Safety concerns raised by coroners

Failure to reliably control road-surface grip on Cycle Super Highways 2 1 11 Aug 2017 Failure to reliably detect cervical cancer through screening and assessment 2 4 11 Aug 2025 Failure to reliably detect discrepancies between prescribed and administered medication 2 4 25 Nov 2021 Failure to reliably identify and investigate violent crimes 2 2 30 Jun 2016 Failure to reliably monitor ferritin in patients at risk of iron overload 2 6 28 Feb 2022 Failure to reliably monitor vulnerable residents during fire emergencies and drills 2 4 3 Sep 2024 Failure to reliably obtain and verify SOAD approval for psychiatric treatment 2 2 18 Nov 2024 Failure to reliably prevent and detect defective surgical anastomoses 2 2 29 Apr 2015 Failure to reliably provide antenatal GBS screening 2 5 30 Jun 2016 Failure to reliably provide antenatal information about preventable infection risks and vaccination 2 3 27 Oct 2020 Failure to reliably provide required MRSA screening 2 3 15 Dec 2023 Failure to reliably recognise and respond to dehydration 2 7 7 Jan 2026 Failure to reliably recognise and respond to epiglottitis in adults 2 10 15 Aug 2023 Failure to reliably recognise hypostasis and rigor mortis 2 3 10 May 2024 Failure to reliably reconcile mental-health and medication history in prison healthcare 2 8 20 Sep 2022 Failure to reliably report and investigate eating-disorder-related deaths 2 10 17 Dec 2021 Failure to reliably screen and identify sickle cell trait in selection candidates 2 3 24 Oct 2022 Failure to reliably scrutinise and approve accommodation providers before placement 2 5 19 Jan 2023 Failure to reliably secure loads on road vehicles 2 4 12 May 2021 Failure to reliably transfer safety-critical prisoner information to immigration detention staff 2 5 2 Apr 2019 Failure to reliably validate electronic clinical records 2 7 18 Apr 2024 Failure to resolve closure or rationalisation of hazardous railway crossings 2 5 23 Jun 2021 Failure to restrict children’s access to hazardous online content 2 5 4 Nov 2025 Failure to retain experienced emergency-care staff 2 1 17 Dec 2025 Failure to safely segregate vulnerable prisoners from prisoners who may victimise them 2 3 28 Jan 2026