Untrained staff unable to manage pressure sores
Department of Health and Social Care received 2 coroners' reports about this hazard between 10 Jul 2015 and 12 Mar 2026.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from Department of Health and Social Care was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“Care staff at the home were not trained in either the examination for or care of pressure sores.”
Original on judiciary.uk ↗ No published response from Department of Health and Social Care was found for this report.
- 10 years 8 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“Consideration of guidance to support interventionalist, supervisory role with appropriate training for doctors working in care homes when dealing with pressure sore.”
Original on judiciary.uk ↗ Repeated from the earlier report:carepressure
Department of Health and Social Care responded.Response (PDF) ↗Response (PDF) ↗
- All reports to Department of Health and Social Care
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2015 → 2026Albert Bellingham10 years 8 months after Dorothy McDermott · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight insufficient training related to pressure sore management within care settings. The earlier report focuses on untrained care staff, while the later report calls for guidance and training for doctors in care homes.
Dorothy McDermott · 10 Jul 2015
“Care staff at the home were not trained in either the examination for or care of pressure sores.”
Original on judiciary.uk ↗ Albert Bellingham · 12 Mar 2026
“Consideration of guidance to support interventionalist, supervisory role with appropriate training for doctors working in care homes when dealing with pressure sore.”
Original on judiciary.uk ↗
No published response from Department of Health and Social Care was found for this report.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Department of Health and Social Care at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2015 → 2026 | 0.83 | 0.17 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.