Skip to content
recurance

Derrick Brocklehurst

5 Jun 2017 · Coroner Alison Mutch · Manchester (South)

The coroner's concerns

  1. 1. lack of documentation of carer visits

    “There was no documentation available of the carer visits. The care provided and any issues with the provision of care could not be established. They were not recovered by Social Services when care stopped. There was no system for tecovery of care notes when care ceased.”
  2. 2. missing discharge summary to GP

    “No discharge summary was provided by Tameside General Hospital to the GP after the deceased was seen in A and E.”

Responses

2017-0181-Response-by-Tameside-Glossop-Integrated-Care.pdf ↗· Tameside General Hospital

Stated action · October 2017

“The Trust is planning to introduce new bespoke software to enable the production of an electronic casualty card, to replace the current handwritten casualty cards produced by the doctors and nurses in the Emergency Department. The key data from the electronic casualty card will be used to create a discharge summary which will be electronically sent to the patient's GP practice. It is anticipated that this will ensure that a discharge summary is completed for every patient seen within the Emer”

2017-0181-Response-by-Tameside-Metropolitan-Borough.pdf ↗· Tameside Metropolitan Borough Council

Stated action · 14 calendar days

“a provider must "comply with all reasonable requests relating to the performance of any aspect of the Services, including those areas that demonstrate the Provider's ability to ensure this Agreement is complied with, such information to be returned to the Commissioner (or the CCG in relation to Complex”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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