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Failure to reliably assess driver fitness and driving safety 13 13 8 Dec 2025 Failure to reliably measure and monitor blood glucose levels 13 16 13 Jan 2026 Inadequate competence of personnel conducting formal safety risk assessments 13 16 1 Jun 2026 Inadequate preoperative assessment of surgical suitability and risk 13 20 12 Nov 2025 Inadequate vehicle occupant restraint systems 13 19 14 Apr 2026 Unreliable ambulance response-time standards and prioritisation 13 20 2 Feb 2026 Unreliable asthma care and management 13 33 9 May 2025 Unreliable bedrail safety controls 13 18 7 Aug 2025 Unreliable clinical correspondence from healthcare services to GPs 13 25 17 Aug 2022 Unreliable communication access for people requiring support 13 18 10 Apr 2025 Unreliable communication of ambulance dispatch status and expectations 13 14 15 Jun 2026 Unreliable completion and receipt of incident review reports 13 17 30 Jan 2025 Unreliable DNACPR decision-making, recording and communication 13 18 14 Aug 2023 Unreliable DVT diagnosis and management 13 23 23 Jul 2024 Unreliable handling of safety-related complaints 13 22 2 May 2025 Unreliable highway inspection and asset-recording processes 13 15 1 Dec 2025 Unreliable post-operative monitoring and clinical review 13 20 13 Dec 2024 Unreliable recording in police custody records 13 37 23 Oct 2024 Unreliable referrals to tissue viability services 13 25 11 Jun 2025 Unreliable seizure care and management 13 27 10 Oct 2025 Unreliable staff access to and understanding of safety-critical guidance 13 24 11 Jan 2023 Unsafe management of refusal of necessary care or protective action 13 22 21 Aug 2025 Failure of ambulance information systems to transfer safety-critical clinical and operational information 12 20 18 Jun 2025 Failure to apply overdose-risk safeguards to medication prescribing 12 24 27 Oct 2025 Failure to complete timely direct mental health assessments after referral 12 16 25 Mar 2024