Communication failures between mental health liaison team and acute hospital
Brighton and Sussex University Hospitals NHS Trust received 2 coroners' reports about this hazard between 21 Apr 2015 and 25 Oct 2019.
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.
“Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust”
Original on judiciary.uk ↗ Brighton and Sussex University Hospitals NHS Trust responded.Response (PDF) ↗
- 4 years 6 months laterClosely relatedConfidence 0.85 · high
“The Brighton and Sussex University Hospital NHS Trust policy for transfer was effectively ignored.”
Original on judiciary.uk ↗ Repeated from the earlier report:BrightonSussexUniversityHospitalTrust
The most recent report. A response may not be due or published yet.
- All reports to Brighton and Sussex University Hospitals NHS 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.
2015 → 2019Jean Waghorn4 years 6 months after Bruce Longden · same coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports concern failures in the transfer process involving Brighton and Sussex University Hospital NHS Trust.
Bruce Longden · 21 Apr 2015
“Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust”
Original on judiciary.uk ↗ Jean Waghorn · 25 Oct 2019
“The Brighton and Sussex University Hospital NHS Trust policy for transfer was effectively ignored.”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
No published response from Brighton and Sussex University Hospitals NHS Trust was found for this report. It is the most recent report, so a response may not be due or published yet.
- 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 Brighton and Sussex University Hospitals NHS 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 |
|---|---|---|---|---|
| 2015 → 2019 | 0.63 | 0.31 | Closely related · 0.85 | same |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Brighton and Sussex University Hospitals NHS 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.