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.
All chains
Organisation type
Theme
Relation
Reports
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Minimum confidence
At least
11 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Inaccurate ACCT documentation affecting prisoner safety
HM Inspectorate of Prisons · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Inadequate ACCT case management at HMP Woodhill
HMP Woodhill · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Lack of mandatory first aid and CPR training for prison officers
HMP Pentonville · Prison or detention
3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Welfare checks missed and undocumented
HMP Swaleside · Prison or detention
3 reports · 1 coronerClosely relatedConfidence 0.90 · high - Inadequate resuscitation training clarity
HMP Wandsworth · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Delayed ACCT case review and documentation failure
HMP Hewell · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate ACCT documentation and healthcare absence during reviews
HMP Woodhill · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - SASH form not identified or completed at reception
HMP Winchester · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Duplicate records leading to missing healthcare data
HMP Pentonville · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - Inadequate cell sharing risk assessment for epilepsy and sexual orientation
HMP Pentonville · Prison or detention
2 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Inadequate staff training and understanding of ACCT protocol
HMP Pentonville · Prison or detention
2 reports · 1 coronerClosely relatedConfidence 0.90 · high