Hayley Smith

1. 1. lack of shared clinical records

   “Evidence given at the inquest revealed that there were seven different organisations involved in [the deceased]'s care all of whom had different systems for recording their clinical notes”

2. 2. inadequate information sharing

   “The evidence given at the inquest revealed that each of the organisations were reliant on being copied into correspondence or on specific information being shared by others”

3. 3. inadequate communication

   “The evidence at the inquest revealed that communication between those involved in her short life was inadequate and, as each ran separate clinical records systems, they could not access crucial information which could have made a difference ultimately meaning [the deceased] may not have died when she did”

4. 4. barriers to data sharing

   “Evidence was given at the inquest that locally some steps have been taken to try to share key data between acute hospitals but there have been significant hurdles which have impeded the process namely, the different information technology systems used, licensing issues for the software, Data Protection requirements, confidentiality and consent issues as well as training and funding”

5. 5. failure to share critical information

   “[the deceased] died following an out of hospital cardiac arrest on Christmas day 2019. If information been shared between different health care organisations particularly crucial information about [the deceased]'s CTO it is highly likely she would still be alive today”

No published response was found on judiciary.uk.