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recurance

Adam Bojelian

5 Feb 2020 · Coroner Kevin McLoughlin · West Yorkshire (East)

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of training records

    “The evidence revealed that in 2015, the Trust did not hold records of the training received by individual nurses. Instead, it was left to each individual nurse to maintain their own training records.”
  2. 2. absence of formal written care plan

    “The evidence taken at the inquest revealed that despite the complex medical needs of this child, no formal written care plan was created for the period he was in hospital, from | September 2013 to January 2015 (15 months).”

Linked reports

Raised again laterJohn Heffron18 Aug 2022 · 2 years 6 months later
Closely relatedConfidence 0.90 · high

This report

“The evidence revealed that in 2015, the Trust did not hold records of the training received by individual nurses. Instead, it was left to each individual nurse to maintain their own training records.”

Later report

“(9) It was unclear whether the Trust's contractual arrangements with nursing agencies stipulate the requirement for those supplied to (a) be professionally qualified (b) have current training to specified standards and (c) have undergone appropriate induction to the ED.”
Original on judiciary.uk ↗
Full chain: Missing training records and qualifications verification

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Adam Bojelian · Recurance