Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate medical documentation in acute trust
The earlier warning
Laura-Jane Seaman · 13 Dec 2024 · Sonia Hayes, Essex
“Significant omissions in the medical record-keeping and some medications administered were entered into a medication chart from a previous admission in November 2023”
judiciary.uk/…/laura-jane-seaman-prevention-of-future-deaths-re…
What was promised
Stated action 1 · response to Laura-Jane Seaman (13 Dec 2024) · stated timescale: 2025
“All Mid and South Essex Hospital NHS Foundation Trust ('MSE') sites have now adopted an electronic prescribing and medication administration (EPMA) platform. EPMA facilitates team members across specialties to record accurately and contemporaneously in one place. The system allows all registered users to clearly see what other medications have been administered and by whom. Staff details are visible against the record so that each interaction is name and date stamped within the patient record.”
judiciary.uk/…/2024-0688-Response-from-Mid-South-Essex-NHS-Trus…
Stated action 2 · response to David Bennett (17 Feb 2025) · stated timescale: none stated
“We are in the process of devising a 'Shared Care Record' with colleagues across the Integrated Care Board enabling unified access to patient records. The collaboration includes us, Essex Partnership University Trust (EPUT), Primary Care, Social Care and other key stakeholders set out below.”
judiciary.uk/…/2025-0089-Response-from-Mid-South-Essex-NHS-Trus…
What recurred
- 17 Feb 2025 · David Bennett · Sonia Hayes
- 28 May 2026 · Lacey Heath · Sonia Hayes · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Laura-Jane Seaman · 13 Dec 2024
“Significant omissions in the medical record-keeping and some medications administered were entered into a medication chart from a previous admission in November 2023”
Later · Lacey Heath · 28 May 2026
“There was an absence of appropriate medical records recorded for Ms [name redacted] to understand her clinical presentation”
What happened next
No web check of the stated actions has been published for this chain.