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Failure to prevent harmful isolation among vulnerable mental-health service users 2 5 13 Nov 2023 Unsafe operation of Section 136 mental health assessment and detention procedures 17 36 24 Apr 2026 Unreliable police-hospital exchange of risk information during mental-health patient supervision 3 12 3 Jun 2024 Failure to reliably reconcile mental-health and medication history in prison healthcare 2 8 20 Sep 2022 Failure to establish patients’ consent for family involvement in mental health care 7 12 13 Nov 2023 Failure to reassess safety risks during significant mental-health medication changes 3 3 19 Dec 2025 Failure to reliably apply Mental Capacity Act principles in care decisions 10 16 25 Nov 2025 Unreliable community Home Treatment Team care pathways 29 40 27 May 2026 Insufficient frontline staff competence to recognise and explore substance-related mental-health risks 2 5 16 May 2022 Unreliable welfare-check processes for people whose health is of concern 28 41 10 Jun 2026 Failure to ensure timely Lead Practitioner appointment for mental health patients 2 1 15 Mar 2021 Unreliable dual-diagnosis care pathways 22 36 30 Apr 2026 Inadequate care and supervision provision for prisoners with complex needs 4 5 24 Nov 2025 Failure to provide required annual primary-care health reviews 2 4 8 May 2024 Unreliable recording of suicide-risk information 19 26 12 Jan 2026 Insufficient health visitor capacity to support vulnerable families and young children 3 9 19 Mar 2025 Insufficient community-based alternatives to psychiatric hospital admission 4 7 6 Feb 2026 Unreliable Occupational Health support before and during assessment 2 4 14 Jan 2025 Failure to recognise and adequately assess clinically significant psychotic symptoms 3 5 15 Mar 2023 Failure to integrate complex health and social care needs 2 2 9 Oct 2023 Failure to reliably recognise and respond to acute behavioural disturbance 19 39 11 Feb 2026 Unreliable access to and navigation of veteran support services 3 3 31 Jan 2025 Failure to recognise and provide joined-up care for menopause-related deterioration 4 8 24 Apr 2025 Inadequate controls on access to online suicide-promoting content 24 19 29 Apr 2026 Unreliable access to talking therapies 11 12 6 Mar 2025