Repeated warnings
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227 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Ambulance resource shortage delays urgent patient transfers
East Midlands Ambulance Service · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Lack of clear protocol for repeated 999 calls and non-ambulance response
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inadequate diabetes screening guidance for healthcare professionals
National Institute for Health and Care Excellence · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Petrol based emollient cream fire risk
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inadequate ACCT documentation and healthcare absence during reviews
HMP Woodhill · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inadequate double check in controlled drug audit
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.92 · high - Lack of clear guidance on ligature incidents and self-harm risk
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of meaningful family involvement in care process
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inaccurate discharge letters to primary care
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - SASH form not identified or completed at reception
HMP Winchester · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 3 reports · 3 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- Undulation in road surface leading to loss of control
Worcestershire County Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Inadequate face to face medical handover of patient information
Care Quality Commission · National body
4 reports · 4 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Patient flow problems leading to ambulance handover delays
Welsh Ambulance Service NHS Trust · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Paramedic staffing shortages impacting ambulance response times
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.92 · high