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 medication32 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

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

Missed breech presentation due to lack of routine prenatal scanning
Department of Health and Social Care · National body
2 reports · 2 coroners
Identical hazardConfidence 0.92 · highNo published response to an earlier report
Incompatible IT systems hinder clinical information exchange
Stockport NHS Foundation Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Quad bike riders not wearing helmets on public roads
Department for Transport · National body
2 reports · 2 coroners
Identical hazardConfidence 0.95 · high
Inadequate signage and lighting at foot crossing
Network Rail · National body
4 reports · 4 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Patient flow problems leading to ambulance handover delays
Welsh Ambulance Service NHS Trust · Ambulance service
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Missing fire hazard warnings on emollient cream packaging
Medicines and Healthcare products Regulatory Agency · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highReviewed dossier
Lack of discharge planning in mental health services
Pennine Care NHS Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Inadequate family communication and documentation
South London and Maudsley NHS Foundation Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.78 · moderateNo published response to an earlier report
Button battery ingestion risk in children's environments
Department of Health and Social Care · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · high
Ambulance arrival delay due to operational shortages
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coroners
Identical hazardConfidence 0.90 · high
Nursing care inadequacy
United Lincolnshire Hospitals NHS Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Paramedic staffing shortages impacting ambulance response times
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coroners
Closely relatedConfidence 0.92 · high
Delay in declaring missing and informing police
Sussex Partnership NHS Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Lack of relevant information sharing during ACCT reviews
Care UK · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Unclear hospital transfer process and forms
NHS England · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Delayed resolution of outstanding safety issues
Avon and Wiltshire Mental Health Partnership NHS Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Reliance on informal assurances leading to missed referrals
Pennine Care NHS Trust · NHS body
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Incomplete and inaccurate nursing records and documentation
Pennine Acute Hospitals NHS Trust · NHS body
3 reports · 1 coroner
Closely relatedConfidence 0.85 · high
Misleading layout leading to pedestrians to look wrong direction
Transport for London · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Lack of access to qualified psychologist during home treatment team care
Department of Health and Social Care · National body
2 reports · 1 coroner
Identical hazardConfidence 0.95 · highNo published response to an earlier report

All chains