PFD report

Brenda Fisher · Prevention of Future Deaths report

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Issued 27 Jun 2025•Manchester South

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
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
7

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

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

Concerns raised1

  1. Risk of death from patients remaining for lengthy periods in areas not designed or intended for observations and care
    Part of recurring concern: Failure to provide safe ongoing care during prolonged emergency-department stays
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.6

  1. Action

    Separate urgent from emergency care so patients are treated in the most appropriate setting.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.
  2. Action

    Provide clear pathways and appropriate waiting environments for people attending hospital with urgent needs.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.
  3. Action

    Eliminate corridor care by improving patient flow.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    The trust is best placed to respond on specific local actions addressing the concerns about prolonged waits, corridor care and operational pressures.

    Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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

Risk of death from patients remaining for lengthy periods in areas not designed or intended for observations and care

Wider context from the report

“The court heard evidence that on her final attendance to hospital, Mrs Fisher was cared for in the Emergency Department’s ‘Rapid Assessment and Triage’ Corridor for at least 23 hours before a bed was found for her. Whilst the Trust has undertaken a number of steps locally to mitigate the risks associated with this practice, I am concerned that there remains a residual and inherent risk of death arising from patients remaining for lengthy periods in areas not designed or intended for undertaking observations and providing care. ”

Is this part of a recurring concern?

Yes — Failure to provide safe ongoing care during prolonged emergency-department stays.

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Separate urgent from emergency care so patients are treated in the most appropriate setting.

Verbatim wording from the response

“In June 2025, we published the Urgent and Emergency Care Plan for 2025/26. The Plan sets out the steps we are taking to tackle corridor care and reduce 12-hour waits in A&E Department’s, including a commitment to eliminate corridor care by improving patient flow. The plan also provides almost £450 million of capital investment including for Same Day Emergency Care and Urgent Treatment Centres. We will provide clear pathways and the right waiting environment when people do need to come to a hospital site with an urgent need. We will take a significant step to separate urgent from emergency care, so that people are treated in the most appropriate setting.”

Source location

Response from Department of Health and Social Care
Page 2 · response
Published 14 July 2025

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide clear pathways and appropriate waiting environments for people attending hospital with urgent needs.

Verbatim wording from the response

“In June 2025, we published the Urgent and Emergency Care Plan for 2025/26. The Plan sets out the steps we are taking to tackle corridor care and reduce 12-hour waits in A&E Department’s, including a commitment to eliminate corridor care by improving patient flow. The plan also provides almost £450 million of capital investment including for Same Day Emergency Care and Urgent Treatment Centres. We will provide clear pathways and the right waiting environment when people do need to come to a hospital site with an urgent need. We will take a significant step to separate urgent from emergency care, so that people are treated in the most appropriate setting.”

Source location

Response from Department of Health and Social Care
Page 2 · response
Published 14 July 2025

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Eliminate corridor care by improving patient flow.

Verbatim wording from the response

“In June 2025, we published the Urgent and Emergency Care Plan for 2025/26. The Plan sets out the steps we are taking to tackle corridor care and reduce 12-hour waits in A&E Department’s, including a commitment to eliminate corridor care by improving patient flow. The plan also provides almost £450 million of capital investment including for Same Day Emergency Care and Urgent Treatment Centres. We will provide clear pathways and the right waiting environment when people do need to come to a hospital site with an urgent need. We will take a significant step to separate urgent from emergency care, so that people are treated in the most appropriate setting.”

Source location

Response from Department of Health and Social Care
Page 2 · response
Published 14 July 2025

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Expand access to urgent care services at home and in the community through the Neighbourhood Health model.

Verbatim wording from the response

“In July 2025, we published the Ten Year Health Plan to create a new model of care, fit for the future. A key focus of our approach will be to expand access to urgent care services at home and in the community as part of our new Neighbourhood Health model. This will improve the experience and care that people receive, rather than having to go to hospital unnecessarily. This will reduce demand in ED’s, meaning that they are liberated to focus on providing the best, most cutting-edge and most productive care for those who most need it.”

Source location

Response from Department of Health and Social Care
Page 2 · response
Published 14 July 2025

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Publish the Urgent and Emergency Care Plan for 2025/26 to tackle corridor care and reduce prolonged A&E waits.

Verbatim wording from the response

“In June 2025, we published the Urgent and Emergency Care Plan for 2025/26. The Plan sets out the steps we are taking to tackle corridor care and reduce 12-hour waits in A&E Department’s, including a commitment to eliminate corridor care by improving patient flow. The plan also provides almost £450 million of capital investment including for Same Day Emergency Care and Urgent Treatment Centres. We will provide clear pathways and the right waiting environment when people do need to come to a hospital site with an urgent need. We will take a significant step to separate urgent from emergency care, so that people are treated in the most appropriate setting.”

Source location

Response from Department of Health and Social Care
Page 2 · response
Published 14 July 2025

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide almost £450 million of capital investment, including funding for Same Day Emergency Care and Urgent Treatment Centres.

Verbatim wording from the response

“In June 2025, we published the Urgent and Emergency Care Plan for 2025/26. The Plan sets out the steps we are taking to tackle corridor care and reduce 12-hour waits in A&E Department’s, including a commitment to eliminate corridor care by improving patient flow. The plan also provides almost £450 million of capital investment including for Same Day Emergency Care and Urgent Treatment Centres. We will provide clear pathways and the right waiting environment when people do need to come to a hospital site with an urgent need. We will take a significant step to separate urgent from emergency care, so that people are treated in the most appropriate setting.”

Source location

Response from Department of Health and Social Care
Page 2 · response
Published 14 July 2025

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

The trust is best placed to respond on specific local actions addressing the concerns about prolonged waits, corridor care and operational pressures.

Verbatim wording from the response

“The report raises concerns regarding prolonged A&E waits, corridor care and operational pressures faced by Stockport NHS Foundation Trust. I understand that you have also sent a copy of your report directly to the trust who is best placed to respond on the specific actions undertaken locally in response to the concerns you raise. However, in preparing this response, my officials have made enquiries with NHS England to ensure we adequately address your concerns.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 14 July 2025

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.1

  1. 1

    Publish the Ten Year Health Plan to create a new model of care.

    Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Publish the Ten Year Health Plan to create a new model of care.

Verbatim wording from the response

“In July 2025, we published the Ten Year Health Plan to create a new model of care, fit for the future. A key focus of our approach will be to expand access to urgent care services at home and in the community as part of our new Neighbourhood Health model. This will improve the experience and care that people receive, rather than having to go to hospital unnecessarily. This will reduce demand in ED’s, meaning that they are liberated to focus on providing the best, most cutting-edge and most productive care for those who most need it.”

Source location

Response from Department of Health and Social Care
Page 2 · response
Published 14 July 2025

Open published response
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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