Incomplete nursing records
Stockport NHS Foundation Trust received 2 coroners' reports about this hazard between 13 May 2016 and 26 Apr 2017.
They came from 2 different coroners in 2 coroner areas. 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 6 specific actions.
The story, report by report
Spacing grows with the time between reports.
“During the course of the evidence it was discovered that nursing records and other Clinical documents were not being written up adequately or at all.”
Original on judiciary.uk ↗ Stockport NHS Foundation Trust responded, stating 1 specific action.Response (PDF) ↗
“The Trust is currently in the process of installing an electronic patient record system (EPR); this is a computerised version of the entire healthcare record. Instead of hospital staff using a mixture of paper and electronic records, information will be available to them online in one place. We already use a variety of electronic systems to help staff look after our patients but the EPR will bring all this information about our patients together into one system for better and safer care.”
Stated timescale: 2017
- 11 months laterClosely relatedConfidence 0.90 · higha different coroner
“Patient records completed by the District Nursing Team lacked detail and were not completed in the required timescales.”
Original on judiciary.uk ↗ Repeated from the earlier report:recordsNursing
Stockport NHS Foundation Trust responded, stating 5 specific actions.Response (PDF) ↗
“A multi-agency risk assessment has been developed this will support residential home managers to provide safe and effective care for patients have been assessed as needing twenty four hour nursing care and are waiting to be transferred to a nursing home, This risk assessment is to be launched at the Stockport Care Home Managers' meeting in June 2017 and due to be implemented in July 2017.”
Stated timescale: June 2017 and July 2017
“The Patient Records audit is being repeated to ensure that the improvements have been sustained.”
3 more stated actions in the Promises tab.
- All reports to Stockport NHS Foundation Trust
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2016 → 2017John Davies11 months after Geoffrey Ellis · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight problems with the completeness and timeliness of patient/nursing records.
Geoffrey Ellis · 13 May 2016
“During the course of the evidence it was discovered that nursing records and other Clinical documents were not being written up adequately or at all.”
Original on judiciary.uk ↗ John Davies · 26 Apr 2017
“Patient records completed by the District Nursing Team lacked detail and were not completed in the required timescales.”
Original on judiciary.uk ↗
Stated action · timescale: 2017
“The Trust is currently in the process of installing an electronic patient record system (EPR); this is a computerised version of the entire healthcare record. Instead of hospital staff using a mixture of paper and electronic records, information will be available to them online in one place. We already use a variety of electronic systems to help staff look after our patients but the EPR will bring all this information about our patients together into one system for better and safer care.”
Stated action · timescale: June 2017 and July 2017
“A multi-agency risk assessment has been developed this will support residential home managers to provide safe and effective care for patients have been assessed as needing twenty four hour nursing care and are waiting to be transferred to a nursing home, This risk assessment is to be launched at the Stockport Care Home Managers' meeting in June 2017 and due to be implemented in July 2017.”
Stated action
“The Patient Records audit is being repeated to ensure that the improvements have been sustained.”
Stated action
“The Named Nurse for the each care home will undertake all visits to the residents within their allocated home; however, when not on duty, the Named Nurse will hand over any relevant information to whichever nurse is assigned to visit.”
Stated action
“Locating and assessing Nursing Home placements is not the responsibility of the District Nursing Team, and we respectfully request that this concern is forwarded to the Stockport Clinical Commissioning Group's Funded Nursing Care team to be addressed.”
Stated action · timescale: July 2017
“HEE (Consuttant Psychiatric Doctor for Older People) is also planning educational events with the District Nursing staff from July 2017 in order to help and support the DN staff in the management of patients with Dementia.”
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Stockport NHS Foundation Trust at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2016 → 2017 | 0.71 | 0.07 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Stockport NHS Foundation Trust
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.