Recurance · prevention of future deaths reports
Pre-inquest brief
Inability to access GP medication records across systems
The earlier warning
Fiona Humberstone · 28 Jun 2021 · Sean Horstead, Essex
“Further, oral evidence from a senior EPUT witness confirmed that the Trust could not, as the electronic systems were presently configured, readily access information held by GP practices regarding individual patients”
What was promised
Stated action 1 · response to Katharine Fox (7 Dec 2023) · stated timescale: 2023
“The Psychological Services Care Unit have been advised of this concern and have provided the following assurance. Every patient who is receiving psychological intervention on an inpatient unit and is in need of continued psychological intervention post discharge, will have a handover of care from the inpatient psychologist (verbal/in writing) to the Community Team psychological practitioner.”
judiciary.uk/…/2023-0510-Response-from-Essex-Partnership-Univer…
What recurred
- 7 Dec 2023 · Katharine Fox · Stephen Simblet · Closely related · confidence 0.90 (high)
- 17 Feb 2025 · David Bennett · Sonia Hayes · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Fiona Humberstone · 28 Jun 2021
“Further, oral evidence from a senior EPUT witness confirmed that the Trust could not, as the electronic systems were presently configured, readily access information held by GP practices regarding individual patients”
Later · Katharine Fox · 7 Dec 2023
“some clinicians in the psychology service may not be able to access notes made by clinicians in either other hospitals or other parts of the county”
What happened next
No web check of the stated actions has been published for this chain.