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Audrey King

22 Aug 2023 · Coroner Guy Davies · Cornwall and the Isles of Scilly
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The coroner's concerns

  1. 1. inconsistencies in record keeping between specialities

    “Inconsistencies in record keeping between specialities”

  2. 2. alert for handwritten clinical notes

    “The process for entering an alert in the digital system that clinical notes have been handwritten in the written notes”

  3. 3. absence of alert on EPMA for medication suspension

    “The absence of an alert on the EPMA requiring review of the ongoing suspension of prescribed medication”

Responses

2023-0312-Response-from-Royal-Cornwall-Hospitals-NHS-Trust.pdf ↗· Royal Cornwall Hospital Trust

Stated action · Spring 2025

“The Trust is moving towards having all clinical records available electronically and Oracle Health have been awarded the contract for our Electronic Patient Record (EPR) programme. The new EPR will integrate many of our digital and paper-based systems into a single platform, providing a more joined up way of working across our hospitals, improving safety and transforming the way we care. This system is expected to be operational from Spring 2025.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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