PFD report

Samantha Singh · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 2 Jul 2021•East 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.

View original report
Concerns
4

Raised in this report

Recipients
2

Named on the report

Responses found
0

Of 2 recipients

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.

Open published report

Concerns and recipient responses

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

Concerns raised4

  1. Failure to offer follow-up appointments for allergy-related issues
    Part of recurring concern: Unreliable arrangement and communication of patient appointments and follow-up
  2. Failure to prescribe at least two EpiPens
    Part of recurring concern: Unsafe medication prescribing
  3. Failure to refer allergy patients to an allergy clinic
    Part of recurring concern: Failure to reliably refer patients to required specialist services
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 offer follow-up appointments for allergy-related issues

Wider context from the report

“(3) Following the appointment on 27 November 2019 Miss Singh was not referred to allergy clinic or offered a follow-up appointment to address issues arising from her allergy diagnosis. ”

Is this part of a recurring concern?

Yes — Unreliable arrangement and communication of patient appointments and follow-up.

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 prescribe at least two EpiPens

Wider context from the report

“(2) At a GP appointment on 27 November 2019, Miss Singh was prescribed a single EpiPen. NICE guidance at the time indicated that no fewer than two epi-pens should be prescribed to a patient. ”

Is this part of a recurring concern?

Yes — Unsafe medication prescribing.

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 refer allergy patients to an allergy clinic

Wider context from the report

“(3) Following the appointment on 27 November 2019 Miss Singh was not referred to allergy clinic or offered a follow-up appointment to address issues arising from her allergy diagnosis. ”

Is this part of a recurring concern?

Yes — Failure to reliably refer patients to required specialist services.

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 accurately categorise RAST test results

Wider context from the report

“(1) Results of Miss Singh’s RAST test were wrongly categorised by the surgery as normal. As such, no further action was indicated by the surgery. It was only Miss Singh’s perseverance that led to a follow-up appointment being arranged to discuss the results with her GP where the mistake was discovered ”

Is this part of a recurring concern?

Yes — Failure to ensure clinical investigation results are reliably available, interpreted and acted upon.

Open source report
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