PFD report

Ella Rose Block · Prevention of Future Deaths report

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Issued 7 Oct 2014•Plymouth, Torbay and South Devon

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 of newly qualified clinicians to identify sepsis deaths in children
    Part of recurring concern: Failure to reliably recognise and respond promptly to sepsis
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 of newly qualified clinicians to identify sepsis deaths in children

Wider context from the report

“[BRIEF SUMMARY OF MATTERS OF CONCERN] An opportunity may have been missed to provide suitable treatment. Deaths of children as a result of Sepsis are fortunately rare but as a result new qualified clinicians are not readily identifying such deaths ”

Is this part of a recurring concern?

Yes — Failure to reliably recognise and respond promptly to sepsis.

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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