Safety concerns raised by coroners
Explore concerns raised in Prevention of Future Deaths (PFD) reports.
Recurring concerns bring together individual concerns from different reports that describe the same underlying safety problem.
1,669 recurring concerns
Concern
Trend
Reports
Recipients
Latest report
Unreliable blue-lights response decision-making
2
4
21 Nov 2022
Unreliable categorisation and escalation of paramedic backup requests
2
4
4 Mar 2025
Unreliable centralised CTG monitoring systems
2
4
2 Dec 2024
Unreliable checking of prolonged occupied toilets
2
3
29 Sep 2015
Unreliable Child in Need assessments for vulnerable young people
2
6
19 Feb 2023
Unreliable classification and management of meconium during childbirth
2
2
17 Dec 2021
Unreliable classification and scrutiny of unnatural deaths
2
2
23 Apr 2025
Unreliable clinical guidance for transplant patients
2
7
12 Nov 2024
Unreliable clinical-trial safety information and unblinding processes
2
4
4 Aug 2022
Unreliable communication and support arrangements for educational assessment results
2
4
10 Nov 2021
Unreliable communication of placement arrangements before release
2
3
21 Jul 2025
Unreliable communication with original treating teams after post-procedure readmission
2
2
10 Oct 2025
Unreliable Community First Responder coverage and call-out
2
4
24 Jan 2019
Unreliable completion of mental health assessments when patients leave or disengage
2
3
25 Aug 2022
Unreliable consular access and communication for British nationals abroad
2
1
13 Nov 2022
Unreliable consultant review of patients unexpectedly returning after discharge
2
2
11 Jan 2023
Unreliable control of stair-related fall risks in care placements
2
3
12 Dec 2024
Unreliable controls for patient-specific restricted items
2
8
17 Jun 2022
Unreliable coordination of beach safety provision
2
2
31 Jan 2024
Unreliable coordination of safety equipment installation requests
2
4
19 Mar 2024
Unreliable coordination of social-care-related patient flow
2
8
10 Jul 2023
Unreliable cord blood testing for newborn safety assessment
2
4
16 Sep 2023
Unreliable CQC monitoring and escalation of provider safety risks
2
7
25 Aug 2022
Unreliable criteria for transferring Category 3 ambulance calls
2
4
6 Jan 2026
Unreliable cross-border information arrangements for the UK watch list and Operation Nexus
2
4
12 Jul 2016
Recurring concerns bring together reports that describe the same underlying safety problem. Open one to compare the individual concerns and original wording.
Data last updated 7 September 2026