Ella Rose Block · Prevention of Future Deaths report

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Issued 7 Oct 2014•Plymouth, Torbay and South Devon

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.

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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

Full report text

This is the full text from the original published report.

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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
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

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