Source · Prevention of Future Deaths

Paul Gander

Ref: 2024-0092 Date: 8 Dec 2017 Coroner: Veronica Hamilton-Deeley Area: West Sussex, Brighton and Hove Responses identified: 0 / 1 View PDF

A consultant was unable to access crucial electronic patient records from other hospital departments out-of-hours. Full access for authorised personnel is imperative to prevent future deaths.

Date 8 Dec 2017
56-day deadline 19 Apr 2024 est.
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
A consultant was unable to access crucial electronic patient records from other hospital departments out-of-hours. Full access for authorised personnel is imperative to prevent future deaths.
View full coroner's concerns
VERONICA HAMILTON-DEELEY DL, LL.B. Her Majesty's Senior Coroner for the City of Brighton & Hove Assistant Coroners CATHARINE PALMER LL.B (HONS) KAREN HENDERSON, BSC,BM,MRCPI,FRC_ GILVA D.J.TISSHAW, BA(LAW)HONS THE CORONER'S OFFICE WOODYALE, LEWES ROAD BRIGHTON Telephone: Brighton (01273) 292046 Fax: Brighton (01273) 292047 ­ (1) That at a weekend and out of hours the Consultant Orthopaedic and Trauma Surgeon involved was not able to access the electronic records of other departments within the hospital. This is completely unacceptable. This information is imperative. Arrangements must be made to ensure that full access is given to properly authorised personnel to all hospital records.

Report sections

Investigation and inquest
On Fifteenth June 2017 I commenced an investigation into the death of Paul Eric GANDER. The investigation concluded at the end of the inquest on Twenty seventh November 2017. The conclusion of the inquest was a NARRATIVE CONCLUSION.
Circumstances of the death
See Record of Inquest
Copies sent to
2. , Solicitor3. Secretary of State for Health, Department of Health4. , Chief Executive, NHS England5. Care Quality Commission6. Clinical Commissioning Group

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Report details

Reference
2024-0092
Date of report
8 December 2017
Coroner
Veronica Hamilton-Deeley
Coroner area
West Sussex, Brighton and Hove

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 19 Apr 2024 (estimated).

Sent to

Brighton and Sussex University NHS Hospital Trust

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