Antibiotic prescribing without joint discussion or swallow assessment
Tameside General Hospital received 2 coroners' reports about this hazard between 1 May 2024 and 17 Jun 2026.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 3 specific actions.
The story, report by report
Spacing grows with the time between reports.
“there was not a joint approach to his care and no detailed discussions regarding the decision to withhold antibiotics”
Original on judiciary.uk ↗ Tameside General Hospital responded, stating 3 specific actions.Response (PDF) ↗
“The joint approach to Mr [name redacted] care from both the microbiologist and the consultant physician, specifically around the decision to withhold antibiotics.”
Stated timescale: September 2024
“The documentation from the ICU consultant setting out/not setting out their rationale, specifically no discussions' between the medical consultant and the ICU consultant within the medical notes”
Stated timescale: September 2024
1 more stated action in the Promises tab.
- 2 years 2 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“prescription of oral antibiotics without conducting a swallow assessment in a patient presenting with swallowing difficulties and lockjaw”
Original on judiciary.uk ↗ Tameside General Hospital responded.Response (PDF) ↗
- All reports to Tameside General Hospital
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2024 → 2026Catherine Kirkham2 years 2 months after Jordan Howarth · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight problems with antibiotic prescribing decisions and associated documentation at Tameside General Hospital.
Jordan Howarth · 1 May 2024
“there was not a joint approach to his care and no detailed discussions regarding the decision to withhold antibiotics”
Original on judiciary.uk ↗ Catherine Kirkham · 17 Jun 2026
“prescription of oral antibiotics without conducting a swallow assessment in a patient presenting with swallowing difficulties and lockjaw”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“The joint approach to Mr [name redacted] care from both the microbiologist and the consultant physician, specifically around the decision to withhold antibiotics.”
Stated action · timescale: September 2024
“The joint approach to Mr [name redacted] care from both the microbiologist and the consultant physician, specifically around the decision to withhold antibiotics.”
Stated action · timescale: September 2024
“The documentation from the ICU consultant setting out/not setting out their rationale, specifically no discussions' between the medical consultant and the ICU consultant within the medical notes”
Stated action · timescale: April 2024
“The Trusts' policy around NEWS2 escalation had not been followed”
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Tameside General Hospital at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2024 → 2026 | 0.64 | 0.10 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Tameside General Hospital
This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.