Amy Hogan
31 Jul 2020 · Coroner Christopher Morris · Manchester South
This report repeats 3 earlier warnings, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. incomplete transfer of patient data
“delayed, incomplete or non-existent transfer of patient data from one practice to another on moving places an unfair burden on patients to accurately recall and relay their own medical histories”
2. lack of electronic access to regular GP records
“inability to access regular GP records in the out of hours setting raises additional risks for vulnerable patients”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“The lack of (joint) access to NHS records by 'out of hours' services such as GPs, Urgent Care Centres etc.”
This report
“Again, it is a matter of particular concern that an inability to access regular GP records in the out of hours setting raises additional risks for vulnerable patients.”
Identical hazardConfidence 0.90 · high
Earlier report
“The Out of Hours GP, EE cid not have access to either the mental health or GP records”
This report
“the out of hours GP reviewing Miss [name redacted] had no electronic access to her regular GP records”
Identical hazardConfidence 0.90 · high
Earlier report
“The transfer of this patient to his new GP was likely 'unsafe'. lam particularly concerned because in Brighton and Hove we have an”
This report
“delayed, incomplete or non-existent transfer of patient data from one practice to another on moving places an unfair burden on patients to accurately recall and relay their own medical histories.”
Closely relatedConfidence 0.85 · high
This report
“It is a matter of concern that delayed, incomplete or non-existent transfer of patient data from one practice to another on moving places an unfair burden on patients to accurately recall and relay their own medical histories.”
Later report
“However, I heard evidence at inquest from accident and emergency consultants that it is either not possible to access information held by a GP practice out of GP surgery hours or where it is possible to do so that is only available if the GP is in the same geographic area as the accident and emergency department.”
Responses
2020-0147-Response-from-NHS-England.pdf ↗· NHS England
Stated action · March 2022
“We are working with GP system suppliers and NHS England and NHS Improvement continue to make progress.”