Repeated warnings
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34 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Insufficient social care provision leading to discharge delays
Department of Health and Social Care · National body
8 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Standing water on road leading to hydroplaning
National Highways · National body
5 reports · 5 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Inaccurate and inconsistent care plan entries and record keeping
Care Quality Commission · National body
10 reports · 9 coronersClosely relatedConfidence 0.85 · high - Overcrowded emergency department increases patient mortality
Department of Health and Social Care · National body
5 reports · 4 coronersClosely relatedConfidence 0.87 · high - 55 reports · 32 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Inadequate risk assessment documentation and inaccurate record keeping
Essex Partnership University NHS Foundation Trust · NHS body
6 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Lack of basic first aid training and CPR among prison officers
His Majesty's Prison and Probation Service · National body
12 reports · 12 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier reportReviewed dossier - Inadequate ACCT training leading to incomplete documentation
His Majesty's Prison and Probation Service · National body
16 reports · 15 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 16 reports · 13 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 8 reports · 6 coronersClosely relatedConfidence 0.80 · moderate
- Young drivers carrying peer passengers increase collision risk
Department for Transport · National body
8 reports · 7 coronersClosely relatedConfidence 0.85 · highReviewed dossier - Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Department of Health and Social Care · National body
26 reports · 15 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 21 reports · 18 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Inadequate training for police and ambulance crew on acute behavioural distress
Association of Ambulance Chief Executives · Ambulance service
5 reports · 5 coronersClosely relatedConfidence 0.85 · high - Non‑compliance with care plans and insufficient incident review
Care Quality Commission · National body
5 reports · 5 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Widespread new psychoactive substances in prison
His Majesty's Prison and Probation Service · National body
5 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 5 reports · 5 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier reportReviewed dossier
- Public access to live rail at platform end
Network Rail · National body
16 reports · 14 coronersClosely relatedConfidence 0.85 · highReviewed dossier - Inconsistent access to thrombectomy services
NHS England · National body
7 reports · 6 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 5 reports · 5 coronersClosely relatedConfidence 0.90 · high