Eileen SMITH · Prevention of Future Deaths report

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Issued 12 Aug 2015•Hertfordshire

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
0

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

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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

Concerns raised0

    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. Department of Health and Social Care

      Provide links to patient-safety and learning-disability hospital-care guidance and good-practice resources.

    Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

    1. Department of Health and Social Care

      Introducing a purple-folder or similar system in England is an operational matter for NHS England and individual NHS trusts.

      Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
    2. Department of Health and Social Care

      Deployment of a similar purple-folder system in Wales is the responsibility of the Welsh Assembly.

      Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

    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

    Provide links to patient-safety and learning-disability hospital-care guidance and good-practice resources.

    Verbatim wording from the response

    “I can advise that both the National Patient Safety Agency (NPSA) and the National Institute for Health and Care Excellence (NICE) have issued guidance in this area. Links are provided in the annex to this letter. NHS England is currently working on how better to escalate and respond to patient concerns. Work continues with the Royal College of Physicians to examine the system of care based around the Early Warning Score process.”

    Source location

    2015-0500-Response-by-Department-of-Health
    Page 1 · response
    Published 12 August 2015

    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

    Introducing a purple-folder or similar system in England is an operational matter for NHS England and individual NHS trusts.

    Verbatim wording from the response

    “The purple folder system is similar to this but is intended for those patients with a learning disability who require hospital treatment. Introducing a ‘purple folder’ or similar system in the NHS is an operational matter for NHS England and individual NHS Trusts to consider. NHS England is aware of your letter and I am making an inquiry of them to gauge the urgency of their response.”

    Source location

    2015-0500-Response-by-Department-of-Health
    Page 2 · response
    Published 12 August 2015

    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

    Deployment of a similar purple-folder system in Wales is the responsibility of the Welsh Assembly.

    Verbatim wording from the response

    “You suggest that something similar should be deployed throughout England and Wales. The NHS in Wales is however the responsibility of the Welsh Assembly.”

    Source location

    2015-0500-Response-by-Department-of-Health
    Page 2 · response
    Published 12 August 2015

    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

    Data last updated 7 September 2026