Nursing care inadequacy
United Lincolnshire Hospitals NHS Trust received 2 coroners' reports about this hazard between 26 Aug 2014 and 14 Feb 2018.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from United Lincolnshire Hospitals NHS Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“difficulties in providing the level of nursing care that [the deceased] needed.”
Original on judiciary.uk ↗ No published response from United Lincolnshire Hospitals NHS Trust was found for this report.
- 3 years 6 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“There was a failure to escalate and act on [the deceased]'s deteriorating condition from at least 14.00 on 22 April 2017, when her NEWS was 6,”
Original on judiciary.uk ↗ United Lincolnshire Hospitals NHS Trust responded, stating 1 specific action.Response (PDF) ↗
“The Trust recognises that the SI process at that time was poor. However we have, in the last 12 months, made significant improvements to our SI process and this incorporates training across the Trust on undertaking SI investigations. This process is being overseen by me and the Director of Nursing and we currently have in post an Interim Director of Governance who is leading on this project. Our new Risk Manager also commenced in post in February 2018.”
Stated timescale: February 2018
- All reports to United Lincolnshire Hospitals NHS Trust
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.
2014 → 2018Elaine Bradbrook3 years 6 months after Iris Grimwood · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight shortcomings in nursing oversight and timely response to patient needs.
Iris Grimwood · 26 Aug 2014
“difficulties in providing the level of nursing care that [the deceased] needed.”
Original on judiciary.uk ↗ Elaine Bradbrook · 14 Feb 2018
“There was a failure to escalate and act on [the deceased]'s deteriorating condition from at least 14.00 on 22 April 2017, when her NEWS was 6,”
Original on judiciary.uk ↗
No published response from United Lincolnshire Hospitals NHS Trust was found for this report.
Stated action · timescale: February 2018
“The Trust recognises that the SI process at that time was poor. However we have, in the last 12 months, made significant improvements to our SI process and this incorporates training across the Trust on undertaking SI investigations. This process is being overseen by me and the Director of Nursing and we currently have in post an Interim Director of Governance who is leading on this project. Our new Risk Manager also commenced in post in February 2018.”
- 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 United Lincolnshire Hospitals NHS Trust 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 |
|---|---|---|---|---|
| 2014 → 2018 | 0.62 | 0.00 | Closely related · 0.80 | 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.