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 Other40

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

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

Lack of antenatal screening for group B streptococcus
Department of Health and Social Care · National body
2 reports · 1 coroner
Identical hazardConfidence 0.95 · high
Lack of acute psychiatric beds in cornwall
Kernow Clinical Commissioning Group · Commissioner
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Inadequate communication between clinical staff and families
Tameside Hospital NHS Foundation Trust · NHS body
4 reports · 1 coroner
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Omission of long‑acting insulin dose during inpatient care
Stockport NHS Foundation Trust · NHS body
2 reports · 1 coroner
Identical hazardConfidence 0.95 · high
Missing front-facing mirrors on older lorries
Department for Transport · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · high
Inadequate signage for right‑turn movements at junction
National Highways · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Delayed x-ray result review and reporting
Plymouth Hospitals NHS Trust · NHS body
2 reports · 1 coroner
Closely relatedConfidence 0.80 · moderate
Lack of discharge communication and coordinated care planning
Brighton and Sussex University Hospitals NHS Trust · NHS body
2 reports · 1 coroner
Closely relatedConfidence 0.85 · high
Lack of care coordinator for continuity of support
Norfolk and Suffolk NHS Foundation Trust · NHS body
2 reports · 1 coroner
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Insufficient tissue viability nursing staffing leading to delayed wound care
Cwm Taf University Health Board · NHS body
2 reports · 1 coroner
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Missed or delayed diagnosis of severe brain injury
National Institute for Health and Care Excellence · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of mandatory glucose testing for antipsychotic patients
South London and Maudsley NHS Foundation Trust · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Insufficient barriers on elevated structures allowing jumps
Hammerson Plc · Company or provider
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Incorrect CPR advice from software limitation
Department of Health and Social Care · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highNo published response to an earlier report
Repeated catheterisation without oversight or documentation
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Unregulated synthetic cannabinoids sold as herbal incense
Home Office · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Delayed risk assessment documentation and missing exit assessments for self-harm
Greater Manchester Police · Police
2 reports · 1 coroner
Closely relatedConfidence 0.85 · high
Lack of dedicated substance misuse team in police custody
National Police Chiefs' Council · National body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Lack of written observation protocol for child and adolescent mental health unit
Greater Manchester West Mental Health NHS Foundation Trust · NHS body
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Unavailability of isoprenaline for heart transplant resuscitation
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high

All chains