Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of information sharing between online prescribing services and GP systems
The earlier warning
Ania Sohail · 7 Feb 2023 · Catherine McKenna, Manchester North
“There is no requirement for the on-line pharmacies to share information with the patient's GP. This means that, in the absence of the patient's consent to share information, the online prescriber is reliant on the accuracy and truthfulness of the history provided by the patient.”
judiciary.uk/…/ania-sohail-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Ania Sohail (7 Feb 2023) · stated timescale: January 2024
“The Trust has subsequently been the subject of an NHS England-commissioned independent investigation into the failings within the Trust's services reported at the Edenfield Centre and the failure within the organisation to appropriately manage concerns and mitigate against patient harm. The investigation's final report was published in January 2024 and notes that Griffin Ward has now been closed. The Trust has developed an improvement plan, which was updated to reflect the findings of the independent”
judiciary.uk/…/2023-0046-Response-from-Department-of-Health-and…
What recurred
- 31 Jan 2025 · Kim Robinson · Nigel Parsley · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Ania Sohail · 7 Feb 2023
“There is no requirement for the on-line pharmacies to share information with the patient's GP. This means that, in the absence of the patient's consent to share information, the online prescriber is reliant on the accuracy and truthfulness of the history provided by the patient.”
Later · Kim Robinson · 31 Jan 2025
“The need for online prescribers to be able to access a patient's records (at least the Summary Care Records). These records could be attached to the consultation for review by the prescriber.”
What happened next
No web check of the stated actions has been published for this chain.