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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At least
342 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Lack of basic first aid training and CPR training and defibrillator use by Prison Officers and Staff
NHS England · National body
3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 4 reports · 4 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Inadequate weekend mental health provision at prison
NHS England · National body
3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Inadequate ACCT training leading to incomplete documentation
His Majesty's Prison and Probation Service · National body
16 reports · 15 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Adhesions leading to small bowel obstruction
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Delayed discharge due to lack of suitable care home placement
Department of Health and Social Care · National body
4 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Inadequate CAWN risk assessment for young persons
Home Office · National body
2 reports · 2 coronersClosely relatedConfidence 0.70 · moderate - Maternal heart rate misinterpreted as fetal heart rate
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - Divers not disclosing health problems during HSE medicals
Health and Safety Executive · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Lack of communication between prison healthcare and operational staff
Ministry of Justice · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate temporary signage at junction
Department for Transport · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 16 reports · 13 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Unclear wording in NHS Pathways triage questions
NHS England · National body
3 reports · 2 coronersClosely relatedConfidence 0.90 · high - 3 reports · 2 coronersIdentical hazardConfidence 0.92 · high
- 8 reports · 6 coronersClosely relatedConfidence 0.80 · moderate
- Absence of in-cell automatic fire detection
Ministry of Justice · National body
2 reports · 2 coronersIdentical hazardConfidence 0.95 · high