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.
All chains
Organisation type
Theme
Relation
Reports
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Minimum confidence
At least
543 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Inadequate medical information transfer between custodial healthcare providers
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - 5 reports · 5 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier reportReviewed dossier
- Indefinite imprisonment without clear release pathway
His Majesty's Prison and Probation Service · National body
2 reports · 2 coronersClosely relatedConfidence 0.92 · high - Delayed CPR response due to inadequate training or faulty equipment
Practice Plus Group · Company or provider
2 reports · 2 coronersClosely relatedConfidence 0.70 · moderate - 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 4 reports · 1 coronerClosely relatedConfidence 0.90 · high
- Inadequate obstetric emergency training for paramedics
Association of Ambulance Chief Executives · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of anti choking devices in care homes and restaurants
Health and Safety Executive · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 3 reports · 3 coronersClosely relatedConfidence 0.90 · high
- 3 reports · 3 coronersClosely relatedConfidence 0.86 · high
- Inadequate transition pathway from CAMHS to adult services
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inadequate record keeping leading to outdated patient information
Essex Partnership NHS Foundation Trust · NHS body
3 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Delay in prescribing and administering therapeutic medication for first episode
Essex Partnership NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.80 · moderate - Insufficient mental health beds leading to ED psychiatric patient detention
South West London Integrated Care Board · Commissioner
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Unregulated lithium-ion batteries in e-bike conversions
Department for Business and Trade · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.85 · high