Ascribe Limited

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First report 24 Nov 2020•Latest report 24 Nov 2020

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from Ascribe Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Northamptonshire

    AI-generated summary

    Mrs Ann Patricia Ellen Schuetz · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mrs Ann Patricia Ellen Schuetz died at Northampton General Hospital on 26 June 2018 following an allergic reaction to Ramipril. The report identifies concerns that her known allergy was not recorded across relevant electronic systems, which allowed Ramipril to be restarted and continued to be prescribed.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Ascribe Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of primary and secondary care electronic patient systems to share allergy information

    Wider context from the report

    “In the present case, the allergy was not recorded in the appropriate places in the relevant electronic systems. A contributing factor was that that primary and secondary care have a number of different electronic systems in place to manage patient medical information including:- 1. Symphony – Emergency Department system 2. EDN – Electronic Discharge Notification system 3. ePMA – Electronic prescribing system 4. SystemOne – Electronic GP documentation system 5. CAMIS – Overview system which holds such details as ID and all attendances including outpatient One of the root causes according to the Trust’s Investigation report was “the fact that the electronic patient systems used in primary and secondary care did not have the ability to share information and therefore the updated allergy information was required to be inputted manually into each system….” The Trust is continuing to explore the feasibility of having regional central medical records but it is not known if any other Trusts are doing the same. The Investigation report also states that “The CAMIS system currently does not have anywhere to record a patient’s allergies. If a change is to be made to the CAMIS system, this would need to be changed nationally”. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Ascribe Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of allergy-recording functionality in the CAMIS system

    Wider context from the report

    “In the present case, the allergy was not recorded in the appropriate places in the relevant electronic systems. A contributing factor was that that primary and secondary care have a number of different electronic systems in place to manage patient medical information including:- 1. Symphony – Emergency Department system 2. EDN – Electronic Discharge Notification system 3. ePMA – Electronic prescribing system 4. SystemOne – Electronic GP documentation system 5. CAMIS – Overview system which holds such details as ID and all attendances including outpatient One of the root causes according to the Trust’s Investigation report was “the fact that the electronic patient systems used in primary and secondary care did not have the ability to share information and therefore the updated allergy information was required to be inputted manually into each system….” The Trust is continuing to explore the feasibility of having regional central medical records but it is not known if any other Trusts are doing the same. The Investigation report also states that “The CAMIS system currently does not have anywhere to record a patient’s allergies. If a change is to be made to the CAMIS system, this would need to be changed nationally”. ”
    Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026