Repeated warnings
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Theme
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Reports
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At least
666 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Outdated care plan and risk assessment
Ministry of Defence · National body
2 reports · 2 coronersClosely relatedConfidence 0.78 · moderate - Premature discharge from community mental health services
Kernow Clinical Commissioning Group · Commissioner
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - 2 reports · 2 coronersClosely relatedConfidence 0.86 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- 2 reports · 2 coronersIdentical hazardConfidence 0.95 · highNo published response to an earlier report
- Uncontrolled prescribing of contraindicated drugs
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.95 · high - Manipulable medication suitability questionnaire
NHS England · 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 shared welfare check guidance
London Ambulance Service · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Delayed ACCT case review and documentation failure
HMP Hewell · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate staff knowledge of pressure sore prevention and equipment use
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Unclear discharge responsibility and lack of named consultant review prior to pa
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Blind spot behind enclosed goods vehicle
Department for Transport · National body
3 reports · 3 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Lack of assistance for individuals with addictions and mental health difficulty
Change Grow Live · Other
3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Absence of smoke alarms in dwelling
Leeds City Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Cable ties compromising fence integrity
British Transport Police · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Delayed A&E assessment due to insufficient inpatient bed capacity
Greater Manchester Health and Social Care Partnership · Other
2 reports · 1 coronerClosely relatedConfidence 0.86 · high - Insufficient family involvement in mental health care processes
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report