PFD report

Alison June Dallow · Prevention of Future Deaths report

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Issued 3 Aug 2022•Herefordshire

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
3

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

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 raised3

  1. Unclear clinical advice on weight-bearing status
  2. Unclear hospital policy for reducing venous thromboembolism risk in outpatients
  3. Failure to record information given to patients
    Part of recurring concern: Failure to reliably record information and advice given to patientsPart of recurring concern: Incomplete, inaccurate or unavailable clinical and care records
Responses linked to these concerns

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

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

Unclear clinical advice on weight-bearing status

Wider context from the report

“(1) It was unclear whether the clinical advice was to ‘toe touch’ or stay non- weight bearing. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source 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

Unclear hospital policy for reducing venous thromboembolism risk in outpatients

Wider context from the report

“(2) The current hospital policy in connection with reducing the risk of Venous Thromboembolism was unclear especially regarding outpatients who apparently account for the majority of fractures treated. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source 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 to record information given to patients

Wider context from the report

“(3) Evidence of any information given to the patient was unavailable at the Inquest. ”

Is this part of a recurring concern?

Yes — Failure to reliably record information and advice given to patients; Incomplete, inaccurate or unavailable clinical and care records.

Open source report
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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