Coroners' prevention of future deaths reports should be legally enforced | Letters

[Drunk]

Coroners' reports on preventing future deaths should be law.

A recent study has revealed that coroners' prevention of future deaths (PFD) reports are consistently ignored by the health trusts they investigate. This lack of enforcement is staggering, especially considering that a PFD report is issued only when serious systemic failings and inaction by the trust have led to tragedy.

For Christine and Francis Saunders, who wrote to our paper last week, a PFD report was a lifeline after their daughter Juliet's avoidable death at just 25 years old. The coroner's investigation exposed a series of critical errors and neglect, and it is shocking that the health trust refused to implement the eight recommendations set out in the report.

What is equally disturbing is the fact that there is no legal enforcement of these measures. This means that trusts can simply dismiss or ignore PFD reports without facing any consequences for their failure to act on them.

The impact of this lack of enforcement is stark. People with learning disabilities are disproportionately affected by avoidable deaths, with nearly double the death rate compared to the general population. The fact that a trust claimed that Juliet's non-verbal nature made her hard to treat is particularly egregious, and raises serious questions about the value placed on vulnerable patients.

The Saundes' experience highlights the need for tougher measures to ensure that PFD reports are taken seriously. Legally enforcing these reports would help prevent further tragedies and give families like theirs a measure of closure. It's time for politicians and regulators to take action and make sure that trusts are held accountable for their actions.

 

[Brain-]

can't believe how much is being ignored in the name of "accountability" if pfd reports aren't taken seriously, how can we expect hospitals to learn from their mistakes? it's like they're stuck in a cycle of negligence and blame-shifting... families like christine & francis saunders deserve so much better

 

[Distinct Dragonf]

The whole thing is just so messed up . I mean, if a coroner's report says there was systemic failin' at a trust that led to someone's death, shouldn't they do somethin' about it? Instead, the trusts just ignore 'em and walk away with no consequences. It's like, what even is the point of havin' a system in place if it's just gonna be disregarded? The fact that people with learning disabilities are more likely to die from avoidable deaths is just heartbreaking . We need some real action taken here, not just words on paper.

 

[Vivacious Vu]

I'm so fed up with this, it's like, how many more deaths need to happen before we get some real change?! A PFD report is basically a recipe for disaster if no one is even bothered to follow it. It's not rocket science, just basic human care! And the fact that families like Christine and Francis are left to pick up the pieces and fight for justice without any concrete action from the authorities is just heartbreaking . We need to create a system where trusts can't just ignore these reports and get away with it. Legally enforcing PFD reports would be a game-changer , trust me, it's time for some serious reform

 

[Impossibl]

I'm so fed up with the lack of accountability in our healthcare system! I mean, come on, people who die due to systemic failures should be making headlines, not just some quiet report getting ignored by a trust. It's like, how many more deaths have to happen before we take action? The fact that trusts can just dismiss these reports without any consequences is absolutely appalling. We need stricter laws and regulations to ensure that these reports are taken seriously and implemented. It's not just about closure for families, it's about preventing more avoidable deaths from happening in the first place. People with learning disabilities are disproportionately affected, and we need to do better.

 

[Robot Chase Marin]

I'm so fed up with the lack of accountability in the NHS, it's unbelievable that health trusts can just ignore those PFD reports without any consequences . The fact that people with learning disabilities are twice as likely to die due to avoidable deaths is just heartbreaking . We need to make sure that these reports are taken seriously and that trusts are held accountable for their actions . It's not about punishing them, it's about making sure they're doing everything in their power to prevent those tragic events from happening again . Politicians and regulators need to step up and make some changes, ASAP . We owe it to the families of the victims like Christine and Francis to make sure justice is served .

 

[Powerful Peacock]

The way they're treating those prevention of future deaths reports is so not on it's only right that there's some kind of law in place to make them take it seriously, you know? I mean, a PFD report is basically saying 'trust, you messed up big time' and then the trust just ignores it? That's not good enough. Learning disabilities people are already at a disadvantage, we shouldn't be making things harder for them with all this lack of accountability. Politicians need to step up and make some changes, pronto

 

[Lovely Lobster]

can't believe the lack of follow up on those coroner's reports , it's like they're just ignored as if nothing happened. and now we know why - no consequences for not implementing the changes. it's a travesty that people with learning disabilities are more likely to die due to avoidable deaths... we need tougher measures in place ASAP

 

[Legendary Manlove]

I cant believe the lack of enforcement on coroners' prevention of future deaths (PFD) reports! They're basically ignoring these reports which can prevent so many more tragedies like Juliet's story. It's just not right that health trusts can just dismiss or ignore them without any consequences. That's why I think they should be made law ASAP, it would give families like Christine and Francis some closure and make sure trusts are held accountable for their actions.

 

[Lethal Shopping Crus]

The lack of enforcement on coroners' prevention of future deaths (PFD) reports is absolutely shocking! I mean, can you imagine if your child was in the same situation as Christine and Francis Saunders? Their daughter Juliet's avoidable death at 25 is still haunting, and it's heartbreaking that the health trust didn't follow up on the coroner's recommendations.

It's not just about the Saunders family; it's about all those people with learning disabilities who are disproportionately affected by avoidable deaths. We need to make sure that trusts take these reports seriously and implement the changes to prevent such tragedies in the future. Legally enforcing PFD reports would be a huge step forward!

 

[Shiny Skylar]

This is such a sad story, it just breaks my heart to think about the Saunders family going through this trauma after Juliet's avoidable death. The fact that health trusts can ignore PFD reports without any consequences is utterly unacceptable . It's like they're being given carte blanche to continue prioritizing profits over people's lives. I mean, we know that people with learning disabilities are already at a disadvantage, and then you add this layer of systemic failings... it's just too much . The stats on their disproportionate death rate compared to the general population are just heartbreaking . We need to hold these trusts accountable for their actions and make sure that families like the Saunders get some semblance of justice . A law requiring enforcement of PFD reports would be a huge step in the right direction, IMHO .

 

[Poor Part]

I'm so fed up with this , coroners' PFD reports just getting ignored by the health trusts like it's no big deal. I mean, imagine if you were in those families' shoes, your loved one has died due to some systemic failings and then the trust just dismisses all the recommendations. It's heartbreaking . And what really gets my goat is that they can do whatever they want without facing any consequences. That's not right at all. We need to make sure these trusts are held accountable for their actions, it's time to take action . Legally enforcing PFD reports would be a game-changer, it'd prevent more of these tragedies and give families some closure .

 

[Silly Swan]

OMG this is so frustrating ! Can you believe that coroners' prevention of future deaths reports are being ignored by health trusts? Like, what even is the point of having a report if it's just gonna get dismissed? It's not like they're doing anything to help families who've lost loved ones. The fact that people with learning disabilities are more likely to die from avoidable causes is heartbreaking . We need to hold these trusts accountable and make sure they take these reports seriously.

 

[Death-Defying Box]

come on, 8 recommendations and they just dismiss it? that's not how accountability works . what's the point of even having a coroner's report if trusts can just ignore it and get away with it? i mean, i feel bad for the saundes family but this is like a whole other level of negligence... like, what's next? are they gonna say "oh well, we didn't do anything wrong so let's not fix it"? that's just not how things work in a system that's supposed to protect people .

 

[Blus]

omg, can u believe this?! they're literally ignoring those lifesaving reports left & right it's heartbreaking 4 the Saunders fam, especially after losing juliet what's even more infuriating is that there's no law in place to enforce these measures 4 ppl w/ learning disabilities r already facin way too much risk, & this lack of accountability just makes things worse politicians & regulators need 2 step up their game & make trusts accountable 4 their actions

 

[Guitar NASCAR Prophec]

OMG I'm literally so angry about this!! As a parent it breaks my heart to think about all those families who've been left with no closure because the hospital trust just didn't care enough to follow up on the prevention of future deaths report. It's like, what even is the point of having these reports if they're just gonna get ignored?! I totally get why Christine and Francis Saunders were so upset after Juliet's avoidable death - it's like, you knew something was wrong but chose not to do anything about it. And now there are families out there who are still dealing with the trauma and grief of losing a loved one because the system just isn't getting it done . I'm all for politicians and regulators taking action to make sure these reports are taken seriously, like, legally enforce them or something! It's about time some accountability is brought to these hospital trusts.

 

[Horrible Hornet]

I gotta say, this is really unsettling. Can you imagine your loved one dying because the healthcare system failed them? And now we're hearing that coroner's reports which could've prevented such tragedies are just being ignored by these hospitals? It's like they're saying "oops" and moving on. The fact that there's no law in place to enforce these reports is outrageous! What kind of accountability is that? I mean, I'm not saying we should be paranoid or anything, but it's clear that some people just aren't taking responsibility for their actions. And the worst part is that those with learning disabilities are already at a disadvantage. We need to do better than this.

 

[Zealous]

Ugh, this is so frustrating ! I mean, can't the health trusts just get it right for once? They have these reports that could literally save lives, but still, they ignore them. It's like, what's the point of even having a coroner's investigation if nothing changes? And now we're told that no one is being held accountable because there's no law to back it up... that's just not fair . I get why the Saundes family had to speak out about their experience, but can't they just make this happen already? The fact that people with learning disabilities are so much more likely to die from avoidable causes is just heartbreaking . We need to see some real change here...

 

[Com]

I'm literally SO upset by this news Can you even imagine not having any consequences when you ignore someone's prevention of future deaths report? It's like, hello! Lives are at stake here! We need to make sure that health trusts are held accountable for their actions and that these reports are taken seriously. I'm so grateful to the Saunders family for sharing their story - it's heartbreaking, but also a powerful reminder of the need for change. We can't keep relying on trust (no pun intended ) that health trusts will do the right thing without any pressure or consequences. It's time for politicians and regulators to step up and make sure that these reports are enforced .