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
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Minimum confidence
At least
35 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Shortage of autism-specific crisis care services
NHS England · National body
6 reports · 6 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Insufficient ambulance availability leading to delayed response
Department of Health and Social Care · National body
7 reports · 7 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 7 reports · 7 coronersClosely relatedConfidence 0.80 · moderateReviewed dossier
- Incompatible IT systems block cross provider record access
Department of Health and Social Care · National body
7 reports · 5 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 5 reports · 5 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 5 reports · 1 coronerClosely relatedConfidence 0.90 · 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 - Physical health check delays mental health referrals
Norfolk and Suffolk NHS Foundation Trust · NHS body
5 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Unrestricted online purchase of lethal prescription medication
Department of Health and Social Care · National body
5 reports · 5 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - 6 reports · 5 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Insufficient ambulance availability leading to delayed emergency response
East of England Ambulance Service · Ambulance service
6 reports · 6 coronersClosely relatedConfidence 0.80 · moderate - Lack of acute mental health inpatient beds
Birmingham and Solihull Mental Health NHS Foundation Trust · NHS body
5 reports · 3 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - Inadequate street lighting at junction
Warwickshire County Council · Local authority
5 reports · 4 coronersClosely relatedConfidence 0.86 · high - Ambulance delays leading to resource unavailability
Betsi Cadwaladr University Health Board · NHS body
12 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 5 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report