Repeated warnings
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64 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Lack of timely reporting and registration of food allergy fatalities
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Inadequate training for firearms licensing staff
Home Office · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 1 coronerClosely relatedConfidence 0.90 · high
- Missing training records and qualifications verification
Leeds Teaching Hospitals NHS Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Absence of cardiotocography monitoring in maternity settings
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Unclear discharge responsibility and lack of named consultant review prior to pa
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Lack of public access to adrenaline auto-injectors
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- High‑risk offenders placed in unsuitable supported living accommodation
His Majesty's Prison and Probation Service · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Inadequate allergy action plan communication in school
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.88 · high - Lack of automated discharge medication notification to GP
Norfolk and Suffolk NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Lack of coordinated chronic asthma management
NHS England · National body
3 reports · 2 coronersIdentical 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 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Incomplete and inaccurate nursing records and documentation
Pennine Acute Hospitals NHS Trust · NHS body
3 reports · 1 coronerClosely relatedConfidence 0.85 · high - Young people placed in adult mental health facilities
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report