Recurance · prevention of future deaths reports
Pre-inquest brief
Communication failures and information sharing problems across trust
The earlier warning
Laura-Jane Seaman · 13 Dec 2024 · Sonia Hayes, Essex
“d. Communication issues with Trust staff and sharing of information”
judiciary.uk/…/laura-jane-seaman-prevention-of-future-deaths-re…
What was promised
Stated action 1 · response to Laura-Jane Seaman (13 Dec 2024) · stated timescale: 2025
“All Mid and South Essex Hospital NHS Foundation Trust ('MSE') sites have now adopted an electronic prescribing and medication administration (EPMA) platform. EPMA facilitates team members across specialties to record accurately and contemporaneously in one place. The system allows all registered users to clearly see what other medications have been administered and by whom. Staff details are visible against the record so that each interaction is name and date stamped within the patient record.”
judiciary.uk/…/2024-0688-Response-from-Mid-South-Essex-NHS-Trus…
What recurred
- 20 Jul 2026 · Margaret Templeman · Rebecca Mundy · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Laura-Jane Seaman · 13 Dec 2024
“d. Communication issues with Trust staff and sharing of information”
Later · Margaret Templeman · 20 Jul 2026
“I am concerned that the documentation and communication failures identified in this case may not be confined to a single ward, clinical team or hospital site.”
What happened next
No web check of the stated actions has been published for this chain.