Recurance · prevention of future deaths reports
Pre-inquest brief
Disjointed clinical information system leading to data loss risk
The earlier warning
Lila Marsland · 11 Jun 2025 · Chris Morris, Manchester South
“over the course of almost 10 hours in hospital, [the deceased]'s history and details of examinations and assessments undertaken were recorded on a mixture of various analogue and digital systems in operation in different parts of the Trust, leading to a risk of vital clinical information being lost in the system.”
judiciary.uk/…/lila-marsland-prevention-of-future-deaths-report
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 21 Jul 2026 · Margaret Murphy · Chris Morris · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Lila Marsland · 11 Jun 2025
“over the course of almost 10 hours in hospital, [the deceased]'s history and details of examinations and assessments undertaken were recorded on a mixture of various analogue and digital systems in operation in different parts of the Trust, leading to a risk of vital clinical information being lost in the system.”
Later · Margaret Murphy · 21 Jul 2026
“Having reviewed Miss [name redacted] in the Same Day Emergency Care Unit on 5 October 2025, the Orthopaedic Senior House Officer wrote their notes in a Trauma and Orthopaedic 'Tracker', not routinely accessible to clinicians working in other specialities.”
What happened next
No web check of the stated actions has been published for this chain.