PFD report

Alaynah Khadija AHMED · Prevention of Future Deaths report

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Issued 2 Dec 2021•Inner North 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.

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Concerns
2

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 raised2

  1. Failure of school staff to attempt cardiopulmonary resuscitation when a child becomes unresponsive
    Part of recurring concern: Unreliable emergency response to patient collapse
  2. Lack of cardiopulmonary resuscitation training for school teaching assistants
    Part of recurring concern: Failure to ensure staff competence in resuscitation
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.1

  1. Action

    Deliver Basic Life Support and CPR training to 70 staff on 12 and 14 January 2022 as part of regular training.

    Stated by Swiss Cottage School - Development & Research CentreStated plannedThe respondent said that this action was planned when they made their response on 8 December 2021.

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 of school staff to attempt cardiopulmonary resuscitation when a child becomes unresponsive

Wider context from the report

“I heard that the teaching assistant looking after Khadija was not trained by the school in cardiopulmonary resuscitation and that, when Khadija became unresponsive, CPR was not attempted by any staff member. It is highly unlikely that CPR would have changed the outcome for Khadija. The cause of her cardiac arrest was an airway compromised by mucous plugging, that even a highly trained paramedic crew was unable to clear. However, CPR might make a difference for another child, or even for a staff member. To put the lack of CPR in context, the care that Khadija received from the school before the arrest seemed to be of a very high standard, even drawing comment from a paediatric intensive care consultant giving evidence at inquest. He told me that many nurses at Great Ormond Street Hospital would not have been able to administer the treatment that Khadija’s teaching assistant did on 1 July 2021. She was quick to recognise that something was wrong and quick to act appropriately. However, it seems to me that the school would benefit from consideration being given to frequent CPR training. ”

Is this part of a recurring concern?

Yes — Unreliable emergency response to patient collapse.

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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

Lack of cardiopulmonary resuscitation training for school teaching assistants

Wider context from the report

“I heard that the teaching assistant looking after Khadija was not trained by the school in cardiopulmonary resuscitation and that, when Khadija became unresponsive, CPR was not attempted by any staff member. It is highly unlikely that CPR would have changed the outcome for Khadija. The cause of her cardiac arrest was an airway compromised by mucous plugging, that even a highly trained paramedic crew was unable to clear. However, CPR might make a difference for another child, or even for a staff member. To put the lack of CPR in context, the care that Khadija received from the school before the arrest seemed to be of a very high standard, even drawing comment from a paediatric intensive care consultant giving evidence at inquest. He told me that many nurses at Great Ormond Street Hospital would not have been able to administer the treatment that Khadija’s teaching assistant did on 1 July 2021. She was quick to recognise that something was wrong and quick to act appropriately. However, it seems to me that the school would benefit from consideration being given to frequent CPR training. ”

Is this part of a recurring concern?

Yes — Failure to ensure staff competence in resuscitation.

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

Deliver Basic Life Support and CPR training to 70 staff on 12 and 14 January 2022 as part of regular training.

Verbatim wording from the response

“I am writing to confirm that the school is completing this recommendation on 12th January, 14th January, and within our annual training cycle.”

Source location

2021-0410-Response-from-Swiss-Cottage-School_Published
Page 1 · response
Published 8 December 2021

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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