PFD report

Graham James Sutton · Prevention of Future Deaths report

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Issued 24 Feb 2014•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
1

Raised in this report

Recipients
1

Named on the report

Responses found
0

Of 1 recipient

Stated actions
0

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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Concerns raised1

  1. Failure to automatically link fall height, age and anti-clotting medication use to an eight-minute ambulance response
    Part of recurring concern: Delays in ambulance attendancePart of recurring concern: Unreliable ambulance dispatch and resource-allocation controls
Responses linked to these concerns

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

No linked response statements

No respondent-stated action or position is clearly linked to these concerns.

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 automatically link fall height, age and anti-clotting medication use to an eight-minute ambulance response

Wider context from the report

“The fact that Mr Sutton had fallen as little as 5 feet, that he was over 50 years old and that he was taking anti-clotting medications, (Clopidogrel), were not linked automatically by the London Ambulance Service to result in a response within 8 minutes. ”

Is this part of a recurring concern?

Yes — Delays in ambulance attendance; Unreliable ambulance dispatch and resource-allocation controls.

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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