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.
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Organisation type
Theme
Relation
Reports
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Minimum confidence
At least
193 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 21 reports · 18 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Non‑compliance with care plans and insufficient incident review
Care Quality Commission · National body
5 reports · 5 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Insufficient information on gambling risks and unlicensed sites
Department for Education · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Inadequate ACCT training and knowledge gaps
Practice Plus Group · Company or provider
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Lack of certified safer cells outside segregation unit
His Majesty's Prison and Probation Service · National body
4 reports · 4 coronersClosely relatedConfidence 0.80 · moderate - Lack of allocated care coordinator and psychiatric nurse appointments
North Staffordshire Combined Healthcare NHS trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.86 · high - Fragmented communication between mental and physical health services
Southern Health NHS Foundation Trust · NHS body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 2 reports · 2 coronersIdentical hazardConfidence 0.92 · highNo published response to an earlier report
- Lack of specialised personality disorder services
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 5 reports · 5 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier reportReviewed dossier
- Indefinite imprisonment without clear release pathway
His Majesty's Prison and Probation Service · National body
2 reports · 2 coronersClosely relatedConfidence 0.92 · high - 2 reports · 2 coronersIdentical hazardConfidence 0.92 · highNo published response to an earlier report
- 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 3 reports · 3 coronersClosely relatedConfidence 0.90 · high
- Inadequate transition pathway from CAMHS to adult services
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inadequate record keeping leading to outdated patient information
Essex Partnership NHS Foundation Trust · NHS body
3 reports · 2 coronersClosely relatedConfidence 0.80 · moderate