PFD report

Rosalind Jane Anne Bernadette Baird · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 2 Sep 2015•Portsmouth and South East Hampshire

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
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.

Open published report

Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Lack of formal monitoring schemes for inexperienced surgeons carrying out surgical procedures
    Part of recurring concern: Unsafe assurance of doctors' procedural competence
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 formal monitoring schemes for inexperienced surgeons carrying out surgical procedures

Wider context from the report

“At the time of Mrs Baird's nephrectomy there was no formal scheme for the monitoring of inexperienced surgeons carrying out surgical procedures. Since that time, Queen Alexandra Hospital has adopted a formal scheme (see attached). I was told that such schemes are not widespread in England and no such scheme has been formulated at national level. To help prevent deaths in circumstances similar to those of Mrs Baird, consideration should be given to a national monitoring scheme for inexperienced consultant surgeons being compiled using the Queen Alexandra Hospital scheme as an example of good practice. ”

Is this part of a recurring concern?

Yes — Unsafe assurance of doctors' procedural competence.

Open source report
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