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 care 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

Active:Hospital care Closely related Clear all

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

Lack of care coordinator for continuity of support
Norfolk and Suffolk NHS Foundation Trust · NHS body
2 reports · 1 coroner
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Insufficient tissue viability nursing staffing leading to delayed wound care
Cwm Taf University Health Board · NHS body
2 reports · 1 coroner
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Lack of mandatory glucose testing for antipsychotic patients
South London and Maudsley NHS Foundation Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Repeated catheterisation without oversight or documentation
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Unavailability of isoprenaline for heart transplant resuscitation
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Lack of interpreter framework in healthcare settings
Department of Health and Social Care · National body
2 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Delayed and incomplete nursing documentation
City Hospitals Sunderland NHS Foundation Trust · NHS body
2 reports · 1 coroner
Closely relatedConfidence 0.85 · high
Inappropriate use of intrapartum CTG guidance for antenatal monitoring
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Communication breakdown between junior doctor and consultant
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
GMC withheld fitness-to-practice information from employers
General Medical Council · National body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high

All chains