PFD report

Sidney Brian Alexander · Prevention of Future Deaths report

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Issued 18 Jul 2016•South Lincolnshire

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
0

Of 1 recipient

Stated actions
0

Described in responses

Recipients and published responses

Source document

Full report text

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Concerns and recipient responses

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Concerns raised1

  1. Inadequate space or lack of addendum provision in biopsy reporting forms
    Part of recurring concern: Unreliable biopsy documentation and reporting
Responses linked to these concerns

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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

Inadequate space or lack of addendum provision in biopsy reporting forms

Wider context from the report

“1 ████████ Consultant Gastroenterologist gave live evidence, During that evidence he conceded that he hadn't been able to fully complete a Biopsy report for Unilabs as there was insufficient room on it. Surely a form can be expanded or provision made for an addendum? ”

Is this part of a recurring concern?

Yes — Unreliable biopsy documentation and reporting.

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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