Lack of CPR training among carers
Health and Safety Executive received 2 coroners' reports about this hazard between 25 Aug 2022 and 18 May 2026.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“None of the Carers employed at Hibiscus House had any training in CPR.”
Original on judiciary.uk ↗ Health and Safety Executive responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- 3 years 9 months laterIdentical hazardConfidence 0.90 · higha different coroner
“No ongoing training had been provided to prison officers since initial training on basic life support or first aid, meaning that officers confronted”
Original on judiciary.uk ↗ Health and Safety Executive responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- All reports to Health and Safety Executive
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2022 → 2026Jake O'Brien3 years 9 months after Charles Evans · different coronerIdentical hazardConfidence 0.90 · high
Identical hazardConfidence 0.90 · highBoth reports highlight a lack of required lifesaving training (CPR/BLS) that leaves staff unable to provide immediate emergency assistance.
Charles Evans · 25 Aug 2022
“None of the Carers employed at Hibiscus House had any training in CPR.”
Original on judiciary.uk ↗ Jake O'Brien · 18 May 2026
“No ongoing training had been provided to prison officers since initial training on basic life support or first aid, meaning that officers confronted”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Health and Safety Executive at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2022 → 2026 | 0.67 | 0.03 | Identical · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.