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.

Organisation type

Ambulance service25 Commissioner6 Company or provider10 Local authority28 National body NHS body175 Police28 Prison or detention12 Other40

Theme

Care homes28 Child deaths64 Custody and policing46 Drugs, alcohol and medication32 Emergency and community care46 Hospital care108 Mental health72 Products and workplaces9 Roads and rail53 Suicide197 Other11

Relation

Identical Closely related

Reports

3+ reports

More filters

Minimum confidence

0.80+0.90+

At least

5 reports 10 reports

Active:National body Clear all

342 chains, most recent report first. The order is by date only; there is no ranking of organisations.

Inadequate clinical record keeping
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Excessive speed limit on bridge and junction
National Highways · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Insufficient road signage and warning signs at junction
National Highways · National body
2 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Inconsistent antenatal CTG interpretation leading to delayed response
Royal College of Obstetricians and Gynaecologists · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Inadequate CCTV monitoring in custodial settings
Ministry of Justice · National body
2 reports · 2 coroners
Closely relatedConfidence 0.92 · highNo published response to an earlier report
Helmet not required for motorised bicycles and trikes
Department for Transport · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Delayed mental health bed allocation leading to patient deterioration
Care Quality Commission · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highNo published response to an earlier report
Chest drain insertion without pre-procedure checks
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Foreign conviction information not shared on arrest
Home Office · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of antenatal screening for group B streptococcus
Department of Health and Social Care · National body
2 reports · 1 coroner
Identical hazardConfidence 0.95 · high
Missing front-facing mirrors on older lorries
Department for Transport · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · high
Inadequate signage for right‑turn movements at junction
National Highways · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Missed or delayed diagnosis of severe brain injury
National Institute for Health and Care Excellence · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Incorrect CPR advice from software limitation
Department of Health and Social Care · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highNo published response to an earlier report
Repeated catheterisation without oversight or documentation
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Unregulated synthetic cannabinoids sold as herbal incense
Home Office · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Lack of dedicated substance misuse team in police custody
National Police Chiefs' Council · National body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Unavailability of isoprenaline for heart transplant resuscitation
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Lack of interpreter framework in healthcare settings
Department of Health and Social Care · National body
2 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Inappropriate use of intrapartum CTG guidance for antenatal monitoring
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report

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