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recurance

John Philips

22 Jun 2026 · Coroner Nicholas Lane · Devon, Plymouth and Torbay

The coroner's concerns

  1. 1. patient record deactivation causing loss of tasks referrals appointments

    “The national SystmOne electronic patient record operates in an unsafe way because it appears to allow a patient's record to be accessed (which might be for a necessary administrative reason) by a member of staff in an organisation previously involved in the patient's care, which seems to have the automatic effect of deactivating the patient's active record in an organisation currently involved in the patient's care (and associated appointments, tasks, treatment plans etc), without this being obvious to anyone - this leads to the removal of important and current tasks, referrals and appointments for the patient whilst they are being cared for by the current organisation and will likely result in unsafe clinical care being provided by NHS Trusts”

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.

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