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Akhona Moyo

28 Jan 2026 · Coroner Hassan Shah · Northamptonshire

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. lack of electronic access to primary care medical notes

    “Hospital doctors, including in the Emergency Department and Paediatrics, do not have electronic access to primary care medical notes e.g. GP notes, community mental health notes etc.”
  2. 2. information silos in healthcare

    “Access may also enable doctors to have a more global view of a patient's medical condition rather than, as it was put at Inquest, "working in silos"”
  3. 3. absence of primary care record access

    “All the doctors that gave evidence to the Inquest stated that access to primary care records would undoubtedly assist them in delivering better patient treatment and care”
  4. 4. inadequate information for autistic non-verbal patients

    “It was felt that access to such information was particularly important in cases such as the present when a patient is autistic and non-verbal”

Linked reports

Repeats an earlier warningAudrey Kelly8 Apr 2014 · 11 years 10 months earlier
Identical hazardConfidence 0.95 · high

Earlier report

“neither they nor the hospital Emergency Departments, have direct access to GP [name redacted]”
Original on judiciary.uk ↗

This report

“Hospital doctors, including in the Emergency Department and Paediatrics, do not have electronic access to primary care medical notes e.g. GP notes, community mental health notes etc.”
Full chain: Lack of electronic access to primary care medical notes

Responses

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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

Akhona Moyo · Recurance