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recurance

Communication failures and information sharing problems across trust

Closely relatedConfidence 0.90 · high2 reports · 2024–2026 One-page brief (print or PDF)

Mid and South Essex NHS Foundation Trust received 2 coroners' reports about this hazard between 13 Dec 2024 and 20 Jul 2026.

They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.

A published response was found for 1 of the 1 earlier reports, stating 1 specific action.

2
reports
2
different coroners
2024–2026
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Laura-Jane Seaman↗

    13 Dec 2024 · Sonia Hayes · Essex

    “d. Communication issues with Trust staff and sharing of information”
    Original on judiciary.uk ↗

    Mid and South Essex NHS Foundation Trust responded, stating 1 specific action.Response (PDF) ↗

    “All Mid and South Essex Hospital NHS Foundation Trust ('MSE') sites have now adopted an electronic prescribing and medication administration (EPMA) platform. EPMA facilitates team members across specialties to record accurately and contemporaneously in one place. The system allows all registered users to clearly see what other medications have been administered and by whom. Staff details are visible against the record so that each interaction is name and date stamped within the patient record.”

    Stated timescale: 2025

  2. 1 year 7 months later

    Raised again · 1st time

    Margaret Templeman↗

    20 Jul 2026 · Rebecca Mundy · Essex

    Closely relatedConfidence 0.90 · higha different coroner
    “I am concerned that the documentation and communication failures identified in this case may not be confined to a single ward, clinical team or hospital site.”
    Original on judiciary.uk ↗

    Mid and South Essex NHS Foundation Trust responded.Response (PDF) ↗

  3. All reports to Mid and South Essex NHS Foundation Trust

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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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