PFD report

Billie Jonathan LORD · Prevention of Future Deaths report

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Issued 1 Nov 2018•Milton Keynes

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
1

Of 1 recipient

Stated actions
1

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 provide single-room accommodation for in-patient mental health patients
    Part of recurring concern: Failure to provide safe accommodation for inpatient mental health patients
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 provide single-room accommodation for in-patient mental health patients

Wider context from the report

“During the course of the evidence I was informed by an independent expert that it is recognised that patients admitted to an in-patient mental health facility, such as the Campbell Centre, should be cared for in single rooms and that three bedded dormitory accommodation is inappropriate since in this particular case it added to the level of stress suffered by the patient. Consideration should be given to a review of the accommodation provided at the Campbell Centre, and whether alterations can be carried out to bring the accommodation up to modern standards as recommended by the Royal College of Psychiatrists. ”

Is this part of a recurring concern?

Yes — Failure to provide safe accommodation for inpatient mental health patients.

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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.1

  1. 1

    Conduct regular meetings with CNWL to assure patient safety, assess service and pathway effectiveness, and monitor progress on serious incident and improvement action plans.

    Stated by Milton Keynes CCGStated in progressThe respondent said that this action was in progress when they made their response on 6 March 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

Conduct regular meetings with CNWL to assure patient safety, assess service and pathway effectiveness, and monitor progress on serious incident and improvement action plans.

Verbatim wording from the response

“In addition, MKCCGs Mental Health Commissioner and Quality Team members regularly meet with CNWL to gain assurance regarding all aspects of patient safety and the effectiveness of related services and pathways as well as to monitor progress against action plans for Serious Incidents and other areas requiring improvement.”

Source location

2018-0338-Response-by-Milton-Keynes-CCG
Page 1 · response
Published 6 March 2019

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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