Recurance · prevention of future deaths reports
Pre-inquest brief
Incomplete patient information documentation
The earlier warning
Mary Hanson · 21 Apr 2015 · Claire Hammond, Preston and West Lancashire
“(2) There is no record in the medical records of that clinic appointment regarding what risks and benefits were discussed;”
What was promised
No published response from Lancashire Teaching Hospitals was found for the earlier reports.
What recurred
- 15 Jan 2024 · Rhys Hill · Alison Mutch · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Mary Hanson · 21 Apr 2015
“(2) There is no record in the medical records of that clinic appointment regarding what risks and benefits were discussed;”
Later · Rhys Hill · 15 Jan 2024
“Documentation (clinical and nursing) was incomplete and did not detail key/important information about [the deceased].”
What happened next
No web check of the stated actions has been published for this chain.