Delayed medical response due to bleep system failures
Queen Elizabeth Hospital received 2 coroners' reports about this hazard between 11 Nov 2020 and 25 Nov 2022.
They came from 1 coroner. 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 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“Nurses had difficulty in contacting front line on call medical staff on two occasions.”
Original on judiciary.uk ↗ Queen Elizabeth Hospital responded, stating 1 specific action.Response (PDF) ↗
“I attach the latest audit on medical records carried out across the Trust's wards. The wards involved were Oxborough and Marham for the admission in question. With medical record completion, action taken is taken on a regular basis and I set out the detail of this process below.”
Stated timescale: 25 January 2021
- 2 years laterClosely relatedConfidence 0.90 · high
“Evidence was heard that staff alerted the paediatric team on foot, rather than using the emergency "bleep" system”
Original on judiciary.uk ↗ Queen Elizabeth Hospital responded, stating 1 specific action.Response (PDF) ↗
“In my role as Acting Chief Executive Officer of The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust I now set out the Trust's responses to the three concerns you raised in box (5) of the report.”
- All reports to Queen Elizabeth Hospital
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.
2020 → 2022Bonnie Webster2 years after Margaret Sales · same coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight problems with the hospital's bleep system for contacting on‑call medical staff. The earlier report notes nurses could not reach staff despite bleeps being issued; the later report shows staff bypassing the bleep system altogether.
Margaret Sales · 11 Nov 2020
“Nurses had difficulty in contacting front line on call medical staff on two occasions.”
Original on judiciary.uk ↗ Bonnie Webster · 25 Nov 2022
“Evidence was heard that staff alerted the paediatric team on foot, rather than using the emergency "bleep" system”
Original on judiciary.uk ↗
Stated action · timescale: 25 January 2021
“I attach the latest audit on medical records carried out across the Trust's wards. The wards involved were Oxborough and Marham for the admission in question. With medical record completion, action taken is taken on a regular basis and I set out the detail of this process below.”
Stated action
“In my role as Acting Chief Executive Officer of The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust I now set out the Trust's responses to the three concerns you raised in box (5) of the report.”
- 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 Queen Elizabeth Hospital 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 |
|---|---|---|---|---|
| 2020 → 2022 | 0.70 | 0.03 | Closely related · 0.90 | same |
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.