Lack of connectivity between agency information systems
Derbyshire County Council received 2 coroners' reports about this hazard between 12 May 2018 and 25 Feb 2026.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
No published response from Derbyshire County Council was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“Relevant information regarding Mr [name redacted] falls history could not be shared by his Social Worker with other relevant Multi Agencies such as Milford House or the Health Team at the time his Pre Admission Assessment was undertaken as the process/system did not allow it.”
Original on judiciary.uk ↗ No published response from Derbyshire County Council was found for this report.
- 7 years 9 months laterIdentical hazardConfidence 0.93 · higha different coroner
“The evidence at the inquest revealed a lack of connectivity between information systems used by different agencies; that impacted on their ability to review how other professionals would intervene in [the deceased]'s care.”
Original on judiciary.uk ↗ Repeated from the earlier report:informationagencies
Derbyshire County Council responded.Response (PDF) ↗
- All reports to Derbyshire County Council
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.
2018 → 2026Emma Turner7 years 9 months after Charles Grainger · different coronerIdentical hazardConfidence 0.93 · high
Identical hazardConfidence 0.93 · highBoth reports describe a failure of information‑sharing systems that prevents agencies from accessing a person’s relevant history. The core issue is the lack of connectivity between separate agency databases.
Charles Grainger · 12 May 2018
“Relevant information regarding Mr [name redacted] falls history could not be shared by his Social Worker with other relevant Multi Agencies such as Milford House or the Health Team at the time his Pre Admission Assessment was undertaken as the process/system did not allow it.”
Original on judiciary.uk ↗ Emma Turner · 25 Feb 2026
“The evidence at the inquest revealed a lack of connectivity between information systems used by different agencies; that impacted on their ability to review how other professionals would intervene in [the deceased]'s care.”
Original on judiciary.uk ↗
No published response from Derbyshire County Council was found for this report.
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 Derbyshire County Council 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 |
|---|---|---|---|---|
| 2018 → 2026 | 0.72 | 0.05 | Identical · 0.93 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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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.