Repeated warnings
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At least
656 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Ambulance arrival delay due to operational shortages
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Paramedic staffing shortages impacting ambulance response times
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.92 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Unclear hospital transfer process and forms
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Delayed resolution of outstanding safety issues
Avon and Wiltshire Mental Health Partnership NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Incomplete and inaccurate nursing records and documentation
Pennine Acute Hospitals NHS Trust · NHS body
3 reports · 1 coronerClosely relatedConfidence 0.85 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Lack of access to qualified psychologist during home treatment team care
Department of Health and Social Care · National body
2 reports · 1 coronerIdentical hazardConfidence 0.95 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Young people placed in adult mental health facilities
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - Inadequate cell sharing risk assessment for epilepsy and sexual orientation
HMP Pentonville · Prison or detention
2 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Lack of contingency planning for patient departure
Camden and Islington NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - 2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Risk of suicide and self-harm in newly arrived prisoners
His Majesty's Prison and Probation Service · National body
3 reports · 2 coronersClosely relatedConfidence 0.90 · high - Ambulance response delay in North West
North West Ambulance Service · Ambulance service
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Lack of timely crisis team visits and communication
Camden and Islington NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Delayed mental health assessment in emergency unit
Camden and Islington NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high