Repeated warnings
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656 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 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 - Delayed surgery beyond 36 hours
NHS England · National body
2 reports · 2 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 - Lack of automated medication compliance alerts
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.92 · highNo 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 - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Inadequate street lighting at junction
Warwickshire County Council · Local authority
5 reports · 4 coronersClosely relatedConfidence 0.86 · high - Continuing medication for VTE risk after discharge
National Institute for Health and Care Excellence · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Absence of fitness to transfer assessment
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Delay in reporting original x-ray findings to clinicians
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Inadequate discharge medication risk assessment
Greater Manchester Mental Health NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Missed aortic dissection diagnosis due to atypical presentation
Royal College of Emergency Medicine · National body
3 reports · 3 coronersClosely relatedConfidence 0.86 · highNo published response to an earlier report - Incomplete or inaccurate transfer of care documentation
Betsi Cadwaladr University Health Board · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Unsupervised minors and inaccurate attendance data at Leeds Festival
Leeds City Council · Local authority
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Inadequate signage at junction leading to visibility issues
Lincolnshire County Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report