PFD report

Paul John APPLEBY · Prevention of Future Deaths report

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Issued 21 Oct 2025•Northamptonshire

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
1

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 Saturday court service
    Part of recurring concern: Unreliable Saturday mental health assessment service for magistrates' court defendants
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 Saturday court service

Wider context from the report

“I understand that the Liaison and Diversion Team at Northampton has not operated a Saturday Court Service for several years. Previously an ‘On Call’ service has been provided. I am concerned that this lack of service could give rise to future deaths. ”

Is this part of a recurring concern?

Yes — Unreliable Saturday mental health assessment service for magistrates' court defendants.

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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.1

  1. 1

    Reissue the standard operating procedure to staff operating Saturday courts, reminding them how to refer people to liaison and diversion services.

    Stated by Northamptonshire Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 October 2025.

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

Reissue the standard operating procedure to staff operating Saturday courts, reminding them how to refer people to liaison and diversion services.

Verbatim wording from the response

“As stated in our letter to you, to mitigate the risk of a similar situation occurring in the future, we have reissued the SOP to those operating Saturday courts to remind them how to make referrals to our services. Please do not hesitate to contact us in advance of the inquest next week if you have any further questions for us.”

Source location

Response from Northamptonshire Healthcare Foundation Trust
Page 1 · response
Published 23 October 2025

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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