Recurring concern
Failure to incorporate relevant clinical history and diagnoses into care decisions
- Reports that mention this concern
- 33
- Times this concern has been raised
- 35
- Stated actions linked to this concern
- 50
What this concern includes
Includes failures in clinical assessment or treatment-planning processes to obtain, consider, document or use relevant previous diagnoses, treatment, available records and information from prior care providers when making care decisions.
What is not included
- Excludes failures limited to accessing or transferring clinical records when the material unsafe condition is unavailable records rather than failure to incorporate relevant information into the decision.
- Excludes generic documentation deficiencies where no failure to consider relevant clinical history or diagnoses is identified.
- Excludes failures to consider family, carer or advocate views unless they are part of a broader failure to incorporate relevant clinical information into the care decision.
- Excludes condition-specific assessment or treatment pathways where that named condition or system provides the more specific supported boundary.
Trends
Reports over time
Reports mentioning this concern, 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.
Reports and published responses 33 reports
See individual reports that have raised this concern, and the actions taken in response
-
Concerns raised1
Failure to incorporate relevant previous restraint and trauma history into admission care
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to fully consider recent substance misuse history in unescorted-leave decisions
This report raised 13 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Alternative Futures Group Limited
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Alternative Futures Group Limited
Reissue section 17 guidance and use separate escorted/emergency and unescorted leave forms for each patient.
-
Alternative Futures Group Limited
Revise MDT documentation to include a current risk summary and the patient’s perspective, informed by review of patient documentation and interactions.
-
Concerns raised1
Failure to base prescribing decisions on complete and current clinical information
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Curaleaf Clinic
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Curaleaf Clinic
Implemented access to the NHS National Care Records Service to obtain contemporaneous clinical information for assessments and ongoing care.
-
Curaleaf Clinic
Reinforced documentation of available clinical information and review of incomplete external information through MDT and clinical governance processes.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Curaleaf Clinic
The summary care record was less than a year old and contained information sufficient for the prescribing assessment.
-
Concerns raised1
Failure to obtain and consider relevant previous medical history
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Marine Lake Medical Practice
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Marine Lake Medical Practice
Ensure clinicians assess whether available clinical information is sufficient without delaying appropriate patient assessment.
-
Concerns raised1
Failure to document consideration of relevant diagnoses in treatment plans
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to gather and use comprehensive information in risk assessment
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- The Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.5
-
The Trust
Provide clinical risk-assessment training and apply the clinical risk policy.
-
The Trust
Implement the Health Information Exchange to consolidate access to key information across electronic record systems.
-
The Trust
Use the new operating model to strengthen family and carer engagement throughout admission and discharge.
-
The Trust
Improve care plans so historical factors, experiences, and risks inform personalised care planning.
-
The Trust
Review each patient’s history and electronic-record information at ward multidisciplinary team meetings.
-
Concerns raised1
Failure to factor complex trauma and difficulty being in hospital into treatment planning
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
NHS England
Concerns about care at Colchester General Hospital fall outside NHS England’s remit.
-
NHS England
East Suffolk & North Essex NHS Foundation Trust is responsible for responding to concerns about care at Colchester General Hospital.
-
Concerns raised1
Failure to include key current clinical information in care plans
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Essex Partnership University NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Essex Partnership University NHS Foundation Trust
Implement the International Fundamentals of Care Framework in urgent and inpatient care, including its principles in Newman’s care-planning form.
-
Essex Partnership University NHS Foundation Trust
Use the Admission Checklist to support care planning, timely escalation and referrals, and reduce missed actions.
-
Concerns raised1
Failure of CRISIS team MDT meetings to use accurate patient medication information when agreeing treatment plans
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to adequately incorporate alcohol problems, reported assurances and recent history into risk assessment
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Review the risk-assessment approach to move from quantified risk scoring towards a narrative approach aligned with NICE guidance.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
The FACE risk assessment contained relevant risks, and its scoring was appropriate for the risks presented at discharge.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026