Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate handover of clinical information between wards
The earlier warning
Tom Cribley · 9 Oct 2018 · Julie Goulding, Liverpool and Wirral
“the failure of clinical staff to handover clinical concerns to each other and to medical staff including face to face handovers”
What was promised
No published response from General Medical Council was found for the earlier reports.
What recurred
- 31 Mar 2021 · Joan Coley · Louise Hunt · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Tom Cribley · 9 Oct 2018
“the failure of clinical staff to handover clinical concerns to each other and to medical staff including face to face handovers”
Later · Joan Coley · 31 Mar 2021
“The inquest heard how there was no system of hand over when junior doctors change from ward to ward.”
What happened next
No web check of the stated actions has been published for this chain.