Fern committed suicide after being told that her baby was going to be placed for adoption. This followed a catalogue of failings by Children's Social Care, rooted in their failure to recognise Fern's clinically diagnosed autism, to make any reasonable adjustments for it, or to provide her with an independent advocate while they carried out the s.17 investigation on her baby.

The PFD report itself is addressed to the ambulance service and refers to the delay in getting her to hospital after taking an overdose. However, as with Jessie Eastland-Seares, there's a great deal of further detail in the report from georgejulian.co.uk, which paints a clear picture of the communication failures which led her to overdose.