Rosalind Jane Anne Bernadette Baird · Prevention of Future Deaths report

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Issued 2 Sep 2015•Portsmouth and South East Hampshire

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
0

Of 1 recipient

Stated actions
0

Described in responses

Full report text

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Concerns and recipient responses

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Report evidence summary

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
No response statements

No respondent-stated action or position is included in the published responses for this 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 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.

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026

No official response is included in the current published snapshot.