PFD report

Stanley SAMPEY · Prevention of Future Deaths report

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Issued 18 May 2016•Warwickshire

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. Unavailability of working suction equipment on wards
    Part of recurring concern: Failure to ensure essential clinical equipment and supplies are available and serviceable
  2. Lack of an effective procedure for checking suction equipment on wards
    Part of recurring concern: Failure to ensure essential clinical equipment and supplies are available and serviceable
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

Unavailability of working suction equipment on wards

Wider context from the report

“1. There was no working available suction equipment on the Ward to manage the patient’s airway at the time of the cardiac arrest. ”

Is this part of a recurring concern?

Yes — Failure to ensure essential clinical equipment and supplies are available and serviceable.

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

Lack of an effective procedure for checking suction equipment on wards

Wider context from the report

“2. There was a lack of any structured checking procedure in place to ensure working suction equipment on wards. 3. The battery on the portable suction unit was found to be flat and the checking procedure was incorrect. ”

Is this part of a recurring concern?

Yes — Failure to ensure essential clinical equipment and supplies are available and serviceable.

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