PFD report

Essa Shah · Prevention of Future Deaths report

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Issued 2 Jun 2014•Bedfordshire and Luton

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
2

Named on the report

Responses found
1

Of 2 recipients

Stated actions
4

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 provide co-sleeping danger literature for discharged new mothers in languages other than English
    Part of recurring concern: Failure to ensure safe sleeping arrangements for infants and children
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

    Create Feeding Packs containing UNICEF co-sleeping leaflets in Bengali, Punjabi and Urdu.

    Stated by The TrustStated plannedThe respondent said that this action was planned when they made their response on 2 June 2014.
  2. Action

    Provide multilingual safe-sleep video content through the Trust website and DVDs.

    Stated by The TrustStated completedThe respondent said that this action was complete when they made their response on 2 June 2014.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    Translation of the Department of Health leaflet cannot be facilitated because of considerable practical and financial implications, and the Department no longer produces it.

    Stated by The TrustUnable 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 co-sleeping danger literature for discharged new mothers in languages other than English

Wider context from the report

“1. That the literature, setting out the dangers of co-sleeping which the hospital hand to new mothers being discharged, is only available in the English Language. ”

Is this part of a recurring concern?

Yes — Failure to ensure safe sleeping arrangements for infants and children.

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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

Create Feeding Packs containing UNICEF co-sleeping leaflets in Bengali, Punjabi and Urdu.

Verbatim wording from the response

“DoH no longer produces this leaflet, we are not able to approach them for their assistance. However, UNICEF produce a leaflet called “Sharing a bed with your baby” which is available in 11 languages, three of which are relevant to the population we serve. The Trust will now ensure Feeding Packs are created containing this leaflet in Bengali, Punjabi and Urdu; the leaflet is not available in Polish so we will continue to use the video we have produced and verbal communication.”

Source location

2014-0250-Response-by-Luton-Dunstable-University-Hospital
Page 2 · response
Published 2 June 2014

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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 multilingual safe-sleep video content through the Trust website and DVDs.

Verbatim wording from the response

“In addition to leaflets, the Trust has produced a video, in three languages (English, Polish and Urdu) which is available on the Trust’s website and on DVD. The video includes a section about discharge and caring for your baby at home. The video was produced in response to a consultation with local communities who told us that whilst it was common for women to speak their mother tongue, they were often unable to read it.”

Source location

2014-0250-Response-by-Luton-Dunstable-University-Hospital
Page 1 · response
Published 2 June 2014

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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

Translation of the Department of Health leaflet cannot be facilitated because of considerable practical and financial implications, and the Department no longer produces it.

Verbatim wording from the response

“The Community Midwives have prompt sheets to ensure that safe sleeping practices are discussed with women face to face and they will shortly be equipped with iPads to facilitate communication with anyone who is uncertain as to what they are being told verbally. The Trust is unable to facilitate the translation of the Department of Health leaflet, which is only available in English, due to the considerable practical and financial implications. As the”

Source location

2014-0250-Response-by-Luton-Dunstable-University-Hospital
Page 1 · response
Published 2 June 2014

Open published response

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.2

  1. 1

    Equip Community Midwives with iPads to support communication with women uncertain about verbal advice.

    Stated by The TrustStated plannedThe respondent said that this action was planned when they made their response on 2 June 2014.
  2. 2

    Use Community Midwives’ prompt sheets to ensure face-to-face discussion of safe sleeping practices.

    Stated by The TrustStated completedThe respondent said that this action was complete when they made their response on 2 June 2014.

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

Equip Community Midwives with iPads to support communication with women uncertain about verbal advice.

Verbatim wording from the response

“The Community Midwives have prompt sheets to ensure that safe sleeping practices are discussed with women face to face and they will shortly be equipped with iPads to facilitate communication with anyone who is uncertain as to what they are being told verbally. The Trust is unable to facilitate the translation of the Department of Health leaflet, which is only available in English, due to the considerable practical and financial implications. As the”

Source location

2014-0250-Response-by-Luton-Dunstable-University-Hospital
Page 1 · response
Published 2 June 2014

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 Community Midwives’ prompt sheets to ensure face-to-face discussion of safe sleeping practices.

Verbatim wording from the response

“The Community Midwives have prompt sheets to ensure that safe sleeping practices are discussed with women face to face and they will shortly be equipped with iPads to facilitate communication with anyone who is uncertain as to what they are being told verbally. The Trust is unable to facilitate the translation of the Department of Health leaflet, which is only available in English, due to the considerable practical and financial implications. As the”

Source location

2014-0250-Response-by-Luton-Dunstable-University-Hospital
Page 1 · response
Published 2 June 2014

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