Lack of information sharing between online prescribing services and GP systems
Department of Health and Social Care received 2 coroners' reports about this hazard between 7 Feb 2023 and 31 Jan 2025.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 1 specific action.
The story, report by report
Spacing grows with the time between reports.
“There is no requirement for the on-line pharmacies to share information with the patient's GP. This means that, in the absence of the patient's consent to share information, the online prescriber is reliant on the accuracy and truthfulness of the history provided by the patient.”
Original on judiciary.uk ↗ Department of Health and Social Care responded, stating 1 specific action.Response (PDF) ↗
“The Trust has subsequently been the subject of an NHS England-commissioned independent investigation into the failings within the Trust's services reported at the Edenfield Centre and the failure within the organisation to appropriately manage concerns and mitigate against patient harm. The investigation's final report was published in January 2024 and notes that Griffin Ward has now been closed. The Trust has developed an improvement plan, which was updated to reflect the findings of the independent”
Stated timescale: January 2024
- 2 years laterClosely relatedConfidence 0.90 · higha different coroner
“The need for online prescribers to be able to access a patient's records (at least the Summary Care Records). These records could be attached to the consultation for review by the prescriber.”
Original on judiciary.uk ↗ Repeated from the earlier report:onlinepatient'sprescriber
Department of Health and Social Care responded.Response (PDF) ↗
- All reports to Department of Health and Social Care
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.
2023 → 2025Kim Robinson2 years after Ania Sohail · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight a lack of information sharing between online prescribing services and the patient's GP or health record system. The earlier report notes no requirement for online pharmacies to share data with GPs, while the later report calls for prescribers to access Summary Care Records.
Ania Sohail · 7 Feb 2023
“There is no requirement for the on-line pharmacies to share information with the patient's GP. This means that, in the absence of the patient's consent to share information, the online prescriber is reliant on the accuracy and truthfulness of the history provided by the patient.”
Original on judiciary.uk ↗ Kim Robinson · 31 Jan 2025
“The need for online prescribers to be able to access a patient's records (at least the Summary Care Records). These records could be attached to the consultation for review by the prescriber.”
Original on judiciary.uk ↗
Stated action · timescale: January 2024
“The Trust has subsequently been the subject of an NHS England-commissioned independent investigation into the failings within the Trust's services reported at the Edenfield Centre and the failure within the organisation to appropriately manage concerns and mitigate against patient harm. The investigation's final report was published in January 2024 and notes that Griffin Ward has now been closed. The Trust has developed an improvement plan, which was updated to reflect the findings of the independent”
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 Department of Health and Social Care 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 |
|---|---|---|---|---|
| 2023 → 2025 | 0.81 | 0.13 | Closely related · 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.