Lack of clear protocol for managing sickle cell crises in prisons
NHS England received 2 coroners' reports about this hazard between 26 Sept 2014 and 31 Oct 2024.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from NHS England was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“Evidence at the inquest confirmed that there needed to be a clear protocol in the West Midlands for the management of patients with Sickle cell disease.”
Original on judiciary.uk ↗ No published response from NHS England was found for this report.
- 10 years 1 month laterClosely relatedConfidence 0.80 · moderatea different coroner
“I am not at all clear that this work has been replicated nationally.”
Original on judiciary.uk ↗ NHS England responded.Response (PDF) ↗Response (PDF) ↗
- All reports to NHS England
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.
2014 → 2024Wayne Bayley10 years 1 month after Emmanuel Akinmuyiwa · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight the absence of clear guidance or protocols for managing acute sickle cell crises, which puts patients at risk. The earlier report focuses on a regional protocol gap in the West Midlands, while the later report notes that local improvements have not been shared nationwide.
Emmanuel Akinmuyiwa · 26 Sept 2014
“Evidence at the inquest confirmed that there needed to be a clear protocol in the West Midlands for the management of patients with Sickle cell disease.”
Original on judiciary.uk ↗ Wayne Bayley · 31 Oct 2024
“I am not at all clear that this work has been replicated nationally.”
Original on judiciary.uk ↗
No published response from NHS England was found for this report.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- 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 NHS England 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 |
|---|---|---|---|---|
| 2014 → 2024 | 0.74 | 0.21 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
Other chains for NHS England
- Delayed referral for neurosurgical care2 reports · 2017–2026
- Inadequate medical documentation oversight2 reports · 2024–2026
- Patients treated in ED corridor due to lack of clinical space3 reports · 2024–2026
- Lack of basic first aid training and CPR training and defibrillator use by Prison Officers and Staff3 reports · 2015–2026
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.