Incomplete patient leave documentation
Lancashire Care NHS Foundation Trust received 2 coroners' reports about this hazard between 12 Jul 2018 and 6 Feb 2020.
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.
“e Hecould not find a copy of the Leave Authorisation that granted [the deceased] leave and felt that documentation of leave fell short of the guidance laid out in the Trust policy for the authorisation of section 17 leave of absence.”
Original on judiciary.uk ↗ Lancashire Care NHS Foundation Trust responded, stating 1 specific action.Response (PDF) ↗
“The senior matron and lead nurse will establish how these prompts are implemented by 28 September 2018.”
Stated timescale: 28 September 2018
- 1 year 7 months laterClosely relatedConfidence 0.90 · higha different coroner
“(1) That documentation in relation to leave was not completed fully and incorrect forms used”
Original on judiciary.uk ↗ Repeated from the earlier report:documentationleave
Lancashire Care NHS Foundation Trust responded.Response (PDF) ↗
- All reports to Lancashire Care 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.
2018 → 2020David Clark1 year 7 months after Adam Carter · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports identify shortcomings in the documentation of patient leave, specifically failures to complete or correctly file required leave paperwork.
Adam Carter · 12 Jul 2018
“e Hecould not find a copy of the Leave Authorisation that granted [the deceased] leave and felt that documentation of leave fell short of the guidance laid out in the Trust policy for the authorisation of section 17 leave of absence.”
Original on judiciary.uk ↗ David Clark · 6 Feb 2020
“(1) That documentation in relation to leave was not completed fully and incorrect forms used”
Original on judiciary.uk ↗
Stated action · timescale: 28 September 2018
“The senior matron and lead nurse will establish how these prompts are implemented by 28 September 2018.”
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 Lancashire Care 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 |
|---|---|---|---|---|
| 2018 → 2020 | 0.74 | 0.24 | 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.