PFD report

Caroling Carter Crowther · Prevention of Future Deaths report

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Issued 24 Sep 2014•Worcestershire

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
2

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

This is the full text from the original published report.

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Concerns and recipient responses

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Concerns raised2

  1. Failure to permit paramedics to compel psychiatric patients to attend hospital in the absence of police
  2. Failure to provide clear and consistent policy on compelling psychiatric patients to attend hospital
    Part of recurring concern: Unsafe updating of clinical policies and guidance
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

Failure to permit paramedics to compel psychiatric patients to attend hospital in the absence of police

Wider context from the report

“(1) The Paramedic who gave evidence expressed a view that it was "Trust Policy" that a psychiatric patient whether or not they had capacity should not be compelled to go to hospital even when it was universally agreed that she was grievously ill. (2) The Paramedic concerned indicated that without the presence of the police to physically coerce the patient, Paramedics within the Trust had been told that they should not become involved in physical coercion. (3) The Area Support Officer who gave evidence flatly contradicted the Paramedic and said that it was NOT Trust policy to act in this way and that Paramedics could and should (in appropriate cases) compel a patient in need to attend hospital ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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 clear and consistent policy on compelling psychiatric patients to attend hospital

Wider context from the report

“(1) The Paramedic who gave evidence expressed a view that it was "Trust Policy" that a psychiatric patient whether or not they had capacity should not be compelled to go to hospital even when it was universally agreed that she was grievously ill. (2) The Paramedic concerned indicated that without the presence of the police to physically coerce the patient, Paramedics within the Trust had been told that they should not become involved in physical coercion. (3) The Area Support Officer who gave evidence flatly contradicted the Paramedic and said that it was NOT Trust policy to act in this way and that Paramedics could and should (in appropriate cases) compel a patient in need to attend hospital ”

Is this part of a recurring concern?

Yes — Unsafe updating of clinical policies and guidance.

Open source report
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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