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Failure to maintain training records that verify staff competence 11 14 13 Nov 2024 Failure to provide clinically required fluids 11 13 7 Feb 2026 Failure to provide face-to-face mental health assessment when clinically indicated 11 15 11 Oct 2025 Failure to provide individualised pregnancy and birth risk assessment and planning 11 15 5 Nov 2025 Failure to provide timely emergency hospital conveyance 11 21 5 Jun 2026 Failure to reliably communicate with and listen to families of mental health patients 11 17 12 Jan 2026 Failure to reliably identify and communicate individual patient risk factors 11 16 13 Jan 2025 Inadequate control of self-harm items in inpatient settings 11 14 27 May 2026 Inadequate deprivation of liberty safeguarding for people lacking capacity 11 20 10 Jul 2025 Inadequate integrated care for people with co-occurring physical and mental health needs 11 18 15 Jun 2026 Inadequate safety controls at railway level crossings 11 8 23 Jun 2021 Inadequate safety guidance for CT scanning and reporting 11 15 22 Dec 2025 Inadequate staff competence in care planning 11 24 2 Jun 2026 Inadequate traffic-speed controls on residential roads 11 12 9 Jan 2025 Inadequate wound management for deteriorating wounds 11 20 19 Dec 2025 Insufficient care home management capacity and oversight 11 17 9 Apr 2025 Uncontrolled promotion and supply of substances for suicide 11 3 9 Dec 2025 Unreliable access to talking therapies 11 12 6 Mar 2025 Unreliable clinician management of medication side effects 11 18 3 Jun 2026 Unreliable communication and understanding of emergency policies and procedures 11 23 18 Mar 2026 Unreliable completion and verification of falls-risk assessments 11 15 30 Mar 2026 Unreliable firearms licensing risk assessment and information sharing 11 13 10 Feb 2026 Unreliable lifeguard provision for aquatic safety 11 13 4 Jun 2025 Unreliable management of patients’ fluid requirements 11 23 7 Apr 2025 Unreliable measurement of vital signs during clinical assessments 11 27 3 Sep 2025