Disjointed clinical information system leading to data loss risk
Tameside and Glossop Integrated Care NHS Foundation Trust received 2 coroners' reports about this hazard between 11 Jun 2025 and 21 Jul 2026.
They came from 1 coroner 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 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“over the course of almost 10 hours in hospital, [the deceased]'s history and details of examinations and assessments undertaken were recorded on a mixture of various analogue and digital systems in operation in different parts of the Trust, leading to a risk of vital clinical information being lost in the system.”
Original on judiciary.uk ↗ Tameside and Glossop Integrated Care NHS Foundation Trust responded.Response (PDF) ↗
- 1 year 1 month laterClosely relatedConfidence 0.90 · high
“Having reviewed Miss [name redacted] in the Same Day Emergency Care Unit on 5 October 2025, the Orthopaedic Senior House Officer wrote their notes in a Trauma and Orthopaedic 'Tracker', not routinely accessible to clinicians working in other specialities.”
Original on judiciary.uk ↗ Tameside and Glossop Integrated Care NHS Foundation Trust responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- All reports to Tameside and Glossop Integrated Care 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.
2025 → 2026Margaret Murphy1 year 1 month after Lila Marsland · same coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight that clinical information is recorded in ways that are not readily accessible across the Trust, creating a risk of vital data being lost or overlooked.
Lila Marsland · 11 Jun 2025
“over the course of almost 10 hours in hospital, [the deceased]'s history and details of examinations and assessments undertaken were recorded on a mixture of various analogue and digital systems in operation in different parts of the Trust, leading to a risk of vital clinical information being lost in the system.”
Original on judiciary.uk ↗ Margaret Murphy · 21 Jul 2026
“Having reviewed Miss [name redacted] in the Same Day Emergency Care Unit on 5 October 2025, the Orthopaedic Senior House Officer wrote their notes in a Trauma and Orthopaedic 'Tracker', not routinely accessible to clinicians working in other specialities.”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
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 Tameside and Glossop Integrated Care 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 |
|---|---|---|---|---|
| 2025 → 2026 | 0.73 | 0.09 | Closely related · 0.90 | same |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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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.