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Inadequate interim care for patients awaiting gender-identity treatment 4 6 30 Apr 2024 Failure to provide criminal courts with relevant vulnerability and risk information 3 7 11 Mar 2025 Inadequate controls for hallucinogen-related psychosis risks 2 2 21 Jun 2022 Failure to provide clinically indicated psychiatric admission 12 22 24 Nov 2025 Unreliable public-protection safeguards for s41 restriction-order patients 2 6 16 Feb 2024 Insufficient and unsafe crisis-house provision for patients needing crisis care 3 3 20 Feb 2025 Unreliable AWOL response processes 9 15 7 Apr 2025 Unreliable IMCA arrangements for people lacking capacity 2 6 17 Dec 2019 Unreliable forensic psychiatric assessment pathways for criminal-justice placement decisions 3 14 28 Jul 2017 Untimely or incomplete community care assessments 18 29 18 Nov 2025 Unreliable controls for patient-specific restricted items 2 8 17 Jun 2022 Failure to provide accessible suicide-prevention service information to people at risk 8 15 7 Apr 2026 Failure to reliably locate people at immediate risk of suicide or self-harm 3 6 8 Aug 2025 Inadequate competence of personnel conducting formal safety risk assessments 13 16 1 Jun 2026 Unreliable crisis team care provision 20 29 5 Feb 2026 Unsafe discharge planning for vulnerable prisoners 2 8 13 Mar 2024 Insufficient therapeutic pathways for people with personality disorders 5 9 28 Jul 2023 Unreliable multi-agency control of home fire risks for vulnerable residents 2 6 3 Oct 2024 Unreliable place-of-safety arrangements for intoxicated or mentally unwell people at immediate risk 2 6 26 Feb 2021 Unreliable documentation of safety risk assessments 27 27 12 Jan 2026 Failure to provide autism-informed care and communication for children 4 11 30 Mar 2026 Unreliable court-to-prison transfer information 4 12 21 Oct 2021 Unreliable access to timely autism assessment 7 16 5 Feb 2026 Unreliable Liaison and Diversion processes for people in custody 3 10 9 Aug 2024 Failure to reliably recognise and respond to acute clinical deterioration 103 120 24 Jun 2026