Repeated warnings
Each one is a single concern, raised with the same organisation in two or more coroners' reports at least six months apart. Nemotron Super judged every match to be the same or a closely related hazard, and both quotes are checked word for word against the reports.
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At least
656 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Insufficient swimming education leading to drowning in open water
Department for Education · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Physical health check delays mental health referrals
Norfolk and Suffolk NHS Foundation Trust · NHS body
5 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Fragmented mental health record keeping
Greater Manchester Mental Health NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.86 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 1 coronerIdentical hazardConfidence 0.98 · highNo published response to an earlier report
- Detention without section due to bed shortage
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - 3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersIdentical hazardConfidence 0.95 · high
- 3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report
- Missing road markings and signage at junction
National Highways · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Drivers entering slip road wrong direction due to inadequate signage
National Highways · National body
2 reports · 1 coronerIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Lack of regular allergy review
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of regular allergy review and named accountability for allergy services
Department of Health and Social Care · National body
3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Misleading packaging resembling sweets leading to ingestion
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 60mph speed limit in residential area with petrol station and hotel
Staffordshire County Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report