Inadequate supervision of junior medical staff

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. ?Every quote shown was checked by code to appear word for word in the original report.

• 2013 → 2021Margaret Kinsey7 years 10 months after Stephanie Daniels · different coronerClosely relatedConfidence 0.86 · high

  Closely relatedConfidence 0.86 · high

  Both reports highlight inadequate supervision and support of junior medical staff as a safety concern. The earlier report focuses on missing clinical supervision and record‑keeping, while the later report stresses staffing shortages that hinder supervision, especially at night.

  Stephanie Daniels · 13 Dec 2013

  “| am concerned about the lack of appropriate clinical supervision and guidance for junior medical staff. Two junior doctors were asked to attend the ward and made no appropriate clinical records of the reason for their attendance, reviewing the records, seeing the patient and explaining any clinical decision to prescribe medication.”

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  Margaret Kinsey · 25 Oct 2021

  “The inquest heard that due to the time of her arrival in the Emergency Department on 11th December 2020 consultants were not on site. The most senior doctors available were middle grade and the number available at that time of night was significantly reduced.”

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  Stated action in the response to the earlier report

  “A revised governance process has been developed within the Citywide Commissioning, Quality and Safeguarding Team and the Trust now attends an established Citywide Patient Safety Committee. This committee meets monthly and is responsible for the review and monitoring of serious incidents requiring investigation reported by the Trust as well as any other patient safety related issues including those highlighted at inquest via Prevention of Future Death Reports.”

  Earlier report in the app · Later report in the app