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 homes 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:Care homes Closely related Clear all

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

Inaccurate and inconsistent care plan entries and record keeping
Care Quality Commission · National body
10 reports · 9 coroners
Closely relatedConfidence 0.85 · high
Untrained staff unable to manage pressure sores
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Inadequate documentation of care and risk
The Lakes Care Centre · Other
2 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Lack of anti choking devices in care homes and restaurants
Health and Safety Executive · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Delayed discharge due to insufficient social care placements
Greater Manchester Integrated Care · Other
4 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Missing falls risk assessment updates and observation scores
Barchester Healthcare · NHS body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Inadequate english proficiency hindering communication and safety
Care Quality Commission · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Inadequate investigation documentation and delayed safety disclosure
Care UK · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Inadequate window restrictor strength in care settings
Care Quality Commission · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Unrecognised acute illness in resident
Care Quality Commission · National body
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Lack of mandatory first aid training for care home carers
Care Quality Commission · National body
3 reports · 3 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Overcrowded emergency department leading to delays
Department of Health and Social Care · National body
3 reports · 3 coroners
Closely relatedConfidence 0.85 · high
Ambulance delays for frail elderly hip fracture patients
Department of Health and Social Care · National body
3 reports · 1 coroner
Closely relatedConfidence 0.90 · highNo 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
Lack of emergency alarm or communication device
Wolverhampton City Council · Local authority
2 reports · 1 coroner
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Inadequate falls risk assessment update
Cole Valley Care Limited · Company or provider
2 reports · 1 coroner
Closely relatedConfidence 0.85 · high
Inadequate nighttime staffing for dementia residents
Care Quality Commission · National body
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of risk assessment before critical decision
Care Quality Commission · National body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Inadequate clinical record keeping
Department of Health and Social Care · National body
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Misplacement of profile beds reducing sensor effectiveness
Sunrise Senior Living · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate

All chains