Recurance · prevention of future deaths reports
Pre-inquest brief
Inaccurate and poor record keeping in custody suite
The earlier warning
Carlington Spencer · 28 Aug 2020 · Timothy Brennand, Lincolnshire
“Record keeping and purported observations of detainees who are incapacitated by reason of presumed self-induced intoxication are inaccurate, irregular and unavailable for inspection by health care personnel;”
What was promised
No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for the earlier reports.
What recurred
- 4 Oct 2024 · James Southern · Sarah Wood · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Carlington Spencer · 28 Aug 2020
“Record keeping and purported observations of detainees who are incapacitated by reason of presumed self-induced intoxication are inaccurate, irregular and unavailable for inspection by health care personnel;”
Later · James Southern · 4 Oct 2024
“a) That there remain potential issues of poor record keeping. b) There are concerns over the level of communication between professionals within the Trust and communication with patients.”
What happened next
No web check of the stated actions has been published for this chain.