Inadequate information sharing between healthcare providers
Central and North West London NHS Foundation Trust received 2 coroners' reports about this hazard between 19 Feb 2014 and 24 Mar 2026.
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 Central and North West London NHS Foundation Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“There are issues of poor communication which need to be addressed.”
Original on judiciary.uk ↗ No published response from Central and North West London NHS Foundation Trust was found for this report.
- 12 years 1 month laterClosely relatedConfidence 0.80 · moderatea different coroner
“relevant risk information was spread across multiple recording systems and was not always shared effectively between operational staff and clinical teams.”
Original on judiciary.uk ↗ Central and North West London NHS Foundation Trust responded.Response (PDF) ↗Response (PDF) ↗
- All reports to Central and North West London NHS Foundation 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 → 2026Ronald Meikle12 years 1 month after Simon McAndrew · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight failures in sharing important information across different parts of the system, leading to missed warnings and potential harm.
Simon McAndrew · 19 Feb 2014
“There are issues of poor communication which need to be addressed.”
Original on judiciary.uk ↗ Ronald Meikle · 24 Mar 2026
“relevant risk information was spread across multiple recording systems and was not always shared effectively between operational staff and clinical teams.”
Original on judiciary.uk ↗
No published response from Central and North West London NHS Foundation Trust was found for this report.
No specific action could be extracted with a verified quote.
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 Central and North West London NHS Foundation 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 → 2026 | 0.74 | 0.14 | 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 Central and North West London NHS Foundation Trust
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.