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Unreliable NHS 111 clinical triage algorithms and systems 21 25 17 Jun 2026 Unreliable preservation and disclosure of material for death investigations 21 42 24 Mar 2026 Unreliable timely provision of appropriate care packages 21 23 10 Feb 2026 Unsafe updating of clinical policies and guidance 21 29 24 Oct 2025 Inadequate control of recurring collision risks at hazardous road locations 20 23 6 May 2025 Inadequate product safety warnings about serious hazards 20 47 4 Nov 2025 Unreliable call bell systems for summoning assistance 20 25 23 Mar 2026 Unreliable clinical review and authorisation of discharge decisions 20 29 11 Jan 2026 Unreliable consolidation and access to patients’ cross-service clinical risk information 20 25 10 Jun 2026 Unreliable crisis team care provision 20 29 5 Feb 2026 Unreliable documentation of falls and related clinical response 20 32 26 Feb 2026 Unreliable safety investigation reports and disclosure 20 29 6 Feb 2026 Unsafe management of Ryles and nasogastric tubes 20 23 9 Feb 2026 Unsafe moving and handling of patients 20 33 11 Jun 2025 Failure to acknowledge and act on family and carer safety concerns in patient care 19 25 24 Jun 2026 Failure to communicate clinically significant medication risks to patients 19 34 2 Feb 2026 Failure to ensure people are placed in care settings suitable for their needs 19 27 10 Oct 2025 Failure to investigate concerning presentations beyond initial appearance and self-report 19 33 30 Mar 2026 Failure to provide adequate first aid where emergency assistance may be needed 19 34 20 Feb 2026 Failure to provide indicated psychological interventions in mental health care 19 21 6 Mar 2025 Failure to provide timely and adequate pain relief 19 26 8 Jan 2026 Failure to reliably recognise and respond to acute behavioural disturbance 19 39 11 Feb 2026 Inadequate prison staff training for responding to medical emergencies 19 22 21 May 2026 Insufficient care-home staffing capacity for residents’ required care 19 24 5 Dec 2025 Unreliable coordination of referrals between healthcare teams 19 34 17 Dec 2025