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Recurance · prevention of future deaths reports

Pre-inquest brief

Inconsistent sharing of medical notes between agencies

Organisation: Department of Health and Social Care · Generated: 26 Oct 2026

Recurance · recurance.com/chains/f2c60ecce8874bb1

The earlier warning

Shannon Quinn · 6 Sept 2019 · Zafar Siddique, Black Country

“Evidence emerged during the inquest that there was inconsistent sharing of documentation and case notes between the statutory agencies and private sector.”

judiciary.uk/prevention-of-future-death-reports/shannon-quinn

What was promised

A published response was found, but no specific action could be extracted with a verified quote.

What recurred

  • 12 Jul 2024 · Judith Obholzer · Ellie Oakley · Identical hazard · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · 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.”

Later · 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.”

What happened next

Evidence found · a stated action in a response

“The government has announced it has [recruited 8,500 additional mental health workers”

'Government must now set a more ambitious goal': We ... · rethink.org/…/government-must-now-set-a-more-ambitious-goal-we-…

“We've hit our target of recruiting 8,500 more mental health workers in the NHS, three years ahead of schedule”

We promised to recruit 8500 more mental health workers ... · facebook.com/…/1301324875518440

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.