Delayed access to medical records
Essex Partnership University NHS Foundation Trust received 2 coroners' reports about this hazard between 28 Jun 2021 and 17 Feb 2025.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
No published response from Essex Partnership University NHS Foundation Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“does not have access to a definitive record of the medication presently being taken by that patient (and/or their concordance with prescribed medication)”
Original on judiciary.uk ↗ No published response from Essex Partnership University NHS Foundation Trust was found for this report.
- 3 years 8 months laterIdentical hazardConfidence 0.92 · higha different coroner
“The acute Trust nurse did not have access to the mental health or GP records and not all available information was shared with the acute Trust nurse.”
Original on judiciary.uk ↗ Essex Partnership University NHS Foundation Trust responded.Response (PDF) ↗
- All reports to Essex Partnership University 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.
2021 → 2025David Bennett3 years 8 months after Fiona Humberstone · different coronerIdentical hazardConfidence 0.92 · high
Identical hazardConfidence 0.92 · highBoth reports highlight that clinicians reviewing mental health patients lack timely access to primary care medication and GP records, creating a risk of inadequate treatment.
Fiona Humberstone · 28 Jun 2021
“does not have access to a definitive record of the medication presently being taken by that patient (and/or their concordance with prescribed medication)”
Original on judiciary.uk ↗ David Bennett · 17 Feb 2025
“The acute Trust nurse did not have access to the mental health or GP records and not all available information was shared with the acute Trust nurse.”
Original on judiciary.uk ↗
No published response from Essex Partnership University NHS Foundation Trust was found for this report.
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 Essex Partnership University 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 |
|---|---|---|---|---|
| 2021 → 2025 | 0.68 | 0.09 | Identical · 0.92 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
Other chains for Essex Partnership University NHS Foundation Trust
- Inadequate risk assessment documentation and inaccurate record keeping6 reports · 2018–2026
- Incomplete investigation of patient observations2 reports · 2023–2025
- Absence of mental health liaison during 72‑hour hold and missing discharge note2 reports · 2024–2025
- Lack of discharge plan responsibility and unclear care coordinator allocation2 reports · 2022–2025
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.