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 body342 NHS body175 Police28 Prison or detention12 Other40

Theme

Care homes28 Child deaths64 Custody and policing46 Drugs, alcohol and medication 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:Drugs, alcohol and medication Closely related Clear all

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

Missing medication documentation
Royal London Hospital · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Unaccounted controlled drugs in care home administration
Care Quality Commission · National body
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of clear protocol for repeated 999 calls and non-ambulance response
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Inadequate double check in controlled drug audit
NHS England · National body
2 reports · 2 coroners
Closely relatedConfidence 0.92 · high
Lack of end-of-day verification of dispensed drugs
NHS England · National body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Unregulated synthetic cannabinoids sold as herbal incense
Home Office · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high

All chains