Suzanne Roberts

1. 1. ineffective management of patient records

   “In my opinion there ts a risk that future deaths will occur unless action Is taken”

2. 2. ineffective cross department communication

   “The Jury found the management of patient records at the RSCH to be ineffective, as was cross Department communication in relation to patient treatment”

3. 3. ineffective communication and ineffective use of patient records within the Department of Trauma and Orthopaedics

   “ineffective communication and ineffective use of patient records within the Department of Trauma and Orthopaedics in relation to patient treatment”

4. 4. ineffective management of patient records and ineffective communication across departments

   “There were at least three software systems in use by different Departments at RSCH, alongside paper records, and that a portal system, Panda, was also partially in place In the absence of mandatory rules for the use of those systems or portal, and mandatory quality assurance about data uploaded to those systems or portal, there is a continuing risk of future deaths due to ineffective management of patient records and ineffective communication across departments at RSCH”

No published response was found on judiciary.uk.