PFD report

Shyama Vadwatee RAMPADARUTH · Prevention of Future Deaths report

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Issued 11 Dec 2020•Inner North London

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
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
5

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

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

Concerns raised1

  1. Failure to make suitable interim arrangements for a frail patient during prolonged transfer delays
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

Failure to make suitable interim arrangements for a frail patient during prolonged transfer delays

Wider context from the report

“However, this meant that Ms Rampadaruth had to wait for approximately six hours on a hard chair in a hospital waiting area. This is clearly sub optimal for the health of a frail, elderly lady with multiple co-morbidities. The patient transfer service is likely to have been busy, but Ms Rampadaruth and her husband lived nearby. Her niece, who was very involved with her care, works locally. A quick call to a family member would have resulted in immediate arrangements being made to collect Ms Rampadaruth, bring her home to sit in comfort with familiar company and her usual food and drink, and then to return her when hospital staff were ready to begin her dialysis. Her general well being could have been so enhanced by just a small change to administrative arrangements. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.5

  1. 1

    Plan increased dialysis capacity and seek the resources required to enable it.

    Stated by Barts Health NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 January 2021.
  2. 2

    Provide the renal team with portable dialysis machines to increase flexibility for urgent isolated dialysis.

    Stated by Barts Health NHS TrustStated completedThe respondent said that this action was complete when they made their response on 14 January 2021.
  3. 3

    Swab all dialysis patients weekly to identify asymptomatic Covid cases and support planned isolation and cohorting.

    Stated by Barts Health NHS TrustStated completedThe respondent said that this action was complete when they made their response on 14 January 2021.
  4. 4

    Vaccinate dialysis patients when they attend their sessions.

    Stated by Barts Health NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 January 2021.
  5. 5

    Advocate strongly for vaccination of the vulnerable dialysis patient cohort.

    Stated by Barts Health NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 January 2021.

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

Plan increased dialysis capacity and seek the resources required to enable it.

Verbatim wording from the response

“The dialysis service runs at over 99% capacity and so a lack of reserve does make managing dialysis safely through the pandemic extremely challenging. They are therefore actively planning to increase capacity and are seeking the resources needed to enable this.”

Source location

2021-0005-Response-from-Barts-Health-NHS-Trust-Redacted-1
Page 2 · response
Published 14 January 2021

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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

Provide the renal team with portable dialysis machines to increase flexibility for urgent isolated dialysis.

Verbatim wording from the response

“I would like to assure you that since that day a significant number of actions have taken place to improve the experience of patients attending dialysis. All dialysis patients are now swabbed weekly so Covid cases are picked up on asymptomatic patients. This has allowed us to isolate and cohort Covid positive patients in a more planned fashion than Ms Rampaduth experienced during the first wave and we have, so far, been able to keep all our covid positive dialysis on a single site. Additionally the renal team now have access to portable dialysis machines that were not available during the first surge in March and April 2020. This has given the team more flexibility in arranging urgent isolated dialysis when needed.”

Source location

2021-0005-Response-from-Barts-Health-NHS-Trust-Redacted-1
Page 1 · response
Published 14 January 2021

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

Swab all dialysis patients weekly to identify asymptomatic Covid cases and support planned isolation and cohorting.

Verbatim wording from the response

“I would like to assure you that since that day a significant number of actions have taken place to improve the experience of patients attending dialysis. All dialysis patients are now swabbed weekly so Covid cases are picked up on asymptomatic patients. This has allowed us to isolate and cohort Covid positive patients in a more planned fashion than Ms Rampaduth experienced during the first wave and we have, so far, been able to keep all our covid positive dialysis on a single site. Additionally the renal team now have access to portable dialysis machines that were not available during the first surge in March and April 2020. This has given the team more flexibility in arranging urgent isolated dialysis when needed.”

Source location

2021-0005-Response-from-Barts-Health-NHS-Trust-Redacted-1
Page 1 · response
Published 14 January 2021

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

Vaccinate dialysis patients when they attend their sessions.

Verbatim wording from the response

“Finally the renal team recognise that vaccinating their vulnerable cohort of patients is likely to be the best strategy to prevent future deaths among their vulnerable cohort of patients. They have been strongly advocating for this and I am pleased to say we have started vaccinating the dialysis patients when they attend for their sessions.”

Source location

2021-0005-Response-from-Barts-Health-NHS-Trust-Redacted-1
Page 2 · response
Published 14 January 2021

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

Advocate strongly for vaccination of the vulnerable dialysis patient cohort.

Verbatim wording from the response

“Finally the renal team recognise that vaccinating their vulnerable cohort of patients is likely to be the best strategy to prevent future deaths among their vulnerable cohort of patients. They have been strongly advocating for this and I am pleased to say we have started vaccinating the dialysis patients when they attend for their sessions.”

Source location

2021-0005-Response-from-Barts-Health-NHS-Trust-Redacted-1
Page 2 · response
Published 14 January 2021

Open published response
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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