Repeated warnings
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349 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Missed opportunity for appropriate VTE risk management
Worcestershire Acute Hospitals NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Insufficient social care provision leading to discharge delays
Department of Health and Social Care · National body
8 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of follow-up on mental health history and drug overdose
Practice Plus Group · Company or provider
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Lack of transport suitability assessment for changing patient conditions
Barts Health NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Disjointed clinical information system leading to data loss risk
Tameside and Glossop Integrated Care NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Communication failures and information sharing problems across trust
Mid and South Essex NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersIdentical hazardConfidence 0.95 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Obscured observation panels hinder monitoring
His Majesty's Prison and Probation Service · National body
3 reports · 3 coronersIdentical hazardConfidence 0.90 · high - Excessive speeding near school crossing
Dorset 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
- Delayed referral for neurosurgical care
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Missing pedestrian crossing on busy ring road
National Highways · National body
3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Missing guardrails at primary crossing point
Staffordshire County Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Untrained staff conducting mental health assessments
Mid and South Essex NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.92 · high - 3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Ambulance crew waiting in corridor due to insufficient clinical space
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 3 reports · 1 coronerIdentical hazardConfidence 0.95 · high
- Lack of basic first aid training and CPR among prison officers
His Majesty's Prison and Probation Service · National body
12 reports · 12 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier reportReviewed dossier - Lack of regular first aid training among custodial staff
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high