Delayed bespoke care placement arrangements
NHS England received 2 coroners' reports about this hazard between 26 Sept 2023 and 27 Jun 2024.
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.
“A bespoke placement had been carefully created by those involved in [name redacted]'s care but this had taken several months to arrange.”
Original on judiciary.uk ↗ NHS England responded.Response (PDF) ↗
- 9 months laterClosely relatedConfidence 0.90 · higha different coroner
“the delay in accessing residential care had been progressively getting longer over the last 10 years, which posed risks such as sudden death to patients.”
Original on judiciary.uk ↗ NHS England responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- All reports to NHS England
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.
2023 → 2024Emily Collishaw9 months after Benjamin Hazelden · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight delays in obtaining appropriate residential or specialist care for vulnerable individuals, leading to increased risk of harm.
Benjamin Hazelden · 26 Sept 2023
“A bespoke placement had been carefully created by those involved in [name redacted]'s care but this had taken several months to arrange.”
Original on judiciary.uk ↗ Emily Collishaw · 27 Jun 2024
“the delay in accessing residential care had been progressively getting longer over the last 10 years, which posed risks such as sudden death to patients.”
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.
- 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 NHS England 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 |
|---|---|---|---|---|
| 2023 → 2024 | 0.72 | 0.28 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
Other chains for NHS England
- Delayed referral for neurosurgical care2 reports · 2017–2026
- Inadequate medical documentation oversight2 reports · 2024–2026
- Patients treated in ED corridor due to lack of clinical space3 reports · 2024–2026
- Lack of basic first aid training and CPR training and defibrillator use by Prison Officers and Staff3 reports · 2015–2026
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.