Delayed sepsis recognition and treatment
Blackpool Teaching Hospitals NHS Foundation Trust received 2 coroners' reports about this hazard between 11 Oct 2016 and 12 Jul 2024.
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 Blackpool Teaching Hospitals NHS Foundation Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“He was not seen by a doctor nor given antibiotics within an hour according to the National Standard and the (Hospital's) Sepsis Pathway.”
Original on judiciary.uk ↗ No published response from Blackpool Teaching Hospitals NHS Foundation Trust was found for this report.
- 7 years 9 months laterIdentical hazardConfidence 0.90 · higha different coroner
“there remains a risk that sepsis will go unrecognized, and urgent treatment will be delayed, putting patients attending Blackpool Victoria Hospital at risk”
Original on judiciary.uk ↗ Blackpool Teaching Hospitals NHS Foundation Trust responded.Response (PDF) ↗
- 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 → 2024Sandra Phillpott7 years 9 months after Barry Thompson · different coronerIdentical hazardConfidence 0.90 · high
Identical hazardConfidence 0.90 · highBoth reports highlight failures in recognizing sepsis and providing timely treatment as required by the hospital's sepsis pathway. The core concern is the same: delays in sepsis identification and intervention.
Barry Thompson · 11 Oct 2016
“He was not seen by a doctor nor given antibiotics within an hour according to the National Standard and the (Hospital's) Sepsis Pathway.”
Original on judiciary.uk ↗ Sandra Phillpott · 12 Jul 2024
“there remains a risk that sepsis will go unrecognized, and urgent treatment will be delayed, putting patients attending Blackpool Victoria Hospital at risk”
Original on judiciary.uk ↗
No published response from Blackpool Teaching Hospitals 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 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 → 2024 | 0.67 | 0.07 | Identical · 0.90 | 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.