Out-of-hours clinicians cannot access regular GP records

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. ?Every quote shown was checked by code to appear word for word in the original report.

• 2018 → 2020Amy Hogan2 years 7 months after David Buttriss · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that out‑of‑hours GPs cannot access patients’ regular GP records, which hampers safe decision‑making.

  David Buttriss · 12 Jan 2018

  “The Out of Hours GP, EE cid not have access to either the mental health or GP records”

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  Amy Hogan · 31 Jul 2020

  “the out of hours GP reviewing Miss [name redacted] had no electronic access to her regular GP records”

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  Stated action in the response to the earlier report

  “implemeented a neww assessmeent service rreplacing the Single Pooint of Acceess to ensure thhat access to mental health serrvices is coonsistent annd effectivee. Each loocality areaa now has a designated rreferral admministrator to manage all referrals into Adult Mental HHealth Servvices and thhe administratoor requests a copy of tthe Patient Profile fromm the patiennt's GP for every referrral receiveed”

  Earlier report in the app · Later report in the app

• 2018 → 2023Patrick Soames5 years 3 months after David Buttriss · different coronerClosely relatedConfidence 0.86 · high

  Closely relatedConfidence 0.86 · high

  Both reports highlight that general practitioner records are not accessible to clinicians outside normal surgery hours or across geographic boundaries. This gap prevents timely sharing of critical patient information during crises.

  David Buttriss · 12 Jan 2018

  “The Out of Hours GP, EE cid not have access to either the mental health or GP records”

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  Patrick Soames · 18 Apr 2023

  “it is either not possible to access information held by a GP practice out of GP surgery hours or where it is possible to do so that is only available if the GP is in the same geographic area as the”

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  Stated action in the response to the earlier report

  “NHS England proposes to disseminate a reminder to GPs to safety net urgent mental health referrals, reflecting in particular the inherent vulnerabilities associated with patients with mental health problems who may find it more difficult to engage with specialist mental health services when they are acutely unwell, and furthermore consider giving a patient written guidance on what to expect and when following a referral, given the impact mental health problems have on concentration and hence memory”

  Earlier report in the app · Later report in the app

• 2020 → 2023Patrick Soames2 years 9 months after Amy Hogan · different coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports highlight that GPs cannot be accessed for patient records outside normal surgery hours, creating risks for vulnerable individuals. The later report adds a geographic limitation but shares the same core issue of inaccessible GP information.

  Amy Hogan · 31 Jul 2020

  “It is a matter of concern that delayed, incomplete or non-existent transfer of patient data from one practice to another on moving places an unfair burden on patients to accurately recall and relay their own medical histories.”

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  Patrick Soames · 18 Apr 2023

  “However, I heard evidence at inquest from accident and emergency consultants that it is either not possible to access information held by a GP practice out of GP surgery hours or where it is possible to do so that is only available if the GP is in the same geographic area as the accident and emergency department.”

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  Earlier report in the app · Later report in the app

• 2023 → 2025John Spencer2 years 1 month after Patrick Soames · different coronerClosely relatedConfidence 0.80 · moderate

  Closely relatedConfidence 0.80 · moderate

  Both reports highlight that general practitioners' records are not reliably accessible to clinicians working outside normal surgery hours. The earlier report stresses geographic and service‑hour barriers, while the later report focuses on incompatible computer systems preventing information exchange.

  Patrick Soames · 18 Apr 2023

  “it is either not possible to access information held by a GP practice out of GP surgery hours or where it is possible to do so that is only available if the GP is in the same geographic area as the accident and emergency department.”

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  John Spencer · 19 May 2025

  “The GP medical history summary, populated by the GP that a patient is registered to, is not always accessible to a GP out of hours surgery.”

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  Earlier report in the app · Later report in the app