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Unreliable and delayed access to interpreters for safety-critical communication 3 9 7 Oct 2025 Unreliable assessment and management of extremist risk in offenders 2 15 20 May 2024 Unreliable access to gender-affirming healthcare 5 9 25 Jul 2024 Failure to provide trauma-informed hospital care 4 7 27 May 2026 Uncontrolled promotion and supply of substances for suicide 11 3 9 Dec 2025 Inadequate recognition and specialist support for ARFID 3 9 7 Jan 2026 Unreliable access to specialist pain care for people with chronic pain 3 5 17 Jun 2022 Unreliable communication of ambulance dispatch status and expectations 13 14 15 Jun 2026 Failure to provide suitable accommodation for patients awaiting care 5 8 19 Jan 2026 Failure to secure suitable accommodation for people released from prison 6 10 27 Jan 2025 Unreliable coordination of referrals between healthcare teams 19 34 17 Dec 2025 Inadequate formal patient advocacy support for people with complex care needs 2 3 16 May 2022 Insufficient clinical staffing capacity for timely surgical care 5 6 5 Jun 2025 Unreliable care and protection arrangements for people with chronic alcohol dependence 3 4 13 Oct 2025 Failure to reliably report self-harm and suicide risks to people able to help 7 9 18 Jun 2024 Failure to involve families and carers in safety-critical care decisions 16 32 2 May 2026 Failure to reliably refer patients to required specialist services 35 54 4 Feb 2026 Unreliable identification and support for gambling-related harm 4 6 14 Jan 2026 Inadequate competence of personnel conducting safety audits and reviews 3 6 19 Jul 2022 Failure to reliably transfer medical records between healthcare organisations 29 48 20 Oct 2025 Failure to involve families and carers in discharge planning and decisions 35 51 7 Nov 2025 Unreliable communication of discharge medication information to care staff 8 14 4 Mar 2024 Inadequate staff training for managing complex care needs 10 30 25 Apr 2024 Unreliable firearms licensing risk assessment and information sharing 11 13 10 Feb 2026 Unreliable metabolic monitoring for patients taking antipsychotic medication 3 4 9 Jul 2015