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
Relation
Reports
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Minimum confidence
At least
666 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Lack of mental health service connection by probation officers
His Majesty's Prison and Probation Service · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Inadequate inter-agency communication about risk and urgency
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Lack of serious incident review and mandatory root cause analysis training
University Hospital of North Midlands · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Cancellation of hospital appointments for prisoners
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report
- 2 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Inadequate falls risk assessment update
Cole Valley Care Limited · Company or provider
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Lack of lead practitioner during transfer leading to lost follow up
Sussex Partnership NHS Trust · NHS body
3 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate nursing staffing affecting wound care and fall prevention
Aneurin Bevan University Health Board · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- 2 reports · 2 coronersIdentical hazardConfidence 0.96 · high
- Lack of public access to adrenaline auto-injectors
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Ambulance fails to document refusal consent
West Midlands Ambulance Service · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Inadequate risk assessment documentation and undocumented risk disclosures
Ministry of Defence · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Incomplete patient transfer information
NHS England · National body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Insufficient visibility of pedestrians near stationary lorries
Department for Transport · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high