Repeated warnings
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123 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- Inadequate information sharing between mental health and substance misuse teams
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.92 · highNo published response to an earlier report - 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- Lack of continuity of care due to excessive care team members
Norfolk and Suffolk NHS Foundation Trust · NHS body
2 reports · 1 coronerIdentical hazardConfidence 0.92 · high - 2 reports · 2 coronersIdentical hazardConfidence 0.95 · high
- Lack of coordinated chronic asthma management
NHS England · National body
3 reports · 2 coronersIdentical hazardConfidence 0.92 · highNo published response to an earlier report - Preventive action needed for north bridge safety
Calderdale Council · Local authority
2 reports · 1 coronerIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Missed breech presentation due to lack of routine prenatal scanning
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.92 · highNo published response to an earlier report - 2 reports · 2 coronersIdentical hazardConfidence 0.95 · high
- Missing fire hazard warnings on emollient cream packaging
Medicines and Healthcare products Regulatory Agency · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highReviewed dossier - Button battery ingestion risk in children's environments
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Ambulance arrival delay due to operational shortages
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Lack of access to qualified psychologist during home treatment team care
Department of Health and Social Care · National body
2 reports · 1 coronerIdentical hazardConfidence 0.95 · highNo published response to an earlier report - Ambulance response delay in North West
North West Ambulance Service · Ambulance service
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Inadequate dissemination of protocol changes to frontline staff
East Midlands Ambulance Service NHS Trust · Ambulance service
2 reports · 1 coronerIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Inadequate nighttime patient observation documentation
The Priory Group · Company or provider
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- Delayed mental health bed allocation leading to patient deterioration
Care Quality Commission · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Lack of inpatient mental health beds
Avon and Wiltshire Mental Health Partnership NHS Trust · NHS body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Lack of antenatal screening for group B streptococcus
Department of Health and Social Care · National body
2 reports · 1 coronerIdentical hazardConfidence 0.95 · high