Missing training records and qualifications verification
Leeds Teaching Hospitals NHS Trust received 2 coroners' reports about this hazard between 5 Feb 2020 and 18 Aug 2022.
They came from 1 coroner in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from Leeds Teaching Hospitals NHS Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“The evidence revealed that in 2015, the Trust did not hold records of the training received by individual nurses. Instead, it was left to each individual nurse to maintain their own training records.”
Original on judiciary.uk ↗ No published response from Leeds Teaching Hospitals NHS Trust was found for this report.
- 2 years 6 months laterClosely relatedConfidence 0.90 · high
“(9) It was unclear whether the Trust's contractual arrangements with nursing agencies stipulate the requirement for those supplied to (a) be professionally qualified (b) have current training to specified standards and (c) have undergone appropriate induction to the ED.”
Original on judiciary.uk ↗ Leeds Teaching Hospitals NHS Trust responded.Response (PDF) ↗
- All reports to Leeds Teaching Hospitals NHS 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.
2020 → 2022John Heffron2 years 6 months after Adam Bojelian · same coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports concern the verification of nurses' training and qualifications. The earlier report highlights missing central training records, while the later report points out absent contractual requirements for agency nurses' training and induction.
Adam Bojelian · 5 Feb 2020
“The evidence revealed that in 2015, the Trust did not hold records of the training received by individual nurses. Instead, it was left to each individual nurse to maintain their own training records.”
Original on judiciary.uk ↗ John Heffron · 18 Aug 2022
“(9) It was unclear whether the Trust's contractual arrangements with nursing agencies stipulate the requirement for those supplied to (a) be professionally qualified (b) have current training to specified standards and (c) have undergone appropriate induction to the ED.”
Original on judiciary.uk ↗
No published response from Leeds Teaching Hospitals NHS 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 Leeds Teaching Hospitals NHS 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 |
|---|---|---|---|---|
| 2020 → 2022 | 0.68 | 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.