Epilepsy, 19 Sep 2013 – 19 Jun 2026
Epilepsy-related Prevention of Future Deaths reports
All dates19 Sep 2013 – 7 Sep 2026
Select SUDEP or Non-SUDEP to filter concerns and reports. 3 reports could not be assigned and remain in All only. Counts are PFD reports, not deaths.
About this dataset
We searched all 6,433 reports in the published corpus using a fixed text-search method, then assessed 317 candidates against source-based inclusion criteria. Ninety reports were included. Epilepsy had to be materially relevant to the death or a substantive coroner’s concern; incidental mentions were excluded.
Eligibility and SUDEP assignment were assessed with GPT-5.6 Sol and checked for valid source quotations. Assignment uses a balance-of-probabilities threshold: SUDEP or non-SUDEP must be more likely than not on the report’s evidence. The exact term SUDEP need not appear. Genuinely unclear eligible reports remain in All only. These are model-assisted documentary assessments, not independently validated clinical diagnoses.
The search can miss reports with sparse terminology or incomplete source text. This dataset does not represent all epilepsy deaths. Recurring concerns and responses are taken from the existing published evidence. Published corpus snapshot: 7 September 2026. Cohort selection updated 5 November 2026. The title shows the first and last included reports’ publication dates.
Reports over time
Matching reports published each year within the selected date range.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Matching reports sent to each recipient.
Most commonly raised concerns
Non-SUDEP 68 reports 19 Sep 2013 – 7 Sep 2026
- Incomplete, inaccurate or unavailable clinical and care recordsClinical and care records are incomplete, inaccurate, inconsistent, unavailable or otherwise unreliable for safe care.5 reportsSelected
- Unsafe medication administrationA recurring failure of the medication-administration system to ensure that medicines are administered safely, accurately, promptly and as prescribed.5 reportsSelected
- Inadequate driver licensing controls for road safetyDriver licensing systems do not reliably identify, record, review or restrict drivers whose inexperience, health or vehicle-related risk requires additional safeguards.4 reportsSelected
- Unreliable seizure care and managementControls dedicated to recognising, assessing, monitoring, responding to and managing seizures are not reliably provided.4 reportsSelected
- Failure to communicate clinically important information reliably between care servicesRecurring concern that clinically important guidance, decisions and patient information are not kept accurate, current and available to the clinicians and emergency services who need them.3 reportsSelected
- Failure to ensure clinical investigation results are reliably available, interpreted and acted uponRecurring deficiency in the end-to-end management of clinical investigation results, including their availability, transmission, checking, review, interpretation, follow-up and escalation when needed.3 reportsSelected
- Failure to provide required medication promptly when clinically neededThe anchor identifies delayed prescribing of a patient's usual medication after an unexpected admission, while another report identifies delayed prescribing and non-provision of urgent therapeutic medication. These support a recurring concern about timely provision of clinically required medication rather than only the anchor's admission or prescribing-step failure.3 reportsSelected
- Insufficient police training for safe recognition and response to mental-health and behaviour-related medical crisesReports identify insufficient police training to recognise and respond safely to mental-health crises and behaviour-related medical emergencies.3 reportsSelected
- Insufficient qualified healthcare staffing capacityHealthcare services lack enough appropriately qualified staff to provide the required clinical coverage and patient care safely for the workload, acuity and specialist needs.3 reportsSelected
- Unreliable DVLA medical fitness notification arrangementsThe anchor identifies limited professional awareness and uncertain effectiveness of guidance for notifying the DVLA about medically relevant driving risks. A different report identifies clinicians failing to advise patients with cough syncope to stop driving and notify the DVLA, while another identifies failure to notify the DVLA of relevant medical conditions. These support the named DVLA medical-fitness notification process rather than guidance awareness alone.3 reportsSelected
- Electronic patient records failing to make relevant clinical information available and actionableRecurring concern that electronic patient-record systems do not reliably present, preserve, share or prompt action on clinically relevant information across the patient’s care.2 reportsSelected
- Failure to conduct required welfare checks on people in distressThe anchor identifies a risk that care home staff will not check a resident in distress, while a different canonical report identifies failure to conduct a later welfare check on a person left in potential medical distress. Together these support a recurring concern about welfare checks not being completed when a person may require assistance.2 reportsSelected
- Failure to identify and address recurring safety issues through organisational learningDifferent reports identify failures of reporting, review and learning arrangements to retain, recognise and address substantive or recurring patient-safety issues, rather than merely failures to complete one specific corrective action.2 reportsSelected
- Failure to reliably learn from medication incidents and implement safeguardsThe medication incident learning process is unreliable: incidents are not consistently followed up or reviewed to identify, communicate and implement safeguards that protect patients from recurrence.2 reportsSelected
- Failure to reliably recognise and respond to acute clinical deteriorationClinical deterioration is not reliably recognised, monitored, escalated and acted upon with the urgency it requires.2 reportsSelected
- Failure to seek medical attention when a person's condition warrants itReports identify an unreliable escalation control in which care staff or other responders do not promptly seek medical or paramedic assistance when a person's injury, pain, fall or deterioration warrants clinical attention.2 reportsSelected
- Inadequate control of illicit substance use and supply in secure institutionsThe anchor identifies an ongoing failure to mitigate illicit substance entry, distribution and use in a secure hospital, while assertions from different reports identify continuing illicit-drug influx, widespread access and weak supply-reduction controls in prisons. These distinct manifestations support a bounded concern about controlling illicit substances in secure institutional settings, rather than only room searches, drug testing or a prison-specific strategy.2 reportsSelected
- Inadequate controls on contraband mobile phones in prisonsDifferent reports identify failures in the prison control system for preventing and mitigating access to contraband mobile phones, including their easy availability to prisoners and their use to facilitate drug dealing and other prison-security risks.2 reportsSelected
- Inadequate recording of medication prescribing decisionsReports identify unreliable medication prescribing records that can obscure prescribing status, rationale, changes or safety-critical decisions and thereby allow unsafe medication to be prescribed or administered.2 reportsSelected
- Inadequate staff competence to provide first aidReports identify an unsafe first-aid capability condition across healthcare, care, custody and other staff. The recurring concern is the unreliability of staff competence to recognise emergencies and provide appropriate first aid, rather than any single training, refresher, assessment or practical-performance failure.2 reportsSelected
- Unreliable Care Programme Approach care coordinationReports identify different failures within the named Care Programme Approach, including the absence of a structured medication review and failures to allocate coordinators, complete required reviews, maintain care plans and follow up patients. Together these support a recurring concern with the reliable operation of CPA care coordination rather than medication review alone.2 reportsSelected
- Unreliable RIO clinical-record functionsThe anchor identifies an unclear timeliness standard for RIO entries, while different reports identify failures of RIO to support complete information capture, cross-team access and usable observation records. Together these support a recurring concern with the reliability of the named RIO clinical-record system rather than only one entry-timing or documentation manifestation.2 reportsSelected
- Unreliable communication of patient-care information between clinical staffClinical staff responsible for the same patient's care do not reliably exchange relevant information about care, treatment and risk.2 reportsSelected
- Unreliable escalation by care staff for required medical attentionCare staff do not reliably recognise and escalate deterioration, pain or other safety concerns to obtain timely medical assessment or advice.2 reportsSelected
- Unreliable healthcare patient transfer processesHealthcare transfers do not reliably provide the procedures, responsibility, documentation and clinical information needed for safe movement and continuity of care.2 reportsSelected
- Unreliable hospital discharge processesHospital discharge does not reliably bring together planning, clinical readiness, relevant organisations, safe execution and required follow-up.2 reportsSelected
- Unreliable implementation of medication changesReports identify different failures in the medication-change process, including failure to act on a prescribed reduction, failure to ensure carers acknowledge changes, and difficulty implementing specialist-directed changes accurately. Together these support the wider unsafe condition that medication changes are not reliably implemented across prescribing, communication and follow-up controls.2 reportsSelected
- Unreliable medication dosage verification and communicationReports identify unsafe failures to ensure that medication dosages are accurately verified, clarified and communicated across prescribing, dispensing and administration activities.2 reportsSelected
- Unreliable mental health referral pathwaysReports identify different failures within the mental health referral process, including referrals not being made when indicated, received referrals not being actioned, and frontline practitioners lacking clarity about when and where to refer. These support a recurring concern with the reliability of mental health referral pathways rather than any single referral or awareness failure.2 reportsSelected
- Unreliable patient observation arrangementsPatient observation systems do not reliably set, support and deliver the observation level required by assessed safety risk.2 reportsSelected
- Unreliable review and action on clinically significant incoming correspondenceReports identify failures across the incoming clinical-correspondence process, including failure to identify GP medication-review requests, failure to bring action-requiring correspondence to medical staff, and correspondence being filed without GP review or action. The shared unsafe condition is that clinically significant correspondence may not reliably reach the responsible clinician or trigger the required clinical response.2 reportsSelected
- Unreliable safety CCTV monitoring systemsDifferent reports identify failures in the operation of CCTV used as a safety control, including absent staff access arrangements, inadequate coverage, non-working cameras, insufficient monitoring and unclear staff instructions. Together these support the reliability of safety CCTV monitoring as the parent concern rather than any single access, coverage, equipment or training failure.2 reportsSelected
- Unsafe medication prescribingReports identify unsafe prescribing decisions in which the medication, indication, dose or relevant clinical circumstances are not adequately evaluated before prescribing.2 reportsSelected
Reports matching this classification
19 Sep 2013 – 7 Sep 2026 · 68 reports
Showing all concerns and their linked actions and positions from reports in this date range for non-sudep. Select a recurring concern above to narrow the evidence.
Actions and positions describe what recipients stated in published responses. Select a statement to read its source wording.
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Concerns raised3
Failure of drivers with dementia to self-report medical conditions to the DVLA
Failure to report multiple medical conditions requiring DVLA monitoring
Under-recording of dementia in collision statistics
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
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Action
Consider research and evidence, including any additional research needed, to inform potential future changes to the driver licensing system.
Stated by Department for Transport -
Action
Continue working with healthcare professionals, driving organisations and regulatory bodies to identify and assess people who pose road-safety risks because of unrecognised medical conditions.
Stated by Department for Transport -
Action
Continue engaging healthcare professionals and regulatory bodies to identify and address obstacles to reporting conditions when patients lack insight or capacity.
Stated by Department for Transport
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
STATS19 cannot capture all medical contributory factors because detailed identification would impose practical burdens on police officers.
Stated by Department for Transport
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Concerns raised2
Failure to include homelessness-related care issues in the review of treatment for patients with dual diagnoses
Fragmented provision of substance misuse and mental health treatment across different organisations
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
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Action
Develop a comprehensive action plan to improve provision for people with co-occurring substance-use and mental-health needs.
Stated by Department of Health and Social Care -
Action
Continue working with NHS England to improve integrated care for people with substance-use and mental-health needs.
Stated by Department of Health and Social Care -
Action
Publish UK clinical guidelines on alcohol treatment, including recommendations for co-occurring conditions, multidisciplinary assessment, care planning and care coordination.
Stated by Department of Health and Social Care
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Action
Work with the Department of Health and Social Care to improve access to mental health services and coordination across health services for people experiencing homelessness.
Stated by Ministry of Housing, Communities and Local Government
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
The Department of Health and Social Care will respond separately on matters relevant to its department, including the needs review.
Stated by Ministry of Housing, Communities and Local Government
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Position
Existing actions and the cross-government homelessness strategy are considered sufficient, so no further Ministry action is proposed.
Stated by Ministry of Housing, Communities and Local Government
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Concerns raised5
Failure to obtain and supply prescribed anti-epileptic medication promptly
Lack of clear designated systems for dealing with medication supply shortages
Failure to provide leaflets explaining roles during medication supply shortages
Failure to learn lessons from potentially dangerous medication supply intervals
Failure of pharmacies to search for supplies when prescribed medication is unavailable
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Action
Inspect the pharmacy’s systems for managing out-of-stock medicines and supply issues.
Stated by General Pharmaceutical Council -
Action
Publish guidance explaining how pharmacies should respond when prescribed medicines are unavailable.
Stated by General Pharmaceutical Council
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
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Position
The pharmacy’s staged process sought medication supplies, and referral to other pharmacies followed unsuccessful attempts to obtain the prescribed brand.
Stated by Midway Pharmacy
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Position
National medication shortages prevented the pharmacy from obtaining the prescribed Tegretol medication and require a national resolution.
Stated by Midway Pharmacy -
Position
Manufacturing medicines and wider supply and shortage issues fall outside the regulator’s direct role.
Stated by General Pharmaceutical Council
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Concerns raised7
Failure of referral communication channels to provide reliable access and confirmation
Delays in triaging and progressing referrals for mental health care
Failure to communicate clinically relevant information between services about epilepsy and psychosis
Failure to send discharge summaries to the General Practitioner
Failure to identify urgency in referrals involving paranoia, delusions and suicidal ideation
Failure to carry out consultant review of antipsychotic medication alongside epilepsy medication
Inappropriate rejection of referrals despite evidence of psychosis
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Provide Neurology Department with electronic crisis assessments and outcome plans for service users receiving neurological treatment.
Stated by Sheffield Health Partnership University NHS Foundation Trust -
Action
Include discharge summaries in annual service record-keeping audits to verify timely transmission to GPs and required quality standards.
Stated by Sheffield Health Partnership University NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
No further action is proposed for Single Point of Access referrals because that service no longer operates and referrals now enter individual services.
Stated by Sheffield Health Partnership University NHS Foundation Trust
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Concerns raised3
Crowded and noisy treatment areas ill-suited to proper patient treatment
Insufficient clinician awareness and ability to apply NICE guidelines for adrenal insufficiency
Failure to apply NICE steroid-treatment guidelines for adrenal insufficiency during intercurrent illness
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.10
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Action
Close and discontinue use of the Emergency Department overflow area.
Stated by Worcestershire Acute Hospitals NHS Trust -
Action
Highlight steroid replacement in Emergency Department handovers and repeat the messaging to maintain medical staff awareness.
Stated by Worcestershire Acute Hospitals NHS Trust -
Action
Prioritise adrenal insufficiency and steroid replacement for Medical Examiner review, triggering further case review when concerns are identified.
Stated by Worcestershire Acute Hospitals NHS Trust
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Action
Use the updated Emergency Department adult patient document, which automatically includes highlighted steroid replacement as a time-critical medication for all adults.
Stated by Worcestershire Acute Hospitals NHS Trust -
Action
Circulate steroid replacement safety materials to Emergency and Medical staff and display them in the Emergency Department handover area.
Stated by Worcestershire Acute Hospitals NHS Trust -
Action
Have the Acting Chief Medical Officer highlight steroid replacement during induction for new doctors rotating into the hospitals.
Stated by Worcestershire Acute Hospitals NHS Trust -
Action
Incorporate steroids and other time-critical medications into the Emergency Department electronic patient record.
Stated by Worcestershire Acute Hospitals NHS Trust -
Action
Participate in the Royal College of Emergency Medicine audit of prescribing and administration of time-critical medicines, including steroids.
Stated by Worcestershire Acute Hospitals NHS Trust -
Action
Publish guidance for preventing and managing adrenal insufficiency emergencies in adults.
Stated by NHS England -
Action
Develop the NHS Steroid Emergency Card for patients at risk of adrenal crisis.
Stated by NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Position
The Trust is responsible for addressing local emergency department crowding, staffing, overflow-area and acuity concerns.
Stated by NHS England
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Concerns raised2
Insufficient availability of feeding-tube replacement services for patients with complex needs
Failure to maintain nutrition after feeding-tube dislodgement
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
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Action
Increase interventional radiology capacity to four weekly lists across three sites and provide three consultants for x-ray-guided feeding-tube insertion.
Stated by University Hospitals Birmingham NHS Foundation Trust -
Action
Provide a temporary additional interventional radiology theatre at Heartlands for two days per week using additional funding.
Stated by University Hospitals Birmingham NHS Foundation Trust -
Action
Consider a business case to make the additional Heartlands interventional radiology theatre provision full time.
Stated by University Hospitals Birmingham NHS Foundation Trust
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Concerns raised15
Failure to implement identified actions addressing unsafe neurology practice
Delays and unsafe processes in investigation reporting and results access
Provision of medication tapering instructions based on incorrect doses
Chronic staffing shortages across neurology doctors, nurses and administrative staff
Failure to establish medication doses and apply appropriate conversion factors
Unsafe backlogs for neurology first and follow-up appointments
Failure to deliver medication tapering information through a valid and timely communication channel
Failure to make timely referrals to adult neurology services
Worsening unsafe condition of the neurology department
Failure to provide visual assessment when clinically required
Failure to respond to patient communications requiring medication clarification
Insufficient national neurologist capacity relative to demand
Failure to answer patient and carer communications in a timely manner
Failure to record medication tapering regimes in clinical notes
Unsafe practice in the neurology department
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.11
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Action
Continue implementing and monitoring actions from the Serious Incident investigation and neurology improvement action plan.
Stated by Mid and South Essex NHS Foundation Trust -
Action
Conduct a GIRFT review visit to Mid and South Essex NHS Foundation Trust’s neurology department.
Stated by NHS England -
Action
Appoint two nursing posts within the neurology team.
Stated by Mid and South Essex NHS Foundation Trust
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Action
Increase neurology administrative support and obtain additional funding for administrative staff in the Multiple Sclerosis service.
Stated by Mid and South Essex NHS Foundation Trust -
Action
Establish neurology medical staffing with four consultants and three specialty doctors, with annual staffing-needs review.
Stated by Mid and South Essex NHS Foundation Trust -
Action
Deliver the Long Term Workforce Plan, expanding domestic education, training and recruitment while improving culture, leadership and staff wellbeing.
Stated by NHS England -
Action
Audit neurology clinic records for record-keeping compliance and conduct quarterly reviews for divisional governance assurance.
Stated by Mid and South Essex NHS Foundation Trust -
Action
Develop national neurology guidance and specifications supporting integrated care, including epilepsy services.
Stated by NHS England -
Action
Publish and disseminate a national bundle of care for children and young people with epilepsy, including transition recommendations.
Stated by NHS England -
Action
Operate specialist neurology consultations in person rather than routinely by telephone for clinically vulnerable, complex patients.
Stated by Mid and South Essex NHS Foundation Trust -
Action
Communicate and reinforce the requirement that medication tapering regimes are recorded in notes and scanned into electronic patient records.
Stated by Mid and South Essex NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.9
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Position
Many concerns about Chloe’s care fall within the NHS Foundation Trust’s remit rather than NHS England’s national programme or policy remit.
Stated by NHS England
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Position
The consultant had time to establish Chloe’s dose because it was documented and clinic capacity was available before the appointment.
Stated by Mid and South Essex NHS Foundation Trust -
Position
National guidance cannot directly address funding shortfalls or recruitment and retention challenges in individual neurology services.
Stated by NHS England -
Position
Trusts are responsible for ensuring safe staffing levels during the day-to-day operation of their hospitals.
Stated by NHS England -
Position
The Trust considers its neurology staffing establishment appropriate to meet service needs after staffing increases and annual review arrangements.
Stated by Mid and South Essex NHS Foundation Trust -
Position
Consultants already had 24/7 pharmacy support and online resources for dosage-conversion queries, although the available support was not accessed.
Stated by Mid and South Essex NHS Foundation Trust -
Position
The delay in referral was not attributable to the Trust, which disputes responsibility for the alleged failure to refer Chloe to adult neurology.
Stated by Mid and South Essex NHS Foundation Trust -
Position
After age 16, Chloe’s epilepsy was managed by the Royal London Hospital and her GP, who were responsible for transitional communication.
Stated by Mid and South Essex NHS Foundation Trust -
Position
Telephone assessment was selected as safer during the COVID-19 pandemic because Chloe was clinically vulnerable to potentially life-threatening infection.
Stated by Mid and South Essex NHS Foundation Trust
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Concerns raised4
Failure to refer dosage-clarification correspondence to a clinician
Failure to refer medication-change correspondence to a clinician for consideration
Failure to give the prescribing GP express instructions to amend Brivaracetam prescriptions after dosage changes
Failure to maintain a reliable written basis for Brivaracetam dosage administration
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.8
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Action
Implement a local medication policy covering medication receipt, transcription, altered labels, missed doses, written prescribing confirmation and triangulation between prescribers.
Stated by Godfrey Care -
Action
Review internal policies and procedures against the coroner’s concerns and identify necessary changes.
Stated by Godfrey Care -
Action
Update staff medication competency assessments to test clarification of unclear directions, MAR-label discrepancies and verbal medication changes.
Stated by Godfrey Care
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Action
Have a GP review and triage all neurology correspondence and clinic letters received by Brook Medical Centre.
Stated by Brook Medical Centre and University Hospitals of North Midlands NHS Trust -
Action
Require GP review and triage of all neurology correspondence received by Brook Medical Centre.
Stated by Brook Medical Centre and University Hospitals of North Midlands NHS Trust -
Action
Develop a standardised Medisec clinic-letter template specifying medication changes and clear prescribing actions for primary care.
Stated by Brook Medical Centre and University Hospitals of North Midlands NHS Trust -
Action
Update weekly and monthly managers’ medication audits to verify written authorisation, dosage changes and timely receipt of replacement prescriptions.
Stated by Godfrey Care -
Action
Develop a standardised clinic-letter template specifying medication changes and clear actions for prescribing GPs.
Stated by Brook Medical Centre and University Hospitals of North Midlands NHS Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
A standardised clinic-letter template cannot be created immediately because implementation across the Trust requires substantial timeframes.
Stated by Brook Medical Centre and University Hospitals of North Midlands NHS Trust
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Position
The delay in administering medication did not contribute to the death.
Stated by Brook Medical Centre and University Hospitals of North Midlands NHS Trust
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Concerns raised1
Lack of clear guidance on the appropriate route of Acyclovir treatment
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Action
Share report-derived information and local improvement suggestions with paediatric members through the patient safety portal, including promoting BNFC guidance.
Stated by Royal College of Paediatrics and Child Health
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
-
Position
Developing guidance on chickenpox and covering every clinical circumstance falls outside NICE’s requested scope and recommendations.
Stated by National Institute for Health and Care Excellence
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Position
The existing Clinical Knowledge Summary recommendation is considered clear about seeking specialist advice and determining intravenous aciclovir admission.
Stated by National Institute for Health and Care Excellence -
Position
Agilio Software is responsible for providing further clarification about the Clinical Knowledge Summary topic’s content.
Stated by National Institute for Health and Care Excellence -
Position
BNFC guidance for intravenous treatment of varicella in immunocompromised children is clear, contrary to the concern that guidance was unclear.
Stated by Royal College of Paediatrics and Child Health
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Concerns raised1
Failure to measure the incision from the insular to the Temporal Horn at appropriate intra-operative times
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Action
Disseminate the case précis and surgical safety advice to members performing amygdalohippocampectomy.
Stated by The Society Of British Neurological Surgeons
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
Position
Clinical procedure guidance falls outside the respondent’s role, which provides only high-level professional standards.
Stated by General Medical Council
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Position
Queries about specific procedure details should be directed to NICE, medical royal colleges, or specialty bodies.
Stated by General Medical Council