PFD report

Rosa ANDERSON · Prevention of Future Deaths report

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Issued 17 Oct 2013•Liverpool

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
3

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 to provide written post-operative discharge information and advice
    Part of recurring concern: Unreliable hospital discharge documentation
  2. Failure to provide a discharge summary
    Part of recurring concern: Unreliable hospital discharge documentationPart of recurring concern: Unreliable hospital discharge processes
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.3

  1. Action

    Provide procedure-specific written discharge advice to patients undergoing laparoscopic and hiatus hernia surgery.

    Stated by Liverpool University Hospitals NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 17 October 2013.
  2. Action

    Implement generic discharge-information leaflets for all Trust inpatients where procedure-specific information is unavailable.

    Stated by Liverpool University Hospitals NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 17 October 2013.
  3. Action

    Develop and implement individualized discharge-information sheets for specialties requiring them.

    Stated by Liverpool University Hospitals NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 17 October 2013.

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 provide written post-operative discharge information and advice

Wider context from the report

“During the course of the Inquest it was evident that Mrs Anderson was not given a discharge summary when discharged on 30th April 2013. Further, she was given no written information about her recent laparoscopic operation, contact telephone numbers for advice, nor were matters highlighted that required urgent medical assistance. ”

Is this part of a recurring concern?

Yes — Unreliable hospital discharge documentation.

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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

Failure to provide a discharge summary

Wider context from the report

“During the course of the Inquest it was evident that Mrs Anderson was not given a discharge summary when discharged on 30th April 2013. Further, she was given no written information about her recent laparoscopic operation, contact telephone numbers for advice, nor were matters highlighted that required urgent medical assistance. ”

Is this part of a recurring concern?

Yes — Unreliable hospital discharge documentation; Unreliable hospital discharge processes.

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

Provide procedure-specific written discharge advice to patients undergoing laparoscopic and hiatus hernia surgery.

Verbatim wording from the response

“I can confirm that there is now a discharge advice sheet in place, appropriate for these laparoscopic procedures and this is provided to all relevant patients prior to discharge. This discharge advice is generic for patients undergoing short stay surgery. There is also a separate patient information leaflet for patients having hiatus hernia surgery and this is given to patients pre-operatively. This also includes discharge advice for that specific group of patients.”

Source location

2013-0263-Response-by-Aintree-University-Hospital
Page 1 · response
Published 17 October 2013

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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

Implement generic discharge-information leaflets for all Trust inpatients where procedure-specific information is unavailable.

Verbatim wording from the response

“Action is also being taken to ensure that appropriate written advice is provided to all inpatients of the Trust (both Surgical and Medical) prior to discharge. A number of generic leaflets have been produced intending to cover all patients on discharge where a procedure specific information leaflet is not available. This will be implemented by 1 January 2014.”

Source location

2013-0263-Response-by-Aintree-University-Hospital
Page 1 · response
Published 17 October 2013

Open published response

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

Develop and implement individualized discharge-information sheets for specialties requiring them.

Verbatim wording from the response

“In addition, a number of specialties are looking at developing their own individualised discharge information sheets and action is being taken to ensure that in such cases this is fully implemented by 1 March 2014. In the meantime, in such cases, the appropriate generic information leaflet will be provided to the patient.”

Source location

2013-0263-Response-by-Aintree-University-Hospital
Page 1 · response
Published 17 October 2013

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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