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Inadequate controls for fire risks from paraffin-containing emollients 7 23 12 Aug 2025 Unreliable consolidation and access to patients’ cross-service clinical risk information 20 25 10 Jun 2026 Unreliable assessment of medication concordance in mental health care 3 5 17 Feb 2025 Failure to ensure paramedics have required emergency medicines for pre-hospital care 8 11 10 Apr 2026 Failure to provide timely and adequate pain relief 19 26 8 Jan 2026 Incomplete and unreliable information about carers and care arrangements 15 26 5 Dec 2025 Unreliable controls for restricting dangerous items in inpatient care 7 19 21 Apr 2023 Insufficient psychiatric inpatient bed capacity 67 49 12 Mar 2026 Unreliable review and action on clinically significant incoming correspondence 18 34 3 Jun 2026 Inadequate thromboprophylaxis for patients at risk of venous thromboembolism 27 23 4 Jun 2024 Unreliable recording of care plan and risk assessment reviews 4 4 15 Jan 2024 Failure to provide prisoners with a safe and sufficiently accessible prison regime 5 12 24 Mar 2026 Failure to reliably detect illicit drug use 8 23 4 Mar 2024 Inadequate management of patients' nutrition and hydration needs 39 65 24 Feb 2026 Failure to provide timely and continuous treatment for oral thrush 2 4 14 May 2024 Inadequate preoperative assessment of surgical suitability and risk 13 20 12 Nov 2025 Unsafe management of significant bleeding 8 15 13 Dec 2024 Inadequate controls for uterine rupture risks after prior uterine surgery 3 3 10 Sep 2025 Unreliable recording and communication of patient allergy information 12 16 1 Aug 2025 Unreliable asthma care and management 13 33 9 May 2025 Failure to reliably audit emergency call handling 5 18 16 Jun 2026 Unreliable return-from-hospital arrangements 8 17 15 Apr 2025 Inadequate controls for hallucinogen-related psychosis risks 2 2 21 Jun 2022 Failure to conduct timely, appropriate clinical assessments 25 37 17 Feb 2026 Inadequate controls for lithium-ion battery and charger compatibility 3 2 4 Jan 2024