Inconsistent sharing of medical notes between agencies
Department of Health and Social Care received 2 coroners' reports about this hazard between 6 Sept 2019 and 12 Jul 2024.
They came from 2 different coroners 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 1 specific action.
The story, report by report
Spacing grows with the time between reports.
“Evidence emerged during the inquest that there was inconsistent sharing of documentation and case notes between the statutory agencies and private sector.”
Original on judiciary.uk ↗ Department of Health and Social Care responded.Response (PDF) ↗Response (PDF) ↗
- 4 years 10 months laterIdentical hazardConfidence 0.90 · higha different coroner
“In the course of the evidence it was confirmed that there is no sharing of medical notes between private practitioners and NHS providers.”
Original on judiciary.uk ↗ Repeated from the earlier report:evidencesharingnotesbetweenprivate
Department of Health and Social Care responded, stating 1 specific action.Response (PDF) ↗
“we will recruit an additional 8,500 mental health workers to reduce delays and provide faster treatment”
Web search (Tavily): Evidence found that the action was carried out
'Government must now set a more ambitious goal': We ... ↗ - All reports to Department of Health and Social Care
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.
2019 → 2024Judith Obholzer4 years 10 months after Shannon Quinn · different coronerIdentical hazardConfidence 0.90 · high
Identical hazardConfidence 0.90 · highBoth reports highlight the absence of a system for sharing medical notes between private healthcare providers and NHS services.
Shannon Quinn · 6 Sept 2019
“Evidence emerged during the inquest that there was inconsistent sharing of documentation and case notes between the statutory agencies and private sector.”
Original on judiciary.uk ↗ Judith Obholzer · 12 Jul 2024
“In the course of the evidence it was confirmed that there is no sharing of medical notes between private practitioners and NHS providers.”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
Stated action
“we will recruit an additional 8,500 mental health workers to reduce delays and provide faster treatment”
What happened next: Evidence found that the action was carried out
The organisation announced it has recruited 8,500 additional mental health workers, meeting its target ahead of schedule.
“The government has announced it has [recruited 8,500 additional mental health workers”
“We've hit our target of recruiting 8,500 more mental health workers in the NHS, three years ahead of schedule”
- 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 Department of Health and Social Care 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 |
|---|---|---|---|---|
| 2019 → 2024 | 0.73 | 0.23 | Identical · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Department of Health and Social Care
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.