PFD report

Hedley Frederick ROBINSON · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 14 Dec 2021•Milton Keynes

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.

View original report
Concerns
2

Raised in this report

Recipients
2

Named on the report

Responses found
0

Of 2 recipients

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.

Open published report

Concerns and recipient responses

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

Concerns raised2

  1. Failure to discuss S. 136 Mental Health Act assessments with relevant police officers and other involved care professionals
    Part of recurring concern: Unreliable gathering and use of collateral information in mental health assessmentsPart of recurring concern: Unsafe operation of Section 136 mental health assessment and detention procedures
  2. Failure to ensure that S. 136 Mental Health Act assessments use full information held by relevant services
    Part of recurring concern: Unreliable gathering and use of collateral information in mental health assessmentsPart of recurring concern: Unsafe operation of Section 136 mental health assessment and detention procedures
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 discuss S. 136 Mental Health Act assessments with relevant police officers and other involved care professionals

Wider context from the report

“I am concerned that the S. 136 Mental Health Act assessment was conducted without full information held by CNWL or discussion with senior police officers and others who had been involved in the care of the deceased’s assailant. There needs to be an urgent review of the operation of S. 136 procedures in Milton Keynes. ”

Is this part of a recurring concern?

Yes — Unreliable gathering and use of collateral information in mental health assessments; Unsafe operation of Section 136 mental health assessment and detention procedures.

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 ensure that S. 136 Mental Health Act assessments use full information held by relevant services

Wider context from the report

“I am concerned that the S. 136 Mental Health Act assessment was conducted without full information held by CNWL or discussion with senior police officers and others who had been involved in the care of the deceased’s assailant. There needs to be an urgent review of the operation of S. 136 procedures in Milton Keynes. ”

Is this part of a recurring concern?

Yes — Unreliable gathering and use of collateral information in mental health assessments; Unsafe operation of Section 136 mental health assessment and detention procedures.

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