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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Organisation type
Theme
Relation
Reports
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Minimum confidence
At least
227 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · 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 - Lack of timely crisis team visits and communication
Camden and Islington NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Missing escort records during reception screening
His Majesty's Prison and Probation Service · National body
3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Inadequate patient information handover between care settings
Manchester Clinical Commissioning Group · Commissioner
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Inadequate staff training and understanding of ACCT protocol
HMP Pentonville · Prison or detention
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- Inconsistent antenatal CTG interpretation leading to delayed response
Royal College of Obstetricians and Gynaecologists · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Inconsistent discharge policy application
Brighton and Sussex University Hospitals NHS Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.92 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- Delayed DOLS processing and missing reassessment
Birmingham City Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report