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
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Concerns raised1
Failure to consider previous radiology, medical history and medication before invasive procedures
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Epsom and St Helier University Hospitals NHS 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.3
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Epsom and St Helier University Hospitals NHS Trust
Use an introduced medical proforma requiring clerking staff to record patients’ medical history and medication.
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Epsom and St Helier University Hospitals NHS Trust
Deliver chest-drain training that reinforces reviewing historical radiology, medical history and medication and involving the respiratory team in patient care.
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Epsom and St Helier University Hospitals NHS Trust
Implement adult transfer and four-hour-plan checklists requiring handover teams to document medications and consider historical radiology.
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Concerns raised1
Failure to obtain relevant medical information for care planning during initial reception assessment
This report raised 6 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.
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Concerns raised1
Delays in obtaining patients’ previous diabetes medication regimes
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- North West Boroughs Healthcare 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.4
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North West Boroughs Healthcare NHS Foundation Trust
Issue further guidance clarifying medicines reconciliation responsibilities.
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North West Boroughs Healthcare NHS Foundation Trust
Provide Medicines Management Team access to electronic Summary Care Records.
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North West Boroughs Healthcare NHS Foundation Trust
Include routine Summary Care Record access in the new clinical IT system work plan.
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North West Boroughs Healthcare NHS Foundation Trust
Implement regular auditing and reporting of medicines reconciliation failures.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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North West Boroughs Healthcare NHS Foundation Trust
The admission date was 4 August 2012, and obtaining GP medication information on 6 August was the earliest possibility at that time.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026