Inadequate record keeping and retention compromising care
Blackpool Teaching Hospitals NHS Foundation Trust received 3 coroners' reports about this hazard between 11 Oct 2016 and 1 May 2019.
They came from 3 different coroners in 2 coroner areas. A similar concern was raised again 2 times after the first warning.
No published response from Blackpool Teaching Hospitals NHS Foundation Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“records from both departments from 16.52 onwards are, inaccurate, infrequently made, disjointed and and incomplete causing them to be unreliable and affected continuity of care”
Original on judiciary.uk ↗ No published response from Blackpool Teaching Hospitals NHS Foundation Trust was found for this report.
- 2 years 6 months laterClosely relatedConfidence 0.90 · higha different coroner
“issues pertaining to the quality of record keeping.”
Original on judiciary.uk ↗ No published response from Blackpool Teaching Hospitals NHS Foundation Trust was found for this report.
- 1 month laterClosely relatedConfidence 0.82 · moderatea different coroner
“There is a risk of future deaths because both patient care and the opportunity to learn valuable lessons following a death may be compromised by issues pertaining to the quality of record keeping and to the retention of records.”
Original on judiciary.uk ↗ Repeated from the earlier report:carerecords
Blackpool Teaching Hospitals NHS Foundation Trust responded, stating 5 specific actions.Response (PDF) ↗
“The Trust has an Accessible Information Standard Policy allowing for production of information in different languages and formats, including braille.”
“A revised business case is in development and due for consideration by Executive Directors by the end of this month.”
Stated timescale: end of this month
3 more stated actions in the Promises tab.
- All reports to Blackpool Teaching Hospitals 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.
2016 → 2019Tina Tait2 years 6 months after Barry Thompson · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports identify poor quality clinical record keeping as a problem. The earlier report links it to unreliable care and continuity issues, while the later report links it to hindered learning from incidents.
Barry Thompson · 11 Oct 2016
“records from both departments from 16.52 onwards are, inaccurate, infrequently made, disjointed and and incomplete causing them to be unreliable and affected continuity of care”
Original on judiciary.uk ↗ Tina Tait · 8 Apr 2019
“issues pertaining to the quality of record keeping.”
Original on judiciary.uk ↗ 2016 → 2019James Fletcher2 years 7 months after Barry Thompson · different coronerClosely relatedConfidence 0.82 · moderate
Closely relatedConfidence 0.82 · moderateBoth reports identify problems with the quality and reliability of patient record keeping as a safety issue. The earlier report focuses on inaccurate, incomplete records affecting continuity of care, while the later report highlights insufficient record entries and retention compromising patient care and learning.
Barry Thompson · 11 Oct 2016
“found on hearing the evidence that records from both departments from 16.52 onwards are, inaccurate, infrequently made, disjointed and and incomplete causing them to be unreliable and affected continuity of care.”
Original on judiciary.uk ↗ James Fletcher · 1 May 2019
“There is a risk of future deaths because both patient care and the opportunity to learn valuable lessons following a death may be compromised by issues pertaining to the quality of record keeping and to the retention of records.”
Original on judiciary.uk ↗
No published response from Blackpool Teaching Hospitals NHS Foundation Trust was found for this report.
No published response from Blackpool Teaching Hospitals NHS Foundation Trust was found for this report.
Stated action
“The Trust has an Accessible Information Standard Policy allowing for production of information in different languages and formats, including braille.”
Stated action · timescale: end of this month
“A revised business case is in development and due for consideration by Executive Directors by the end of this month.”
Stated action
“The Trust recently introduced a revised early warning score NEWS2 which is a national programme for the recognition of patients who require assessment.”
Stated action
“staff should be alert to the risk of peritonitis in any patient who has undergone abdominal surgery and | have issued a Red Alert to all staff in the light of this serious incident”
Stated action
“The practice in the Trust is that all patients on admission have their medication reviewed by the admitting doctor and are then seen by a clinical pharmacist and drugs are prescribed for use within the Trust”
- 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 Blackpool Teaching Hospitals 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 |
|---|---|---|---|---|
| 2016 → 2019 | 0.67 | 0.12 | Closely related · 0.90 | different |
| 2016 → 2019 | 0.66 | 0.09 | Closely related · 0.82 | 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.