PFD report

Harrison Colin Hassall · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 12 May 2020•Leicester City and South Leicestershire

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
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 raised1

  1. Failure to ensure midwives have sufficient experience before taking up community posts
    Part of recurring concern: Inadequate competence assurance and supervision for inexperienced midwives
Responses linked to these concerns

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

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    Employers are responsible for designing and delivering preceptorship programmes for newly registered midwives.

    Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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 ensure midwives have sufficient experience before taking up community posts

Wider context from the report

“It was highlighted in evidence that midwives may be permitted to work in the community too soon after qualifying and therefore may not have enough experience. The University Hospital of Leicester NHS Trust have indicated that they will be reviewing the appropriate Grade that a midwife should have attained before taking up a community post. This is not a matter that is relevant to only Leicester. ”

Is this part of a recurring concern?

Yes — Inadequate competence assurance and supervision for inexperienced midwives.

Open source report

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

Employers are responsible for designing and delivering preceptorship programmes for newly registered midwives.

Verbatim wording from the response

“Preceptorships provide a period of guidance and support to newly qualified practitioners that supplements formal induction and mandatory training and can positively influence a new registrant’s career, supporting them to become confident professionals. In July 2020, the NMC published principles for preceptorship², to support organisations and employers across the UK to achieve consistently high quality and effective preceptorship for newly registered nurses, midwives and nursing associates in the UK. NHS Trusts and other employers can use the NMC’s recently published principles of preceptorship to design and deliver effective, high quality preceptorship programmes.”

Source location

2020-0111-Response-from-Department-of-Health-and-Social-Care.pdf
Page 2 · response
Published 9 June 2020

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.2

  1. 1

    Approved education institutions develop and deliver midwifery curricula that meet the NMC’s registration standards.

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

    The independent NMC sets midwifery proficiency standards and regulates registrants, including investigating concerns and imposing patient-safety sanctions.

    Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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

Approved education institutions develop and deliver midwifery curricula that meet the NMC’s registration standards.

Verbatim wording from the response

“The NMC sets the standards of proficiency that midwives must demonstrate to enter on its register. Approved Education Institutions (AEIs) develop, deliver and manage educational curricula to meet the NMC’s standards. Community midwives, like all midwives, are required to undertake a minimum of three years theoretical and practical midwifery education and training to acquire the skills, competencies and learning required as a practising midwife, prior to entry to the NMC register.”

Source location

2020-0111-Response-from-Department-of-Health-and-Social-Care.pdf
Page 2 · response
Published 9 June 2020

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

The independent NMC sets midwifery proficiency standards and regulates registrants, including investigating concerns and imposing patient-safety sanctions.

Verbatim wording from the response

“As you will be aware, the Nursing and Midwifery Council (NMC) is the independent regulator of midwives in the UK. Where there are concerns that a midwife is not meeting the standards for skills, education and behaviour required for registration, the NMC can investigate and has the power to impose sanctions on a registrant’s practise to protect patient safety.”

Source location

2020-0111-Response-from-Department-of-Health-and-Social-Care.pdf
Page 2 · response
Published 9 June 2020

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