Lack of staff awareness and audit of home leave policy
Nottinghamshire Healthcare NHS Foundation Trust received 2 coroners' reports about this hazard between 22 Oct 2015 and 4 Mar 2024.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“It is also concerning that there appears to be no timescale for the two requirements referred to above - ie how contemporary does a doctor review and”
Original on judiciary.uk ↗ No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for this report.
- 8 years 4 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“Lack of compliance with the Trusts Planned Leave policy.”
Original on judiciary.uk ↗ Nottinghamshire Healthcare NHS Foundation Trust responded.Response (PDF) ↗
- All reports to Nottinghamshire Healthcare 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.
2015 → 2024Kenneth Baylis8 years 4 months after Glenda Day · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports concern the Trust's home/planned leave policy and its implementation by staff. The earlier report focuses on staff awareness and auditing of the policy, while the later report highlights non‑compliance with the same policy.
Glenda Day · 22 Oct 2015
“It is also concerning that there appears to be no timescale for the two requirements referred to above - ie how contemporary does a doctor review and”
Original on judiciary.uk ↗ Kenneth Baylis · 4 Mar 2024
“Lack of compliance with the Trusts Planned Leave policy.”
Original on judiciary.uk ↗
No published response from Nottinghamshire Healthcare NHS Foundation Trust 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 Nottinghamshire Healthcare 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 |
|---|---|---|---|---|
| 2015 → 2024 | 0.74 | 0.18 | 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 Nottinghamshire Healthcare NHS Foundation Trust
- Inadequate information sharing between healthcare teams2 reports · 2016–2026
- Inadequate foreign body management guidance2 reports · 2024–2025
- Inaccurate and poor record keeping in custody suite2 reports · 2020–2024
- Inadequate death investigation with false statements and omitted GP requests2 reports · 2021–2024
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.