PFD report

Ida Jean Toole · Prevention of Future Deaths report

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Issued 2 May 2017•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.

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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

Full report text

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Concerns and recipient responses

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Concerns raised1

  1. Failure to provide sensor mats to residents assessed as at high risk of falling
    Part of recurring concern: Unreliable movement-alert systems for patients at high risk of falls
Responses linked to these concerns

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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 provide sensor mats to residents assessed as at high risk of falling

Wider context from the report

“During the course of the evidence I was told that Mrs Toole did not have a sensor mat alongside her bed despite having been assessed as a high risk of falling. The reason for this, I was told, was due to the fact that Mrs Toole had mental capacity. ”

Is this part of a recurring concern?

Yes — Unreliable movement-alert systems for patients at high risk of falls.

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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