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 hospital emergency-power controls
2
5
21 Jul 2025
Unreliable hospital emergency-response protocols
2
6
18 Mar 2026
Unreliable hospital porter services
2
2
4 May 2021
Unreliable hospital theatre booking and availability coordination
2
2
28 Jan 2015
Unreliable IMCA arrangements for people lacking capacity
2
6
17 Dec 2019
Unreliable information about funding routes for required care and monitoring
2
4
28 May 2026
Unreliable information about the contents of illicit drugs
2
3
30 Jun 2023
Unreliable information sharing for people with fluctuating mental capacity
2
2
30 Oct 2024
Unreliable inspection and management of diseased trees near highways
2
5
12 Jul 2017
Unreliable intermediate care arrangements
2
3
10 Nov 2022
Unreliable internal disciplinary proceedings
2
3
25 Oct 2024
Unreliable internal hospital referral processes
2
2
4 Nov 2021
Unreliable investigation and specialist referral for suspected urological cancer
2
2
17 Apr 2015
Unreliable joint emergency-service attendance at risk-marked properties
2
5
24 Nov 2020
Unreliable learning-disability liaison support in hospital care
2
6
13 May 2025
Unreliable Legionella infection detection and investigation
2
5
12 Feb 2016
Unreliable London Fire Brigade emergency response
2
18
30 Jan 2025
Unreliable management of abnormal antenatal CTG
2
3
18 Mar 2025
Unreliable management of lost clinical records
2
2
30 Sep 2019
Unreliable management of observed heat signatures during police searches
2
5
30 Mar 2026
Unreliable management of post-discharge infection risks
2
6
19 Jul 2023
Unreliable management of resident bedroom-door status for safe observation
2
3
10 Dec 2020
Unreliable measurement of ambulance response times
2
2
3 Oct 2024
Unreliable Medical Examiner processes for reviewing deaths and acting on concerns
2
4
2 Dec 2024
Unreliable medication storage and access controls
2
5
30 Dec 2019
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