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.

Organisation type

Ambulance service25 Commissioner6 Company or provider10 Local authority28 National body NHS body175 Police28 Prison or detention12 Other40

Theme

Care homes28 Child deaths Custody and policing46 Drugs, alcohol and medication32 Emergency and community care46 Hospital care108 Mental health72 Products and workplaces9 Roads and rail53 Suicide197 Other11

Relation

Identical Closely related

Reports

3+ reports

More filters

Minimum confidence

0.80+0.90+

At least

5 reports 10 reports

Active:National body Child deaths 3+ reports Clear all

10 chains, most recent report first. The order is by date only; there is no ranking of organisations.

Unclear wording in NHS Pathways triage questions
NHS England · National body
3 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Young drivers carrying peer passengers increase collision risk
Department for Transport · National body
8 reports · 7 coroners
Closely relatedConfidence 0.85 · highReviewed dossier
Delayed or missing clinical observations in pediatric emergency care
Royal College of Paediatrics and Child Health · National body
3 reports · 2 coroners
Closely relatedConfidence 0.87 · high
Inaccurate post mortem sampling in suspected anaphylaxis cases
Royal College of Pathologists · National body
3 reports · 3 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Lack of mandatory medical assessment for drivers over 70
Department for Transport · National body
5 reports · 5 coroners
Closely relatedConfidence 0.90 · high
Misinterpretation of CTG traces leading to missed abnormal fetal heart rate
Royal College of Obstetricians and Gynaecologists · National body
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Delayed on-call consultant response to night emergencies
NHS England · National body
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of regular allergy review and named accountability for allergy services
Department of Health and Social Care · National body
3 reports · 3 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Lack of coordinated chronic asthma management
NHS England · National body
3 reports · 2 coroners
Identical hazardConfidence 0.92 · highNo published response to an earlier report
Inadequate face to face medical handover of patient information
Care Quality Commission · National body
4 reports · 4 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report

All chains