PFD report

Nicola Jane Lacey · Prevention of Future Deaths report

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Issued 26 Jun 2024•Herefordshire

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
2

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 raised1

  1. Lack of clear, known procedures for employers concerning appropriate disclosure of colleagues' ongoing mental health difficulties
    Part of recurring concern: Inadequate employer processes for addressing workplace mental health concerns
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. Action

    Add the working-hours and out-of-hours SOPs to the Trust’s Position of Trust Policy.

    Stated by Herefordshire and Worcestershire Health and Care NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 27 June 2024.
  2. Action

    Develop and implement separate working-hours and out-of-hours SOPs governing the process for staff disclosure decisions under the Position of Trust framework.

    Stated by Herefordshire and Worcestershire Health and Care NHS TrustStated completedThe respondent said that this action was complete when they made their response on 27 June 2024.

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 clear, known procedures for employers concerning appropriate disclosure of colleagues' ongoing mental health difficulties

Wider context from the report

“(1) Procedures should be clear and known to employers concerning the appropriate disclosure of a colleagues ongoing mental health difficulties for the benefit of both the individual concerned and the safety of the wider public. ”

Is this part of a recurring concern?

Yes — Inadequate employer processes for addressing workplace mental health concerns.

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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

Add the working-hours and out-of-hours SOPs to the Trust’s Position of Trust Policy.

Verbatim wording from the response

“To ensure this process is clear, known to staff and followed routinely we have developed 2 Standard Operating Procedures (SOPs), one within working hours and one for out of hours. These SOPs are now in place and will be added to our Position of Trust Policy. Please find both SOPs attached for your information.”

Source location

Response from Herefordshire and Worcestershire NHS
Page 2 · response
Published 27 June 2024

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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

Develop and implement separate working-hours and out-of-hours SOPs governing the process for staff disclosure decisions under the Position of Trust framework.

Verbatim wording from the response

“In this situation where concerns arise the clinical team notify our Safeguarding team who then co-ordinate an appropriate discussion with professional advice and a decision is made using the Position of Trust Framework as to whether information is shared with an employer or not.”

Source location

Response from Herefordshire and Worcestershire NHS
Page 2 · response
Published 27 June 2024

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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