Lack of communication between hospital and care home regarding mental capacity
Surrey County Council received 2 coroners' reports about this hazard between 26 Jan 2014 and 22 Dec 2023.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
No published response from Surrey County Council was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“Lack of communication between hospital and home re mental capacity assessment”
Original on judiciary.uk ↗ No published response from Surrey County Council was found for this report.
- 9 years 11 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“staff speaking with [REDACTED] on these occasions failed to think laterally or innovatively as to how to collect important, relevant collateral history”
Original on judiciary.uk ↗ Surrey County Council responded.Response (PDF) ↗
- All reports to Surrey 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.
2014 → 2023Barbara Woodman9 years 11 months after Lillian Robinson · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight failures in communication that impede proper mental health assessment and information sharing between care settings.
Lillian Robinson · 26 Jan 2014
“Lack of communication between hospital and home re mental capacity assessment”
Original on judiciary.uk ↗ Barbara Woodman · 22 Dec 2023
“staff speaking with [REDACTED] on these occasions failed to think laterally or innovatively as to how to collect important, relevant collateral history”
Original on judiciary.uk ↗
No published response from Surrey 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 Surrey 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 |
|---|---|---|---|---|
| 2014 → 2023 | 0.66 | 0.02 | 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.