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
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At least
666 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Inadequate patient handover practices
Welsh Ambulance NHS Trust · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Shortage of emergency department consultants and middle-grade doctors
Department of Health and Social Care · National body
2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report - Inadequate training for firearms licensing staff
Home Office · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 1 coronerIdentical hazardConfidence 0.90 · high
- 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- Lack of risk assessment for missing persons
Birmingham and Solihull Mental Health NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- Unlicensed DNP weight loss drug toxicity
Home Office · National body
3 reports · 3 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - Accessible bridge parapet and railing
Durham County Council · Local authority
2 reports · 1 coronerIdentical hazardConfidence 0.95 · high - 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 4 reports · 4 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Inadequate audit of observations and documentation
Greater Manchester Mental Health NHS Foundation Trust · NHS body
3 reports · 2 coronersClosely relatedConfidence 0.90 · high - Insufficient mental health resources for children and young people
Department of Health and Social Care · National body
4 reports · 4 coronersClosely relatedConfidence 0.85 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report
- Inconsistent medication quantity documentation and unrecorded stock
Norfolk and Suffolk NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Unrestricted sale of helium gas canisters
Home Office · National body
2 reports · 2 coronersIdentical hazardConfidence 0.95 · high - Delayed ambulance response to patient deterioration
East of England Ambulance Service · Ambulance service
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high