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

• 2024 → 2026Lacey Heath1 year 5 months after Laura-Jane Seaman · same coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight failures in maintaining adequate and accurate medical records for patients. The earlier report notes omissions and incorrect entries from prior admissions, while the later report describes absent or insufficient records needed to understand a patient's clinical presentation.

  Laura-Jane Seaman · 13 Dec 2024

  “Significant omissions in the medical record-keeping and some medications administered were entered into a medication chart from a previous admission in November 2023”

  Check it in the source

  Lacey Heath · 28 May 2026

  “There was an absence of appropriate medical records recorded for Ms [name redacted] to understand her clinical presentation”

  Check it in the source

  Stated action in the response to the earlier report

  “All Mid and South Essex Hospital NHS Foundation Trust ('MSE') sites have now adopted an electronic prescribing and medication administration (EPMA) platform. EPMA facilitates team members across specialties to record accurately and contemporaneously in one place. The system allows all registered users to clearly see what other medications have been administered and by whom. Staff details are visible against the record so that each interaction is name and date stamped within the patient record.”

  Earlier report in the app · Later report in the app

• 2025 → 2026Lacey Heath1 year 3 months after David Bennett · same coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports highlight failures in accessing or maintaining complete patient medical records, leading to gaps in clinical understanding.

  David Bennett · 17 Feb 2025

  “Evidence was heard that the mental health crisis staff do not appear to have appropriate access to the primary care mental health System One records and there is a risk that vital information is not being shared.”

  Check it in the source

  Lacey Heath · 28 May 2026

  “There was an absence of appropriate medical records recorded for Ms [name redacted] to understand her clinical presentation other than very basic information on the INR platform on INR results and medication dose.”

  Check it in the source

  Stated action in the response to the earlier report

  “We are in the process of devising a 'Shared Care Record' with colleagues across the Integrated Care Board enabling unified access to patient records. The collaboration includes us, Essex Partnership University Trust (EPUT), Primary Care, Social Care and other key stakeholders set out below.”

  Earlier report in the app · Later report in the app