Repeated warnings
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46 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Insufficient social care provision leading to discharge delays
Department of Health and Social Care · National body
8 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Missing person coordinator absent weekends and insufficient 24/7 PolSA coverage
College of Policing · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Overcrowded emergency department increases patient mortality
Department of Health and Social Care · National body
5 reports · 4 coronersClosely relatedConfidence 0.87 · high - Lack of verbal warning and fire risk flag for paraffin emollient creams
Department of Health and Social Care · National body
3 reports · 3 coronersClosely relatedConfidence 0.85 · high - Inadequate staff training for fire evacuation in specialist housing
National Fire Chiefs Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - 3 reports · 2 coronersIdentical hazardConfidence 0.92 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- Medically fit patients occupying hospital beds leading to ED overcrowding
Department of Health and Social Care · National body
3 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report
- Lack of electronic access to primary care medical notes
Department of Health and Social Care · National body
3 reports · 3 coronersIdentical hazardConfidence 0.90 · high - Delayed urgent referrals and escalations
Cumbria Health Limited · Company or provider
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Ambulance handover delays due to bed shortages
Welsh Ambulance Service NHS Trust · Ambulance service
10 reports · 6 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Lack of personal care and health deterioration in domiciliary care
Department of Health and Social Care · National body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Delayed ambulance handover leading to unavailability
Aneurin Bevan University Health Board · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 1 coronerIdentical hazardConfidence 0.90 · high
- Insufficient ambulance availability leading to delayed emergency response
East of England Ambulance Service · Ambulance service
6 reports · 6 coronersClosely relatedConfidence 0.80 · moderate - Inadequate risk assessment for self-harm patients
Sheffield Health and Social Care NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Inadequate paramedic ECG interpretation training
Health and Care Professions Council · Local authority
2 reports · 2 coronersIdentical hazardConfidence 0.92 · high - Excessive ambulance handover delays at hospitals
Welsh Ambulance Service NHS Trust · Ambulance service
3 reports · 3 coronersClosely relatedConfidence 0.90 · high