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Inadequate frontline training to recognise and respond to suicide and self-harm risk 17 25 7 Apr 2026 Insufficient suitable supported accommodation for vulnerable people 4 11 28 May 2021 Unreliable national sharing of safety-critical incident information 3 10 18 Dec 2020 Unreliable consolidation and access to patients’ cross-service clinical risk information 20 25 10 Jun 2026 Unreliable admission assessment of patients 27 35 27 May 2026 Insufficient out-of-hours healthcare availability 2 8 16 Mar 2016 Unreliable patient risk-assessment processes 4 8 2 Jun 2021 Failure to ensure safe post-discharge arrangements for vulnerable patients and residents 34 46 14 Apr 2026 Unreliable railway-station detection and alerting for persons on the line 3 5 29 May 2020 Unreliable crisis telephone access for prisoners 3 6 20 Mar 2026 Failure to ensure substance vendors recognise suicide and self-harm misuse risks 9 3 23 May 2025 Unreliable inter-agency information sharing for coordinated care 212 282 15 Jun 2026 Failure to reliably notify specialist teams of hospital admissions and discharges 5 9 19 Nov 2025 Unreliable access to clinically necessary dietetic assessment and support 6 9 5 Jun 2026 Failure to reliably escalate suicidal intent information 10 17 18 Jun 2024 Unreliable communication and support arrangements for educational assessment results 2 4 10 Nov 2021 Failure to provide appropriate support to vulnerable victims of crime 2 2 30 Apr 2021 Inadequate supervision of patients in acute hospital assessment areas 5 8 17 Dec 2025 Failure to safely segregate vulnerable prisoners from prisoners who may victimise them 2 3 28 Jan 2026 Insufficient psychological support for prisoners 5 8 6 Nov 2025 Unreliable out-of-area patient bed allocation and repatriation arrangements 3 5 19 Sep 2023 Unreliable crisis-team access and communication 10 12 28 May 2025 Insufficient specialist support for eating-disorder patients 8 19 14 Feb 2024 Unreliable terminology in obstetric delivery guidance and decisions 4 8 30 Apr 2026 Failure to provide sufficient GP involvement in patient care 17 38 26 Mar 2026