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 body342 NHS body175 Police28 Prison or detention12 Other

Theme

Care homes28 Child deaths64 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:Other Closely related Clear all

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

Discharge without family involvement in planning
Northumberland · Other
4 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of mandatory sprinklers in care homes for limited mobility residents
Communities and Local Government · Other
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Mental health disclosure not distinguished from disability in UCAS application
Universities and Colleges Admissions Service · Other
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Lack of assistance for individuals with addictions and mental health difficulty
Change Grow Live · Other
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Delayed A&E assessment due to insufficient inpatient bed capacity
Greater Manchester Health and Social Care Partnership · Other
2 reports · 1 coroner
Closely relatedConfidence 0.86 · high
Lack of continuous family engagement in patient care
Northumberland · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Looped blind cords in rented homes
Communities and Local Government · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Pedestrians crossing carriageway without protection
Transport for London · Other
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderate
Missing pedestrian crossing at busy crossroads
Transport for London · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Lack of electronic warning at uncontrolled gliding airfield
Civil Aviation Authority · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Missing follow up of non attendance at reception healthcare screening
Care UK · Other
3 reports · 3 coroners
Closely relatedConfidence 0.90 · high
Healthcare staff missing from ACCT reviews
G4S · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of relevant information sharing during ACCT reviews
Care UK · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Misleading layout leading to pedestrians to look wrong direction
Transport for London · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Risk assessment not updated after formulation meeting
Tees · Other
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Inadequate ACCT document review and agency input documentation
Care UK · Other
3 reports · 3 coroners
Closely relatedConfidence 0.70 · moderate
Misplacement of profile beds reducing sensor effectiveness
Sunrise Senior Living · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Lack of depression management documentation and screening
Care UK · Other
2 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Stopping trains for unwell trespasser on line
RSSB · Other
2 reports · 1 coroner
Closely relatedConfidence 0.90 · high

All chains