Margaret Joy Easterfield · Prevention of Future Deaths report

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Issued 3 Mar 2014•Central and South East Kent

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. Ileo-ileal anastomotic breakdown
    Part of recurring concern: Failure to reliably prevent and detect defective surgical anastomoses
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

Ileo-ileal anastomotic breakdown

Wider context from the report

“I am concerned that Mrs Easterfield underwent surgery on 26th October 2012 following which there was an anastomotic leak. She was discharged from hospital on the 30th October and was readmitted on 31st October, becoming profoundly unwell in the afternoon of the 3rd November and dying on the 4th November. I consider that a leak of ileo-ileal anastomosis is relatively rare and raises the question of technical error on the part of the surgeon. Because of my concern about the incidences of an anastomotic breakdown, I am raising this matter with you as I believe you can carry out action to prevent further death. ”

Is this part of a recurring concern?

Yes — Failure to reliably prevent and detect defective surgical anastomoses.

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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