.

Verbatim wording from the response

“When the Trust receives an application from a doctor our People and Recruitment Department will check the official GMC registration to ensure the doctor is appropriately registered and holds the relevant qualifications and license to practice in the UK. The doctor in Mrs Welch’s case was registered with the GMC in April 2020. In addition, this doctor became a member of the Royal College of Emergency Medicine before they started working at this Trust in September 2020. Accordingly, the doctor will have been assessed as competent by the Royal College as part of their registration and accreditation process in exactly the same way a UK trained doctor would be assessed. This accreditation includes an assessment of familiarity with relevant Royal College guidance.”

Source location

Response from George Eliot Hospital
Page 2 · response
Published 16 January 2023

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

Official responses located
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Data last updated 7 September 2026