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recurance

David Ball

24 Nov 2020 · Coroner Emma Serrano · Derby and Derbyshire

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of communication between health care departments

    “Evidence emerged during the inquest of two areas of concern: Different health care departments have different patient care records and the departments did not communicate with one another. Evidence was heard that healthcare professionals would have to rely on professional curiosity to ascertain crucial information regarding their patients. The examples used within the Inquest of [the deceased] were that the Hospital, Social Care and Derbyshire Healthcare all had different patient care records.”

Linked reports

Raised again laterPeter Fleming14 Jul 2023 · 2 years 8 months later
Closely relatedConfidence 0.90 · high

This report

“Different health care departments have different patient care records and the departments did not communicate with one another.”

Later report

“different health organisations use different digital systems that do not communicate with each other.”
Original on judiciary.uk ↗
Full chain: Inadequate communication between health care departments

Responses

2020-0251-Response-from-NHS-Digital-Redacted.pdf ↗· NHS Digital

Stated action

“We understand from the request that the discharge care plan was not followed, and this was not recognised. This is an issue of health and social care coordination and management.”
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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error