PFD report

Chloe Grace FLAVELL · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 6 Jan 2014•Avon

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.

View original report
Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
2

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

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

Concerns raised1

  1. Delays in reception-area management before triage for people needing immediate care and treatment
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.2

  1. Action

    Establish new pathways for managing paediatric patients entering the Emergency Department.

    Stated by Bristol NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 6 January 2014.
  2. Action

    Establish a Clinical Navigator role to identify children at Emergency Department reception and fast-track them to appropriate pathways.

    Stated by Bristol NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 6 January 2014.

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

Delays in reception-area management before triage for people needing immediate care and treatment

Wider context from the report

“It became apparent during the evidence that the management of the reception area, i.e. the stage before triage, could add significant delay when assessing someone who was in need of immediate care and treatment especially a child. I therefore indicated at the conclusion of the inquest that I would write to the Trust about the management of the reception area for them to consider whether there ought to be a better system in place to ensure that those needing immediate care and treatment, especially children, are managed in a more appropriate and efficient way to minimise delay and ensure that immediate care and treatment is given ”

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

Establish new pathways for managing paediatric patients entering the Emergency Department.

Verbatim wording from the response

“For your further assurance I enclose a copy of a summary paper of actions taken around paediatrics and presented to the Board on 7th January. Within this paper you will see the new pathways along which paediatric patients can be managed. I would draw your particular attention to the role of the Clinical Navigator. This individual, stationed opposite the reception area in the Emergency Department, has the responsibility of scanning patients as they come into the Department and actively seeking out children who will then be fast tracked along whatever pathway seems most appropriate.”

Source location

Flavell-2014-0003R_Redacted
Page 1 · response
Published 6 January 2014

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

Establish a Clinical Navigator role to identify children at Emergency Department reception and fast-track them to appropriate pathways.

Verbatim wording from the response

“For your further assurance I enclose a copy of a summary paper of actions taken around paediatrics and presented to the Board on 7th January. Within this paper you will see the new pathways along which paediatric patients can be managed. I would draw your particular attention to the role of the Clinical Navigator. This individual, stationed opposite the reception area in the Emergency Department, has the responsibility of scanning patients as they come into the Department and actively seeking out children who will then be fast tracked along whatever pathway seems most appropriate.”

Source location

Flavell-2014-0003R_Redacted
Page 1 · response
Published 6 January 2014

Open published response
Back to top

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