PFD report

Glen Edward Robert Jay · Prevention of Future Deaths report

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Issued 10 May 2026•Essex

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
1

Of 1 recipient

Stated actions
2

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

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Concerns raised1

  1. Failure to contraindicate Preoperative Progressive Pneumoperitoneum for patients with a history of adhesional small bowel obstruction
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.2

  1. Action

    Compile a warning notice requiring enhanced governance, MDT review, local PPP protocols, safety provisions, outcome audit and patient-safety reporting.

    Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 2 September 2026.
  2. Action

    Work with the British Hernia Society to disseminate the PPP warning notice to relevant NHS trusts.

    Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 2 September 2026.

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 contraindicate Preoperative Progressive Pneumoperitoneum for patients with a history of adhesional small bowel obstruction

Wider context from the report

“- There are other clinics nationally who may be offering patients Preoperative Progressive Pneumoperitoneum (PPP) to patients who have a history of adhesional small bowel obstruction (ASBO). Mid & South Essex NHS Foundation Trust have updated their protocol to include a prior history of recurrent ASBO, as a contraindication to PPP. This is because it can induce ASBO due to stretching of any intra-abdominal or hernia sac adhesions and consequent obstruction of involved loops of small bowel. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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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

Compile a warning notice requiring enhanced governance, MDT review, local PPP protocols, safety provisions, outcome audit and patient-safety reporting.

Verbatim wording from the response

“As a result of the concerns, raised NHS England plans to compile a warning notice to Chief Medical Officers/Medical Directors of all Trusts currently providing or considering PPP to state:”

Source location

Response from NHS England
Page 2 · response
Published 2 September 2026

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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

Work with the British Hernia Society to disseminate the PPP warning notice to relevant NHS trusts.

Verbatim wording from the response

“NHS England plans to work with the British Hernia Society to disseminate the warning notices.”

Source location

Response from NHS England
Page 2 · response
Published 2 September 2026

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