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.
All chains
Organisation type
Theme
Relation
Reports
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Minimum confidence
At least
46 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Delayed ambulance arrival due to resource shortages
Welsh Ambulance Trust · Ambulance service
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Inadequate dissemination of protocol changes to frontline staff
East Midlands Ambulance Service NHS Trust · Ambulance service
2 reports · 1 coronerIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Delayed mental health bed allocation leading to patient deterioration
Care Quality Commission · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Lack of inpatient mental health beds
Avon and Wiltshire Mental Health Partnership NHS Trust · NHS body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 1 coronerClosely relatedConfidence 0.80 · moderate
- Missed or delayed diagnosis of severe brain injury
National Institute for Health and Care Excellence · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report