Paul Gander

PFD Report Historic (No Identified Response) Ref: 2024-0092
Date of Report 8 December 2017
Coroner Veronica Hamilton-Deeley
Coroner Area West Sussex, Brighton and Hove
Response Deadline est. 19 April 2024
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
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.
Sent To
  • Brighton and Sussex University NHS Hospital Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 19 Apr 2024
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

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. , Solicitor 3. Secretary of State for Health, Department of Health 4. , Chief Executive, NHS England 5. Care Quality Commission 6. Clinical Commissioning Group
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Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Need to share information between regulators
Mid Staffs Inquiry
Fragmented NHS record access and information sharing Inaccessible multi-agency patient information
Response officer access to case information technology
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Fragmented NHS record access and information sharing
Healthcare trust risk information visibility
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Fragmented NHS record access and information sharing
GMMH and Alder Hey joint SMART audit
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Fragmented NHS record access and information sharing
National guidance on SMART action points
Southport Inquiry
Fragmented NHS record access and information sharing
Data Systems for High-Risk Individuals
COVID-19 Inquiry
Fragmented NHS record access and information sharing
Proportionate Access to Linked Healthcare Records
COVID-19 Inquiry
Fragmented NHS record access and information sharing
Share Clinical Assessor Advice
Infected Blood Inquiry
Fragmented NHS record access and information sharing
Simplify External Regulation
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Fragmented NHS record access and information sharing
Safety Management Systems Coordination
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Fragmented NHS record access and information sharing

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.