Safety concerns raised by coroners

Failure to provide appropriate support to vulnerable victims of crime 2 2 30 Apr 2021 Failure to provide banksman assistance for hazardous vehicle and load movements 2 4 19 Jul 2021 Failure to provide clear, accessible routes to care and funding for people with complex health and social needs 2 2 5 Dec 2025 Failure to provide effective health surveillance for respirable crystalline silica exposure 2 4 25 Oct 2024 Failure to provide food providers with safety-critical care information 2 5 11 May 2018 Failure to provide meaningful activity and stimulation to vulnerable patients 2 1 20 Apr 2017 Failure to provide private healthcare conversations for prisoners 2 5 11 Mar 2026 Failure to provide reliable directional signage to pedestrian underpasses 2 2 3 Dec 2020 Failure to provide required annual Care Act reviews 2 6 28 May 2021 Failure to provide required annual primary-care health reviews 2 4 8 May 2024 Failure to provide required specialling 2 1 10 May 2016 Failure to provide respectful and empathetic care to vulnerable patients 2 4 8 Nov 2022 Failure to provide safety-critical data promptly to regulators 2 4 13 Oct 2022 Failure to provide the NHS 111 mental health crisis triage service 2 1 29 Sep 2023 Failure to provide timely access to clinically required chest drainage 2 3 27 Jul 2020 Failure to provide timely ambulance-based treatment for suspected serious infection 2 3 7 Feb 2026 Failure to provide timely and continuous treatment for oral thrush 2 4 14 May 2024 Failure to provide timely non-emergency patient transfers 2 3 19 Jul 2018 Failure to provide timely orthopaedic review 2 2 29 Mar 2018 Failure to provide timely review and progression for IPP prisoners 2 5 20 Oct 2025 Failure to provide urgent support and safety-netting for adrenal crisis risk 2 6 26 Jan 2024 Failure to reassess safety risks from inadequate lighting 2 2 12 Nov 2019 Failure to recognise and respond to occult internal bleeding 2 3 13 Dec 2024 Failure to reliably apply Clare's Law domestic abuse disclosure procedures 2 9 4 May 2026 Failure to reliably complete and record required oral assessments 2 5 13 Sep 2022