First reported 30 Aug 2013•Latest report 18 Nov 2025
Definition
What this concern includes
Includes delayed, missing or materially inadequate assessments of a person's community care, support or treatment needs where the assessment is part of community care planning, discharge or referral.
Not included
Excludes generic staffing, communication or documentation deficiencies unless they directly constitute failure of the community care assessment.
Excludes hospital diagnostic, custody, deprivation-of-liberty and mental-capacity assessments unless the assertion explicitly concerns a community care needs assessment.
Excludes failures to provide care packages or placements after an assessment has been completed.
Reports
18
Distinct published reports
Individual concerns
20
A report can raise multiple concerns
Date range
2013–2025
First to latest report issue date
Stated actions
30
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Bolton Borough Council2
Department of Health and Social Care2
Greater Manchester Mental Health NHS Foundation Trust2
Norfolk County Council2
Brighton and Hove City Council1
Care Quality Commission1
Chesterfield Royal Hospital1
Daryel Care1
East of England Community Health and Care NHS Trust1
Essex County Council1
Essex Partnership University NHS Foundation Trust1
Herries Lodge1
Lewisham and Greenwich NHS Trust1
Lincolnshire County Council1
LNT Software1
NHS trust8
English county council4
Healthcare site3
English metropolitan district council2
English unitary authority2
London borough council2
Ministerial department2
Company1
Domiciliary care provider1
Executive non-departmental public body1
Health and social care service regulator1
Health-system partnership1
Integrated care board1
Nursing home1
Police force1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
Staffordshire and Stoke-on-Trent
Concerns raised1
Failure to complete standard community needs and treatment assessments
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Issue and operationalize a Practice Note requiring SAF waiting-list contact, key-worker appointment dates, transition timescales, and clarification that SAF is not prerequisite to care.
Stated by North Staffordshire Combined Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 21 November 2025.
Action
Revise the Trust Care Management Policy to incorporate the new processes, guidance, and audit assurance arrangements.
Stated by North Staffordshire Combined Healthcare NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 November 2025.
Inner North London
Concerns raised2
Failure to assess reablement suitability in light of cognitive impairment and unreliable self-reporting
Failure to account for cognitive, mental health and home-safety barriers when assessing engagement
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
Action
Add assessment-proforma requirements to consult patients’ families where appropriate and document mental-capacity decisions when patients do not consent.
Stated by Whittington Health NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 31 March 2025.
Action
Conduct mental-capacity assessments for patients who do not engage with services and involve families where appropriate.
Stated by Whittington Health NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 31 March 2025.
Action
Revisit training on identifying cognitive abilities, capacity, risk, and risk management under the Mental Capacity Act.
Stated by London Borough of IslingtonStated plannedThe respondent said that this action was planned when they made their response on 31 March 2025.
Action
Conduct an independent structured judgement review and discuss its findings at ICAT governance and safeguarding meetings.
Stated by Whittington Health NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 31 March 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
The decision to provide Reablement was considered appropriate, lawful and consistent with practice because the resident could communicate his wishes and was previously independent.
Stated by London Borough of IslingtonDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
The team had received and considered information about the patient’s unsafe home circumstances, neighbours and self-care difficulties.
Stated by Whittington Health NHS TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
ICAT discharged the patient because other community services addressed all identified problems and provided a safety net for ongoing follow-up.
Stated by Whittington Health NHS TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Inner South London
Concerns raised1
Failure to provide social work and/or occupational therapy assessment within 24 hours of discharge
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Cheshire
Concerns raised1
Failure to establish whether care at home could be safely provided
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Limited Care Act assessments
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Improve frontline knowledge and confidence in completing holistic social-care assessments.
Stated by One Stockport Health and Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 30 October 2023.
Action
Introduce peer discussions so managers oversee individual social-care assessments and reviews and strengthen social-work practice.
Stated by One Stockport Health and Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 30 October 2023.
Action
Review the health and social-care offer, including assessment, advice, signposting, substance-misuse support, information and staff training needs, through standing quality-meeting consideration.
Stated by One Stockport Health and Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 30 October 2023.
Lincolnshire
Concerns raised1
Failure to complete Adult Social Care assessments
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Capacity to refuse services meant the authority could not compel assessment or acceptance of care.
Stated by Lincolnshire County CouncilUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Essex
Concerns raised1
Lack of assessment of section 117 needs for discharge
This report raised 12 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
Action
Require Child and Family Assessments and continued Social Care involvement for every young person admitted to a Tier 4 inpatient bed.
Stated by Essex County CouncilStated completedThe respondent said that this action was complete when they made their response on 10 March 2023.
Action
Maintain the pan-Essex Section 117 protocol setting out multi-agency care planning processes, including accommodation responsibilities.
Stated by Essex County CouncilStated completedThe respondent said that this action was complete when they made their response on 10 March 2023.
Action
Develop and publish internal Section 117 guidance covering duties, processes and the Section 117 Panel.
Stated by Essex County CouncilStated plannedThe respondent said that this action was planned when they made their response on 10 March 2023.
Action
Complete the draft Section 117 practice guidance and produce a Thinking Practice Tool to support Section 117 planning.
Stated by Essex County CouncilStated plannedThe respondent said that this action was planned when they made their response on 10 March 2023.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The acknowledged shortcomings were not causation or contributory factors in Molly’s death.
Stated by Essex County CouncilDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Nottinghamshire
Concerns raised1
Failure to extend Care Act assessments to changed care needs when people move accommodation
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Cumbria
Concerns raised1
Failure to provide in-person assessment and support for drug and alcohol service clients
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
Action
Established action plans to reintroduce face-to-face appointments for service users who were not categorised as high risk.
Stated by Greater Manchester Mental Health NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 29 November 2021.
Action
Issued staff guidance requiring first appointments to be face to face and ensuring each service user receives a drug test within 12 months.
Stated by Greater Manchester Mental Health NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 29 November 2021.
Action
Review all service users through face-to-face appointments.
Stated by WaythroughStatus unclearThe respondent did not make the status of this action clear when they made their response on 29 November 2021.
Action
Maintain at least 12-weekly drug testing and face-to-face reviews for service users.
Stated by WaythroughStated completedThe respondent said that this action was complete when they made their response on 29 November 2021.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Risk-based telephone reviews and face-to-face appointments when indicated were considered sufficient under national and local COVID-19 guidance.
Stated by Greater Manchester Mental Health NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Humankind, the current Cumbria service provider, was developing its own response and would take forward the reported issues.
Stated by Greater Manchester Mental Health NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Brighton and Hove
Concerns raised1
Poor or inadequate implementation of Care Act assessments
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Review Care Act training and adjust it to refresh multi-agency coordination and consideration of review.
Stated by Brighton and Hove City CouncilStated plannedThe respondent said that this action was planned when they made their response on 27 May 2021.
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Includes delayed, missing or materially inadequate assessments of a person's community care, support or treatment needs where the assessment is part of community care planning, discharge or referral.
