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
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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 0.80 · moderateNo published response to an earlier report
- 4 reports · 1 coronerClosely relatedConfidence 0.90 · high
- 3 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Rigid MPDS questioning leads to under‑prioritisation of unconscious patients
London Ambulance Service NHS Trust · Ambulance service
3 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Delayed ambulance call for medical distress
Ministry of Justice · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Public access to live rail at platform end
Network Rail · National body
16 reports · 14 coronersClosely relatedConfidence 0.85 · highReviewed dossier - Delayed urgent referrals and escalations
Cumbria Health Limited · Company or provider
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Inconsistent access to thrombectomy services
NHS England · National body
7 reports · 6 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Over-reliance on NEWS algorithm and inadequate monitoring of deteriorating ED
Barts Health NHS Trust · NHS body
3 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Locum registrar without assessment or supervision
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.70 · moderate - 3 reports · 3 coronersClosely relatedConfidence 0.85 · high
- Misinterpretation of centile chart guidance leading to delayed recognition of fe
Department of Health and Social Care · National body
2 reports · 1 coronerClosely relatedConfidence 0.80 · moderate - Incomplete investigation of patient observations
Essex Partnership University NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Absence of mental health liaison during 72‑hour hold and missing discharge note
Essex Partnership University NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.80 · moderate - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Recurring hazard (see the quoted concerns)
Cornwall Council · Local authority
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - 4 reports · 4 coronersClosely relatedConfidence 0.90 · high