David John Smart · Prevention of Future Deaths report

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Issued 22 May 2026•West Sussex, Brighton and Hove

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
3

Named on the report

Responses found
3

Of 3 recipients

Stated actions
30

Described in responses

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.

Report evidence summary

Concerns raised1

  1. Failure to provide a designated clinical area for emergency department patients when capacity is reached
    Part of recurring concern: Insufficient emergency-department capacity for timely patient carePart of recurring concern: Unsafe emergency-department crowding leaving patients without appropriate clinical space

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.30

  1. Department of Health and Social Care

    Continue action to improve patient flow across the urgent and emergency care pathway.

  2. Department of Health and Social Care

    Strengthen reporting arrangements for urgent and emergency care pressures.

  3. Department of Health and Social Care

    Provide focused support to the most challenged trusts.

  4. Department of Health and Social Care

    Continue action to reduce avoidable demand on accident and emergency departments.

  5. Department of Health and Social Care

    Continue action to expand available urgent and emergency care capacity.

  6. Department of Health and Social Care

    Begin publishing corridor-care data, subject to data-quality assurance.

  7. Department of Health and Social Care

    Introduce a consistent national definition of corridor care.

  8. University Hospitals Sussex NHS Foundation Trust

    Explore working with NEWTON to decompress the Emergency Department, strengthen Same Day Emergency Care, and improve flow for patients without a criteria to reside.

  9. University Hospitals Sussex NHS Foundation Trust

    Strengthen direct-to-specialty pathways and expand acceptance criteria for patients accepted directly by hospital specialties.

  10. University Hospitals Sussex NHS Foundation Trust

    Operate and regularly review the Hospital Alternative Oversight Programme and its admission-avoidance, flow, discharge, virtual-care, frailty, therapy, and urgent-care initiatives.

  11. University Hospitals Sussex NHS Foundation Trust

    Implement local corridor-care safety measures, including digital observations and prescribing, intentional rounding, corridor standards, high-risk reviews, and dedicated monitoring space.

  12. University Hospitals Sussex NHS Foundation Trust

    Collaborate with the local Mental Health Trust to secure timely mental health admission or avoid Emergency Department attendance.

  13. University Hospitals Sussex NHS Foundation Trust

    Provide rapid specialty in-reach and operate the 3/2/1 bleep system for Emergency Department patients.

  14. University Hospitals Sussex NHS Foundation Trust

    Work with local system partners to reduce corridor care and improve patient flow into and out of the Emergency Department.

  15. University Hospitals Sussex NHS Foundation Trust

    Use ambulatory Emergency Department space effectively to maximise clinical capacity and reduce overcrowding.

  16. University Hospitals Sussex NHS Foundation Trust

    Operate a 24/7 medical Same Day Emergency Care unit to stream suitable patients away from the Emergency Department.

  17. University Hospitals Sussex NHS Foundation Trust

    Operate the Medicine Division’s Continuous Flow Model to move patients earlier from the Acute Floor and reduce Emergency Department admission waits.

  18. University Hospitals Sussex NHS Foundation Trust

    Direct inter-hospital referrals to inpatient beds rather than routing them through the Emergency Department.

  19. University Hospitals Sussex NHS Foundation Trust

    Commence phase two of the Acute Floor Reconfiguration programme in early 2027.

  20. University Hospitals Sussex NHS Foundation Trust

    Discuss implementing a Continuous Flow Model with clinical divisions outside the Medicine Division.

  21. University Hospitals Sussex NHS Foundation Trust

    Complete phase one of the Acute Floor Reconfiguration programme, including opening the new Acute Medical Unit and 24/7 Medical Same Day Emergency Care unit.

  22. University Hospitals Sussex NHS Foundation Trust

    Run Emergency Physician In Charge and corridor huddles continuously to review corridor patients, identify pathways, and escalate risks.

  23. NHS England

    Support providers and Integrated Care Boards to improve hospital flow through faster senior decisions, same-day emergency care and virtual wards.

  24. NHS England

    Provide targeted regional support to systems experiencing the highest levels of patient-flow pressure.

  25. NHS England

    Support providers and Integrated Care Boards to strengthen discharge processes through criteria-led discharge and discharge-to-assess models.

  26. NHS England

    Develop Model Discharge guidance to reduce discharge delays and improve patient flow.

  27. NHS England

    Support providers and Integrated Care Boards to reduce emergency-department demand through community and primary-care alternatives and strengthened admission-avoidance pathways.

  28. NHS England

    Discuss all received Prevention of Future Deaths reports through the Regulation 28 Working Group and share key learning nationally and regionally.

  29. NHS England

    Publish corridor-care data routinely to increase transparency and enable focused intervention where patient-safety risks are greatest.

  30. NHS England

    Publish the Urgent and Emergency Care Plan and Medium-Term Planning Framework setting national expectations to eliminate corridor care.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Department of Health and Social Care

    NHS England is responsible for directly addressing the concerns about corridor care and providing the full response.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  2. University Hospitals Sussex NHS Foundation Trust

    The Trust cannot eradicate corridor care without all partner organisations working together to address the wider system problem.

    Unable to actThe respondent said that a constraint prevented them from taking the relevant action.

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 designated clinical area for emergency department patients when capacity is reached

Wider context from the report

“During the inquest I heard evidence that at the of Mr Smart's attendance to the Emergency Department of the Royal Sussex County Hospital, Brighton that there were around 20 patients in the corridor as the Department had reached capacity and there was no clinical area available to do so. I understand from previous inquests that the area is not designated as a clinical area. I have heard in other inquests relating to deaths prior to June 2025 that is being taken by University Hospitals Sussex NHS Foundation Trust currently to (1) reduce the number of patients who present to the Emergency Department who could be seen by other services in the community and (2) to create an improved patient flow through the Royal Sussex County Hospital. The evidence in this inquest was that, despite these actions, the corridor continues to be used when the Emergency Department reaches capacity. I was also advised that the use of corridors to care for patients is not only an issue at the Royal Sussex County Hospital, Brighton but is used throughout the country. Prevention of Future Death reports in relation to the use of the corridor for patient care was made during investigations into deaths which occurred in December 2022 and February 2025 and the use of the corridor remains ongoing. ”

Is this part of a recurring concern?

Yes — Insufficient emergency-department capacity for timely patient care; Unsafe emergency-department crowding leaving patients without appropriate clinical space.

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

Continue action to improve patient flow across the urgent and emergency care pathway.

Verbatim wording from the response

“The Government and NHS England will continue to take action across the full urgent and emergency care pathway to improve patient flow, expand available capacity, and reduce avoidable demand on accident and emergency departments. This includes focused support for the most challenged trusts, alongside strengthened reporting arrangements and the introduction of a consistent national definition of corridor care to support greater transparency. We will also begin publishing data on corridor care for the first time, subject to assurance of data quality.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

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

Strengthen reporting arrangements for urgent and emergency care pressures.

Verbatim wording from the response

“The Government and NHS England will continue to take action across the full urgent and emergency care pathway to improve patient flow, expand available capacity, and reduce avoidable demand on accident and emergency departments. This includes focused support for the most challenged trusts, alongside strengthened reporting arrangements and the introduction of a consistent national definition of corridor care to support greater transparency. We will also begin publishing data on corridor care for the first time, subject to assurance of data quality.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

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

Provide focused support to the most challenged trusts.

Verbatim wording from the response

“The Government and NHS England will continue to take action across the full urgent and emergency care pathway to improve patient flow, expand available capacity, and reduce avoidable demand on accident and emergency departments. This includes focused support for the most challenged trusts, alongside strengthened reporting arrangements and the introduction of a consistent national definition of corridor care to support greater transparency. We will also begin publishing data on corridor care for the first time, subject to assurance of data quality.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

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

Continue action to reduce avoidable demand on accident and emergency departments.

Verbatim wording from the response

“The Government and NHS England will continue to take action across the full urgent and emergency care pathway to improve patient flow, expand available capacity, and reduce avoidable demand on accident and emergency departments. This includes focused support for the most challenged trusts, alongside strengthened reporting arrangements and the introduction of a consistent national definition of corridor care to support greater transparency. We will also begin publishing data on corridor care for the first time, subject to assurance of data quality.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

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

Continue action to expand available urgent and emergency care capacity.

Verbatim wording from the response

“The Government and NHS England will continue to take action across the full urgent and emergency care pathway to improve patient flow, expand available capacity, and reduce avoidable demand on accident and emergency departments. This includes focused support for the most challenged trusts, alongside strengthened reporting arrangements and the introduction of a consistent national definition of corridor care to support greater transparency. We will also begin publishing data on corridor care for the first time, subject to assurance of data quality.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

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

Begin publishing corridor-care data, subject to data-quality assurance.

Verbatim wording from the response

“The Government and NHS England will continue to take action across the full urgent and emergency care pathway to improve patient flow, expand available capacity, and reduce avoidable demand on accident and emergency departments. This includes focused support for the most challenged trusts, alongside strengthened reporting arrangements and the introduction of a consistent national definition of corridor care to support greater transparency. We will also begin publishing data on corridor care for the first time, subject to assurance of data quality.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

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

Introduce a consistent national definition of corridor care.

Verbatim wording from the response

“The Government and NHS England will continue to take action across the full urgent and emergency care pathway to improve patient flow, expand available capacity, and reduce avoidable demand on accident and emergency departments. This includes focused support for the most challenged trusts, alongside strengthened reporting arrangements and the introduction of a consistent national definition of corridor care to support greater transparency. We will also begin publishing data on corridor care for the first time, subject to assurance of data quality.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

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

Explore working with NEWTON to decompress the Emergency Department, strengthen Same Day Emergency Care, and improve flow for patients without a criteria to reside.

Verbatim wording from the response

“The Trust is currently exploring working with a company (NEWTON) to increase the opportunity for decompressing the EDs, further strengthening the SDECs across the Trust, and improving flow once patients do not have a criteria to reside.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Strengthen direct-to-specialty pathways and expand acceptance criteria for patients accepted directly by hospital specialties.

Verbatim wording from the response

“The key workstreams include strengthening the ‘Direct to Specialty Pathways between the Emergency Department and the Trust’s specialties for patients who are accepted for care directly by the relevant specialty on presentation to the ED. We are continually looking to expand the acceptance criteria to ensure that we are maximising this process. Additionally, we are directing inter-hospital referrals away from the ED and transferring patients directly to the in-patient bed base. We have strengthened our Same Day Emergency Care (SDEC) medical model from a 7 day a week service to a 24/7 unit where patients can be streamed away from the ED and seen and treated on the Acute Medical Unit (AMU). These workstreams have all been overseen through the ED Quality Oversight Group.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Operate and regularly review the Hospital Alternative Oversight Programme and its admission-avoidance, flow, discharge, virtual-care, frailty, therapy, and urgent-care initiatives.

Verbatim wording from the response

“The Hospital Alternative Oversight Programme (HALO) is embedded in daily practice and continues to be reviewed regularly to ensure all opportunities are maximised. This work is aimed at the avoidance of inappropriate hospital admissions, to optimise patient flow through the hospital, and smooth discharge pathways and processes. This includes:”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Implement local corridor-care safety measures, including digital observations and prescribing, intentional rounding, corridor standards, high-risk reviews, and dedicated monitoring space.

Verbatim wording from the response

“We recognise that the contributory factors leading to corridor care are multi-faceted and complex. As these issues involve a multi-agency approach, working alongside our system partners, we acknowledge that eradicating care in non-clinical environments will take considerable time. Therefore, alongside these actions, the ED team is continuing to implement local measures to improve the quality and safety for patients receiving care in these areas. Examples of these are:”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 3 · response
Published 17 July 2026

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

Collaborate with the local Mental Health Trust to secure timely mental health admission or avoid Emergency Department attendance.

Verbatim wording from the response

“There continues to be ongoing collaborative work with the local Mental Health Trust, SPFT to ensure that patients requiring mental health hospital admission are admitted to an appropriate mental health unit as quickly as possible or avoid ED attendance in the first place.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 3 · response
Published 17 July 2026

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

Provide rapid specialty in-reach and operate the 3/2/1 bleep system for Emergency Department patients.

Verbatim wording from the response

“All specialties in-reach to the ED and we operate a 3/2/1 bleep system to ensure this is fast and effective. We continue to run ‘Emergency Physician In Charge’ (EPIC) huddles and Corridor huddles multiple times a day 24/7 days a week. These allow line-by-line reviews of every patient in the corridor to ensure all appropriate pathways are considered; this is known as check and challenge and provides live escalation.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Work with local system partners to reduce corridor care and improve patient flow into and out of the Emergency Department.

Verbatim wording from the response

“The use of Emergency Department (ED) corridors to care for patients is a significant national problem. The Executive team is working closely with very senior members of the local ICB (Integrated Care Board), CQC (Care Quality Commission), local mental health Trust, and social care providers to tackle the problem. As a Trust we cannot solve the problem without all partner organisations working together. I am so sorry you have had the need to write to us again with your concerns and I too share these concerns.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Use ambulatory Emergency Department space effectively to maximise clinical capacity and reduce overcrowding.

Verbatim wording from the response

“We continue to use ambulatory space as effectively as possible across the ED to maximise clinical space and reduce overcrowding.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 3 · response
Published 17 July 2026

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

Operate a 24/7 medical Same Day Emergency Care unit to stream suitable patients away from the Emergency Department.

Verbatim wording from the response

“The key workstreams include strengthening the ‘Direct to Specialty Pathways between the Emergency Department and the Trust’s specialties for patients who are accepted for care directly by the relevant specialty on presentation to the ED. We are continually looking to expand the acceptance criteria to ensure that we are maximising this process. Additionally, we are directing inter-hospital referrals away from the ED and transferring patients directly to the in-patient bed base. We have strengthened our Same Day Emergency Care (SDEC) medical model from a 7 day a week service to a 24/7 unit where patients can be streamed away from the ED and seen and treated on the Acute Medical Unit (AMU). These workstreams have all been overseen through the ED Quality Oversight Group.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Operate the Medicine Division’s Continuous Flow Model to move patients earlier from the Acute Floor and reduce Emergency Department admission waits.

Verbatim wording from the response

“The Continuous Flow Model is embedded within the Medicine Division and continues to ensure earlier movement of patients from the Acute Floor and reducing the time patients are waiting in the ED for admission to a ward. There are ongoing discussions with clinical Divisions outside the Medicine Division to implement a similar model.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 3 · response
Published 17 July 2026

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

Direct inter-hospital referrals to inpatient beds rather than routing them through the Emergency Department.

Verbatim wording from the response

“The key workstreams include strengthening the ‘Direct to Specialty Pathways between the Emergency Department and the Trust’s specialties for patients who are accepted for care directly by the relevant specialty on presentation to the ED. We are continually looking to expand the acceptance criteria to ensure that we are maximising this process. Additionally, we are directing inter-hospital referrals away from the ED and transferring patients directly to the in-patient bed base. We have strengthened our Same Day Emergency Care (SDEC) medical model from a 7 day a week service to a 24/7 unit where patients can be streamed away from the ED and seen and treated on the Acute Medical Unit (AMU). These workstreams have all been overseen through the ED Quality Oversight Group.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Commence phase two of the Acute Floor Reconfiguration programme in early 2027.

Verbatim wording from the response

“Hospital, is well underway. The first phase has now been completed with the opening of the new Acute Medical Unit and 24/7 Medical SDEC (same day emergency care). Phase 2 is scheduled to commence in early 2027.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 4 · response
Published 17 July 2026

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

Discuss implementing a Continuous Flow Model with clinical divisions outside the Medicine Division.

Verbatim wording from the response

“The Continuous Flow Model is embedded within the Medicine Division and continues to ensure earlier movement of patients from the Acute Floor and reducing the time patients are waiting in the ED for admission to a ward. There are ongoing discussions with clinical Divisions outside the Medicine Division to implement a similar model.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 3 · response
Published 17 July 2026

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

Complete phase one of the Acute Floor Reconfiguration programme, including opening the new Acute Medical Unit and 24/7 Medical Same Day Emergency Care unit.

Verbatim wording from the response

“Our Acute Floor Reconfiguration, which is a £48 million capital improvement programme to improve patient and staff experience at the Royal Sussex County”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 3 · response
Published 17 July 2026

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

Run Emergency Physician In Charge and corridor huddles continuously to review corridor patients, identify pathways, and escalate risks.

Verbatim wording from the response

“All specialties in-reach to the ED and we operate a 3/2/1 bleep system to ensure this is fast and effective. We continue to run ‘Emergency Physician In Charge’ (EPIC) huddles and Corridor huddles multiple times a day 24/7 days a week. These allow line-by-line reviews of every patient in the corridor to ensure all appropriate pathways are considered; this is known as check and challenge and provides live escalation.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

Support providers and Integrated Care Boards to improve hospital flow through faster senior decisions, same-day emergency care and virtual wards.

Verbatim wording from the response

“Alongside this, NHS England has been and continues to support providers and Integrated Care Boards (ICBs) to improve internal hospital flow through faster senior clinical decision-making, increased use of same day emergency care and virtual wards, and more effective management of patient pathways. The plan also aims to reduce demand on emergency departments through improved access to community and primary care alternatives and strengthened admission avoidance pathways, so that patients can be assessed and treated in the most appropriate setting.”

Source location

Response from NHS England
Page 1 · response
Published 17 July 2026

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

Provide targeted regional support to systems experiencing the highest levels of patient-flow pressure.

Verbatim wording from the response

“To strengthen oversight and drive improvement, NHS England is working through regional teams to provide targeted support to systems experiencing the highest levels of flow pressure. From May 2026, the routine publication of corridor care data has begun, increasing transparency and enabling more focused intervention where risks to patient safety are greatest.”

Source location

Response from NHS England
Page 2 · response
Published 17 July 2026

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

Support providers and Integrated Care Boards to strengthen discharge processes through criteria-led discharge and discharge-to-assess models.

Verbatim wording from the response

“A key element of improving patient flow is reducing delays in discharging patients who no longer require acute hospital treatment. Delayed discharges contribute to high bed occupancy, reducing capacity for emergency admissions and increasing pressure on emergency departments. NHS England is supporting providers and ICBs to strengthen”

Source location

Response from NHS England
Page 1 · response
Published 17 July 2026

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 Model Discharge guidance to reduce discharge delays and improve patient flow.

Verbatim wording from the response

“discharge processes, including through the consistent use of criteria-led discharge and discharge to assess models. NHS England is also developing “Model Discharge” guidance to support trusts in reducing delays and improving patient flow.”

Source location

Response from NHS England
Page 2 · response
Published 17 July 2026

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

Support providers and Integrated Care Boards to reduce emergency-department demand through community and primary-care alternatives and strengthened admission-avoidance pathways.

Verbatim wording from the response

“Alongside this, NHS England has been and continues to support providers and Integrated Care Boards (ICBs) to improve internal hospital flow through faster senior clinical decision-making, increased use of same day emergency care and virtual wards, and more effective management of patient pathways. The plan also aims to reduce demand on emergency departments through improved access to community and primary care alternatives and strengthened admission avoidance pathways, so that patients can be assessed and treated in the most appropriate setting.”

Source location

Response from NHS England
Page 1 · response
Published 17 July 2026

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

Discuss all received Prevention of Future Deaths reports through the Regulation 28 Working Group and share key learning nationally and regionally.

Verbatim wording from the response

“I would also like to provide further assurances on the national NHS England work taking place around the Reports to Prevent Future Deaths. All reports received are discussed by the Regulation 28 Working Group, comprising Regional Medical Directors, and other clinical and quality colleagues from across the regions. This ensures that key learnings and insights around events, such as the sad death of Mr Smart, are shared across the NHS at both a national and regional level and helps us to pay close attention to any emerging trends that may require further review and action.”

Source location

Response from NHS England
Page 2 · response
Published 17 July 2026

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

Publish corridor-care data routinely to increase transparency and enable focused intervention where patient-safety risks are greatest.

Verbatim wording from the response

“To strengthen oversight and drive improvement, NHS England is working through regional teams to provide targeted support to systems experiencing the highest levels of flow pressure. From May 2026, the routine publication of corridor care data has begun, increasing transparency and enabling more focused intervention where risks to patient safety are greatest.”

Source location

Response from NHS England
Page 2 · response
Published 17 July 2026

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

Publish the Urgent and Emergency Care Plan and Medium-Term Planning Framework setting national expectations to eliminate corridor care.

Verbatim wording from the response

“Since your previous Reports to us, the NHS England Urgent and Emergency Care Plan for 2025/26 has been published (in June 2025) and supported by the Medium-Term Planning Framework, which sets out a national expectation that systems take coordinated action to eliminate corridor care by improving end-to-end patient flow, reducing avoidable hospital congestion and improving timely discharge from hospital.”

Source location

Response from NHS England
Page 1 · response
Published 17 July 2026

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

NHS England is responsible for directly addressing the concerns about corridor care and providing the full response.

Verbatim wording from the response

“In considering your report, officials within the Department of Health and Social Care have made enquiries with NHS England and concluded that these concerns are more appropriately addressed by NHS England directly. I am advised that NHS England will therefore provide you with a full and comprehensive response on the concerns you have raised.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 17 July 2026

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

The Trust cannot eradicate corridor care without all partner organisations working together to address the wider system problem.

Verbatim wording from the response

“The use of Emergency Department (ED) corridors to care for patients is a significant national problem. The Executive team is working closely with very senior members of the local ICB (Integrated Care Board), CQC (Care Quality Commission), local mental health Trust, and social care providers to tackle the problem. As a Trust we cannot solve the problem without all partner organisations working together. I am so sorry you have had the need to write to us again with your concerns and I too share these concerns.”

Source location

Response from University Hospitals Sussex NHS Foundation Trust
Page 2 · response
Published 17 July 2026

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

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Data last updated 7 September 2026