PFD report

Beryl Yvonne Foster · Prevention of Future Deaths report

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Issued 29 Mar 2017•Portsmouth and South East Hampshire

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

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Concerns and recipient responses

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Concerns raised1

  1. Failure to email endoscopy discharge summaries to GP practices
    Part of recurring concern: Failure of hospital discharge-summary processes to provide accurate, complete and timely information to GPsPart of recurring concern: Failure to communicate clinically important information reliably between care services
Responses linked to these concerns

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Source evidence

How this individual concern was interpreted

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PFD Monitor interpretation

Failure to email endoscopy discharge summaries to GP practices

Wider context from the report

“Mrs Foster's discharge summary was handed to her on 8 December 2015 and was subsequently posted to her GP practice. This meant that when she became unwell the following day and contacted the practice, it was unaware of the endoscopy the previous day. I was told that endoscopy discharge summaries are posted to GP practices by QAH, rather than emailed like all other discharge summaries. I am concerned this practice raises a risk that future deaths will occur in such circumstances and I would ask the NHS Trust to consider emailing all discharge summaries to GP practices in the future. ”

Is this part of a recurring concern?

Yes — Failure of hospital discharge-summary processes to provide accurate, complete and timely information to GPs; Failure to communicate clinically important information reliably between care services.

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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