PFD report

Terry Stapleton Latimer · Prevention of Future Deaths report

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Issued 1 Jun 2016•North Lincolnshire and Grimsby

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
0

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.

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Concerns and recipient responses

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Concerns raised2

  1. Lack of clarity about whether safeguarding notices require follow-up
    Part of recurring concern: Failure to act appropriately on safeguarding referrals and notices
  2. Failure to act appropriately on safeguarding notices
    Part of recurring concern: Failure to act appropriately on safeguarding referrals and notices
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

Lack of clarity about whether safeguarding notices require follow-up

Wider context from the report

“The safeguarding notice was not acted upon either at all or appropriately. In particular a request accompanying the notice that the case be referred to Mental Health Services was not complied with. Evidence indicates lack of clarity in understanding whether the notice is just for information or should be followed up. ”

Is this part of a recurring concern?

Yes — Failure to act appropriately on safeguarding referrals and notices.

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 act appropriately on safeguarding notices

Wider context from the report

“The safeguarding notice was not acted upon either at all or appropriately. In particular a request accompanying the notice that the case be referred to Mental Health Services was not complied with. Evidence indicates lack of clarity in understanding whether the notice is just for information or should be followed up. ”

Is this part of a recurring concern?

Yes — Failure to act appropriately on safeguarding referrals and notices.

Open source report
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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