Stephen Thomas BARTON · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 1 Oct 2021•Staffordshire South

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

View original report
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

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Lack of tracking systems for non-cancer outpatient appointments
    Part of recurring concern: Unreliable tracking and follow-up of outpatient appointments
No response statements

No respondent-stated action or position is included in the published responses for this 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

Lack of tracking systems for non-cancer outpatient appointments

Wider context from the report

“Stephen missed numerous out-patient appointments. I heard expert evidence from a hospital consultant indicating that in the great majority of cases there is no way of tracking out-patient appointments in the NHS. This is however done in cancer cases. The consultant felt it should not be too difficult to develop a system of tracking out-patient appointments in non-cancerous cases. If realistically this could be introduced it might well save a lot of administrative time and indeed prevent unnecessary deaths. ”

Is this part of a recurring concern?

Yes — Unreliable tracking and follow-up of outpatient appointments.

Open source report
Back to top

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