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Finlay Finlayson (Vinney)

2024-0162
Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Laura Bradford

East Sussex

22 March 2024

Report recipients

GP practice

Prison - operational staff

"...the jury heard evidence about the difficulty in information being transferred over from Mr Finlayson’s GP surgery system, which uses SystmOne to the prison system (also SystmOne). The evidence was that information was not able to be freely shared between the two and it meant that there was a delay in healthcare staff in the prison accessing relevant information about Mr Finlayson’s long term health issues as well as contact with his GP as recent as a week before going in to prison.

"...I heard evidence that if someone goes to prison and is linked to a surgery that uses another system (like EMIS) the notes have to be printed and scanned on to SystmOne and key information has to be input onto someone’s record by hand.

"...I am also concerned that key information could be missed by virtue of these systems not communicating with each other."

Issues raised
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