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
More filters
Minimum confidence
At least
175 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Insufficient nighttime staffing leading to missed healthcare involvement in ACCT
Birmingham and Solihull Mental Health NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Missing admission risk assessments and care plan details
Avon and Wiltshire Mental Health NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 3 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Incompatible IT systems hinder clinical information exchange
Stockport NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.78 · moderateNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Delayed resolution of outstanding safety issues
Avon and Wiltshire Mental Health Partnership NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 3 reports · 3 coronersClosely 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 coronerClosely relatedConfidence 0.85 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Lack of contingency planning for patient departure
Camden and Islington NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - 2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Lack of timely crisis team visits and communication
Camden and Islington NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Delayed mental health assessment in emergency unit
Camden and Islington NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - 3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Inconsistent discharge policy application
Brighton and Sussex University Hospitals NHS Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report