Recurring concern

Failure to obtain clinically indicated repeat investigations

First to latest report 20 Jan 2015 — 30 Jan 2026

Reports that mention this concern
12
Times this concern has been raised
14
Stated actions linked to this concern
13

What this concern includes

Includes failures to request, arrange or complete a clinically indicated repeat laboratory, imaging, physiological or cardiac investigation, including repeat inflammatory markers, blood tests and ECGs, where the repeat investigation is needed to reassess a patient's condition or guide treatment.

What is not included
  • Excludes failures limited to reviewing, communicating or acting on an investigation result when the repeat investigation itself was obtained as required.
  • Excludes investigations that were never clinically indicated or scheduled for repeat assessment.
  • Excludes generic staffing, documentation, communication or follow-up deficiencies unless they directly cause failure to obtain a clinically indicated repeat investigation.
  • Excludes failures involving an initial investigation rather than a required repeat investigation.

Reports and published responses 12 reports

See individual reports that have raised this concern, and the actions taken in response

  1. Devon, Plymouth and Torbay

    AI-generated summary

    Pamela George · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Pamela George, aged 70, died at Derriford Hospital on 30 June 2023 after being urgently admitted with suspected sepsis. The report identified missed opportunities to carry out required blood tests, manage a breast infection, document and escalate a fall and medical concerns, assess and record capacity, and maintain relevant care-home policies and records.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to carry out regular blood tests

    Wider context from the report

    “1. Cann House missed an opportunity to carry out regular blood tests on Miss George between 23rd May and 29th June. These blood tests may have identified the need to continue to treat acute kidney injury which if left untreated may have affected her resilience to infection. The system for ensuring that discharge summaries are actioned was not available for me to see and I was not clear if any policy on this issue existed. ”

    Source location

    Pamela George · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Enforce the hospital discharge and clinical follow-up procedure, including review, action logging, GP confirmation and management audit.

    Verbatim wording from the response

    “• The organisation has enforced its formal Hospital Discharge and Clinical Follow-Up Procedure, which includes:”

    Source location

    Response from Cann House
    Page 1 · response
    Published 3 February 2026

    Open published response

  2. Newcastle and North Tyneside

    AI-generated summary

    Thomas Colin Morrell · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Thomas Colin Morrell had hypertrophic obstructive cardiomyopathy and was admitted to hospital in October 2024 after initially being treated for abdominal issues before being found to be in heart failure. He underwent heart transplantation, which was complicated by massive bleeding and irreversible failure of the transplanted heart; support was withdrawn and he died on 3 December 2024. Concerns included delayed recognition of heart failure and the absence of a standard operating process for referring HOCM patients, as well as a lack of cardiac imaging between 2021 and 2024 to monitor deterioration.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to undertake interval cardiac scans or echocardiograms to check for deterioration

    Wider context from the report

    “(2) In 2019 an echocardiogram showed no changes to Mr Morrell's heart but by 6 July 2021 a cardiac MRI scan showed focal hypertrophy and patchy scarring within the heart, with functional impairment in the mild to moderate range. On 16 October 2024 an echocardiogram showed severe biventricular failure. There were no scans / echocardiograms undertaken between those dates to check for deterioration. Had the deterioration been detected sooner, I was told in evidence that there may have been an earlier opportunity to intervene prior to deterioration into end stage heart failure, which may have improved the prospects of surgical intervention. ”

    Source location

    Thomas Colin Morrell · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

  3. Manchester South

    AI-generated summary

    Bernard Compton · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Bernard Compton developed symptoms of a myocardial infarction, but delays in ambulance response, ECG interpretation, triage, blood-result review and clinical assessment meant that the optimum window for intervention had passed. He later suffered a left ventricular rupture and died on 19 October 2023. The concerns included inadequate oversight of patients and urgent results, unclear systems for repeating and acting on tests, and demand-related delays in ambulance and emergency care.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to ensure clinically indicated tests are repeated, directed and monitored

    Wider context from the report

    “The ECG told the clinician that there was a likely MI. It was entirely unclear why that was not acted on. The clinician did ask for a repeat within 30 minutes. That did not happen. There was no evidence of a system to ensure tests were repeated and directed and how that was monitored. ”

    Source location

    Bernard Compton · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

  4. North Wales (East and Central)

    AI-generated summary

    Philip Hawkins · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Philip Hawkins, aged 97, suffered a fall at home on 18 March 2023, was transferred by ambulance to hospital, and died on 23 March 2023. Concerns included delays in being admitted and allocated a bed, insufficient staffing, inability to provide care, gaps in nursing documentation, and failures in aspects of assessment and treatment.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to complete or communicate required repeat blood tests

    Wider context from the report

    “Care Concerns in the ED 4. On 18.03.22 at 02:49 there was no space for a nurse to attend to Mr Hawkins’ personal care needs or assess his pressure areas. 5. On 19.03.23 at 12:18, Mr Hawkins needed ‘repeat bloods’ but this was never done nor highlighted to clinicians. 6. On 19.03.23 at 00:31 Mr Hawkins was given oxygen but there are no nursing notes to indicate why or whether this was discussed with a clinician. 7. There is no written nursing documentation in relation to Mr Hawkins’ care from 21:52 on 19.03.23. 8. Mr Hawkins was nil by mouth but this was not made known to visitors who fed him. ”

    Source location

    Philip Hawkins · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

  5. Birmingham and Solihull

    AI-generated summary

    Ian Allen · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Ian Allen collapsed suddenly at the nursing home where he resided on 31 December 2019 and died soon after arriving at hospital. The medical cause of death was clozapine toxicity. Concerns included a high clozapine blood level not being acted upon, inadequate monitoring and dose adjustment after smoking cessation, and the absence of a system to escalate blood test results to the consultant.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to act on high clozapine blood test results through repeat testing and dose adjustment

    Wider context from the report

    “1. In February 2019 a blood test result confirmed that Mr Allen had a high level of clozapine in his blood. This was not acted upon and no further blood test was taken. The clozapine dose was not adjusted as it should have been. ”

    Source location

    Ian Allen · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Audit all patients prescribed clozapine on the identified doctor’s caseload for unconsidered anomalous results.

    Verbatim wording from the response

    “We have commenced an audit of all patients prescribed Clozapine on Dr ████████’s caseload to ensure that there are no other patients for whom anomalous results have not been considered. In addition, we are in the process of issuing a practice alert to all of our Doctors reminding them of the importance of review when anomalous results are evident.”

    Source location

    2020-0161-Response-from-Birmingham-and-Solihull-Mental-Health-Trust_Redacted.pdf
    Page 2 · response
    Published 26 October 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Issue a practice alert to doctors reminding them to review anomalous clozapine results.

    Verbatim wording from the response

    “We have commenced an audit of all patients prescribed Clozapine on Dr ████████’s caseload to ensure that there are no other patients for whom anomalous results have not been considered. In addition, we are in the process of issuing a practice alert to all of our Doctors reminding them of the importance of review when anomalous results are evident.”

    Source location

    2020-0161-Response-from-Birmingham-and-Solihull-Mental-Health-Trust_Redacted.pdf
    Page 2 · response
    Published 26 October 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Strengthen multidisciplinary meeting focus on physical health and include clozapine in quality-improvement checks of testing and abnormal-result actions.

    Verbatim wording from the response

    “We have existing Multi-Disciplinary team meetings in place across our organisation and are now specifically strengthening the focus on physical health within these meetings utilising a quality improvement approach. This will provide an additional system for checking that periodic tests have taken place, ensuring that they are routinely acted upon when they are abnormal. Clozapine has now been added to this project to increase awareness.”

    Source location

    2020-0161-Response-from-Birmingham-and-Solihull-Mental-Health-Trust_Redacted.pdf
    Page 2 · response
    Published 26 October 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Send pharmacy reports of clozapine results above 600 to the Clozapine Lead for direct escalation to the Consultant and Divisional Pharmacist.

    Verbatim wording from the response

    “There is a system in place whereby anomalous results received are escalated to the Consultant, for example, via the Multi-Disciplinary Team meeting, the administrative staff in receipt of paper results or by junior medical staff who have checked electronic investigations; however on this occasion it appears that this failed. We have therefore put in place an additional control whereby our Information Team will send a report to the pharmacy Clozapine Lead of any results >600 so that these can be escalated directly to the Consultant and the Divisional Pharmacist so that appropriate action can be taken. This will include discussion and action where appropriate at the Multi-Disciplinary Team meeting.”

    Source location

    2020-0161-Response-from-Birmingham-and-Solihull-Mental-Health-Trust_Redacted.pdf
    Page 2 · response
    Published 26 October 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Draft and send a clozapine safety alert to clinicians to support immediate action where necessary.

    Verbatim wording from the response

    “In addition, as we set out in response to your first point, further education will be built into the Post Graduate Medical Education programme to address any gaps in knowledge on clozapine. A safety alert is also being drafted and sent to all clinicians so that immediate action can be taken where necessary.”

    Source location

    2020-0161-Response-from-Birmingham-and-Solihull-Mental-Health-Trust_Redacted.pdf
    Page 3 · response
    Published 26 October 2020

    Open published response

  6. Brighton and Hove

    AI-generated summary

    Kalma RAM-HENMAN · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Kalma RAM-HENMAN died on 7 June 2018 after presenting to A&E in a precarious state and later being found to have a perforated gastric ulcer. The report identified concerns about incomplete fluid monitoring, failure to administer prescribed potassium and sufficient intravenous fluids, missed ECG abnormalities, inadequate repeat blood testing, and delays in responding to her deterioration and providing planned treatment.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to obtain repeat blood tests for clinical comparison

    Wider context from the report

    “(5) Mrs RAM-HENMAN only had one set of bloods done. At Inquest I was told that she should have had more bloods for comparison. These would undoubtedly have shown her deteriorating condition and would have acted as an additional reminder of the failings in her care. ”

    Source location

    Kalma RAM-HENMAN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to obtain a second ECG when clinically indicated

    Wider context from the report

    “(2) An ECG was ordered which showed abnormalities likely associated with her low potassium level. This was not seen by the doctor who requested it. The signature on it is illegible. A second ECG should have been requested. It was not. She was written up for potassium in A&E as well as intravenous fluids but was given no potassium and only half a litre of intravenous fluids in her entire 24 hour admission. It was the view of the Doctors giving the evidence that she should have received at least four litres to deal with her depleted state. So instructions given within three to four hours of her arrival in A&E (at 12.12pm on 6/6/2018) were not implemented. Why not? ”

    Source location

    Kalma RAM-HENMAN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

  7. London (East)

    AI-generated summary

    William George BARTRAM · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    William Bartram was born with a chordee and hydrocele and was reported to have an inadequate urine stream from shortly after birth. Raised creatinine results and concerns about his urine output were not acted upon, and he died from septic shock on 12 March 2017 after deteriorating in hospital. The principal concerns were unclear processes for repeat blood samples, failure to highlight or act on abnormal results, and inadequate advice to his parents about what constituted a healthy urine stream.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of a clear process for repeat blood samples in babies and subsequent checking and actioning of results

    Wider context from the report

    “(1) The Trust’s investigation report noted that on the 2 March 2017, the parents should not have been advised to attend outpatients for repeat bloods. They should have been advised to return to the emergency department. The A&E registrar who gave evidence during the course of the Inquest, confirmed that staff are not advised to ensure that babies return to the emergency department for repeat bloods. The process for repeat samples is not clear. A clear process for the taking of repeat blood samples for babies would be helpful. A process which would maximise the chances of the results being checked and actioned would be most desirable. ”

    Source location

    William George BARTRAM · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

  8. Black Country

    AI-generated summary

    Mrs Christine Withers · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mrs Christine Withers, a 72-year-old woman with small cell carcinoma of the lung, was admitted with low potassium levels and died on 17 November 2017 after her condition deteriorated rapidly. Concerns identified during the inquest included that repeat blood tests were not performed to measure potassium levels despite a recommendation to do so, and inadequate communication by nursing staff with her family about her decline.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to perform recommended repeat blood tests for potassium-level monitoring

    Wider context from the report

    “1. Evidence emerged during the inquest that no repeat blood tests were performed to measure the potassium levels despite this being recommended by the Consultant at the ward round in the morning. ”

    Source location

    Mrs Christine Withers · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Revise and approve the adult hypokalaemia management guideline as a consistent clinical tool.

    Verbatim wording from the response

    “The important issues you raise have been taken very seriously and following the inquest into the sad death of Mrs Withers, the Chief of Medicine and Integrated Care has reviewed the guidelines relating to the management of hypokalaemia in adults. Appendix 1 details the revised document which has been approved by the Chair of the Clinical guidelines group. This revised guideline has considered the most recent medical evidence and provides clinical staff with a consistent tool to treat and advise patients on the clinical management of low potassium levels. This guideline will be publicised on the Trusts intranet site and has been circulated to all medics in the Trust. A further presentation of these guidelines is scheduled in July at the Medicine Audit / Governance Meeting.”

    Source location

    2018-0127-Response-by-Dudley-Group-NHS-Trust
    Page 1 · response
    Published 1 July 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Publicise the revised hypokalaemia guideline on the Trust intranet.

    Verbatim wording from the response

    “The important issues you raise have been taken very seriously and following the inquest into the sad death of Mrs Withers, the Chief of Medicine and Integrated Care has reviewed the guidelines relating to the management of hypokalaemia in adults. Appendix 1 details the revised document which has been approved by the Chair of the Clinical guidelines group. This revised guideline has considered the most recent medical evidence and provides clinical staff with a consistent tool to treat and advise patients on the clinical management of low potassium levels. This guideline will be publicised on the Trusts intranet site and has been circulated to all medics in the Trust. A further presentation of these guidelines is scheduled in July at the Medicine Audit / Governance Meeting.”

    Source location

    2018-0127-Response-by-Dudley-Group-NHS-Trust
    Page 1 · response
    Published 1 July 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Circulate the revised hypokalaemia guideline to all Trust medical staff.

    Verbatim wording from the response

    “The important issues you raise have been taken very seriously and following the inquest into the sad death of Mrs Withers, the Chief of Medicine and Integrated Care has reviewed the guidelines relating to the management of hypokalaemia in adults. Appendix 1 details the revised document which has been approved by the Chair of the Clinical guidelines group. This revised guideline has considered the most recent medical evidence and provides clinical staff with a consistent tool to treat and advise patients on the clinical management of low potassium levels. This guideline will be publicised on the Trusts intranet site and has been circulated to all medics in the Trust. A further presentation of these guidelines is scheduled in July at the Medicine Audit / Governance Meeting.”

    Source location

    2018-0127-Response-by-Dudley-Group-NHS-Trust
    Page 1 · response
    Published 1 July 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Present the revised hypokalaemia guideline at the scheduled July Medicine Audit and Governance Meeting.

    Verbatim wording from the response

    “The important issues you raise have been taken very seriously and following the inquest into the sad death of Mrs Withers, the Chief of Medicine and Integrated Care has reviewed the guidelines relating to the management of hypokalaemia in adults. Appendix 1 details the revised document which has been approved by the Chair of the Clinical guidelines group. This revised guideline has considered the most recent medical evidence and provides clinical staff with a consistent tool to treat and advise patients on the clinical management of low potassium levels. This guideline will be publicised on the Trusts intranet site and has been circulated to all medics in the Trust. A further presentation of these guidelines is scheduled in July at the Medicine Audit / Governance Meeting.”

    Source location

    2018-0127-Response-by-Dudley-Group-NHS-Trust
    Page 1 · response
    Published 1 July 2018

    Open published response

  9. Manchester City

    AI-generated summary

    Mrs Kathleen Cooper · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mrs Kathleen Cooper, aged 73, underwent elective sigmoid colectomy and later deteriorated, suffering an intra-operative cardiac arrest during emergency surgery on 11 July 2016. The report identified medical and nursing neglect, including communication and record-keeping failures, inadequate supervision, inaccurate observations and early warning scores, delayed tests and treatment, and failures to escalate deterioration. Concerns also related to out-of-hours and weekend care and the patient-safety impact of split-site hospital arrangements.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to repeat indicated tests and act on the results

    Wider context from the report

    “3. The RCA and the inquest process identified a significant number of errors, omissions and missed opportunities to treat the deceased – all of which, on the balance of probabilities, could and would have improved the deceased’s chances of survival, despite her pre-existing co-morbidities. Most of the failings identified in this case have been recognised in previous RCA’s conducted by the Trust over the last 6-12 months. Despite evidence as to ‘lesson learned’ action plans set etc. flowing therefrom, there appears to be little (if any) timely progress being made in terms of improving/driving up care standards and preventing future deaths. My concerns relate to the following in particular: - Poor communication by/between clinicians and nurses - Poor record keeping – medical and nursing - Poor leadership/supervision of nurses - Ward/Matron level - Inadequate supervision by on-call consultants of junior colleagues - Incorrectly calculated early warning scores - Baseline observations not recorded/inaccurately record/missing vital parameters (impacting upon the calculation of early warning scores) - outwith Trust guidance/deviation from the same not clinically justified - Inaccurate fluid balance charts (persistent basic arithmetical errors/lack of recording) - The absence of clinical judgement as a result of the over-reliance placed upon tools such as the early warning scores - Failure to repeat tests such as bloods and to act upon the results accordingly - Failure to escalate (by doctors and nurses) when signs of deterioration/change in the patient’s clinical condition become apparent - Delays in arranging urgent/additional tests and treatment (in this case radiological CT scanning, bloods and IV antibiotics) ”

    Source location

    Mrs Kathleen Cooper · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

  10. Isle of Wight

    AI-generated summary

    Ann Hardman · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Ann Hardman attended her GP with a painful swollen left calf and a positive D-Dimer test, but an ultrasound scan at St Mary’s Hospital was suboptimal because of technical limitations associated with her build. On 20 January 2015, after contacting her GP practice about chest pain, she declined advice to call 999 and was shortly afterwards found dead at home. The medical cause of death was pulmonary thromboembolism associated with thrombosis of the deep veins of the left calf. The concern was that the protocol relied on patients returning to their GP to obtain a further scan referral, rather than being automatically advised by the ultrasound department to attend a repeat scan.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to automatically arrange and communicate repeat DVT scanning after a negative scan

    Wider context from the report

    “1. I am concerned that when there is a negative scan for a DVT at St Mary’s Hospital, the current protocol relies on the patient returning to their GP and being given another referral form for a further scan 6-8 days later. It was accepted that a better system would be one whereby the patient was automatically told to return for a further scan a week or so later by the ultrasound department, subject to the patient’s GP cancelling this scan, based on their clinical judgement of any review of the initial scan and/or any further examination of the patient. This would remove the chance of patients failing to be told to re-attend for a further scan. ”

    Source location

    Ann Hardman · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement a follow-up system booking repeat ultrasound scans 6–8 days after a negative scan and notifying GP practices about non-attendance.

    Verbatim wording from the response

    “I am therefore very pleased to report that we have implemented the following system in line with your suggestion:”

    Source location

    2016-0350-Response-by-Isle-of-Wight-NHS-Trust
    Page 1 · response
    Published 19 February 2017

    Open published response

Actions and positions describe what organisations say in published responses. Implementation is not independently verified.

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Data last updated 7 September 2026