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
11 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 - Overcrowded emergency department increases patient mortality
Department of Health and Social Care · National body
5 reports · 4 coronersClosely relatedConfidence 0.87 · high - Lack of verbal warning and fire risk flag for paraffin emollient creams
Department of Health and Social Care · National body
3 reports · 3 coronersClosely relatedConfidence 0.85 · high - 3 reports · 2 coronersIdentical hazardConfidence 0.92 · high
- Medically fit patients occupying hospital beds leading to ED overcrowding
Department of Health and Social Care · National body
3 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Lack of electronic access to primary care medical notes
Department of Health and Social Care · National body
3 reports · 3 coronersIdentical hazardConfidence 0.90 · high - Ambulance handover delays due to bed shortages
Welsh Ambulance Service NHS Trust · Ambulance service
10 reports · 6 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Insufficient ambulance availability leading to delayed emergency response
East of England Ambulance Service · Ambulance service
6 reports · 6 coronersClosely relatedConfidence 0.80 · moderate - Excessive ambulance handover delays at hospitals
Welsh Ambulance Service NHS Trust · Ambulance service
3 reports · 3 coronersClosely relatedConfidence 0.90 · high - Ambulance delays leading to resource unavailability
Betsi Cadwaladr University Health Board · NHS body
12 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Delayed ambulance response to critically unwell patient
Welsh Ambulance Service NHS Trust · Ambulance service
3 reports · 3 coronersClosely relatedConfidence 0.90 · high