Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of automated discharge medication notification to GP
The earlier warning
Rachel Edwards · 27 Feb 2017 · Nigel Parsley, Suffolk
“there is no automated notification to a patient's GP of the type and amounts of prescription medicines issued to a patient upon discharge from Woodlands”
judiciary.uk/…/rachel-edwards-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Rachel Edwards (27 Feb 2017) · stated timescale: none stated
“The Trust will make an assessment of the medications prescribed upon discharge and this consideration will continue across the Trust.”
judiciary.uk/…/2024-0220-Response-from-Norfolk-and-Suffolk-NHS-…
What recurred
- 18 Mar 2019 · Ellie Long · Jacqueline Lake · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Rachel Edwards · 27 Feb 2017
“there is no automated notification to a patient's GP of the type and amounts of prescription medicines issued to a patient upon discharge from Woodlands”
Later · Ellie Long · 18 Mar 2019
“An initial full, updating letter was sent to [the deceased]'s GP. However no further updating information was sent.”
What happened next
No web check of the stated actions has been published for this chain.