Safety concerns raised by coroners

Unsafe police restraint practices and controls 9 18 2 Feb 2026 Unsafe provision of oxygen therapy 9 16 17 Nov 2025 Unsafe selection and execution of work methods exposing employees to hazards 9 16 12 Feb 2025 Deliberate falsification of clinical and care records 8 14 7 Apr 2026 Failure to carry out required overnight checks 8 10 28 Oct 2025 Failure to discuss patient care options and decisions 8 11 25 Jun 2026 Failure to dispatch emergency responders promptly to serious incidents 8 10 1 Feb 2024 Failure to ensure paramedics have required emergency medicines for pre-hospital care 8 11 10 Apr 2026 Failure to ensure scheduled investigations are followed up 8 11 8 Jun 2026 Failure to implement protective measures for people at risk of self-harm 8 11 27 May 2026 Failure to maintain clear accountability for care documentation 8 15 23 Jun 2025 Failure to provide accessible suicide-prevention service information to people at risk 8 15 7 Apr 2026 Failure to provide timely cardiology assessment 8 7 17 Jul 2024 Failure to provide timely medical review of emergency-department patients 8 7 4 Feb 2025 Failure to reliably detect illicit drug use 8 23 4 Mar 2024 Failure to reliably identify and respond to clinically significant weight change 8 25 23 Jun 2025 Failure to reliably manage flooding and standing-water risks on roads 8 9 17 Jul 2024 Failure to reliably prevent patient escape from wards 8 8 6 Feb 2026 Failure to reliably recognise and respond to suspected aortic dissection 8 12 3 Jun 2026 Inadequate control of vehicle loss-of-control risks on hazardous road sections 8 13 26 Jul 2024 Inadequate controls for drowning risks in swimming pools 8 10 18 Sep 2024 Inadequate crash-helmet safety controls for road users 8 18 17 Mar 2026 Inadequate detection and management of abdominal aortic aneurysms 8 12 17 Apr 2024 Inadequate Enhanced Care Supervision 8 7 13 Mar 2025 Inadequate individual risk assessment for activities 8 13 10 Apr 2025