Recurring concern
Failure to incorporate relevant clinical history and diagnoses into care decisions
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Request correctionFirst reported 25 Mar 2014•Latest report 27 May 2026
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.
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.
- Reports
- 33
- Individual concerns
- 35
- Date range
- 2014–2026
- Stated actions
- 50
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
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.
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.
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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.
Responses linked to these concernsEach 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
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Action
Use an introduced medical proforma requiring clerking staff to record patients’ medical history and medication.
Stated by Epsom and St Helier University Hospitals NHS Trust -
Action
Deliver chest-drain training that reinforces reviewing historical radiology, medical history and medication and involving the respiratory team in patient care.
Stated by Epsom and St Helier University Hospitals NHS Trust -
Action
Implement adult transfer and four-hour-plan checklists requiring handover teams to document medications and consider historical radiology.
Stated by Epsom and St Helier University Hospitals NHS Trust
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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.
Responses linked to these concernsEach statement is shown once, even when linked to more than one 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.
Responses linked to these concernsEach 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
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Action
Issue further guidance clarifying medicines reconciliation responsibilities.
Stated by North West Boroughs Healthcare NHS Foundation Trust -
Action
Provide Medicines Management Team access to electronic Summary Care Records.
Stated by North West Boroughs Healthcare NHS Foundation Trust -
Action
Include routine Summary Care Record access in the new clinical IT system work plan.
Stated by North West Boroughs Healthcare NHS Foundation Trust
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Action
Implement regular auditing and reporting of medicines reconciliation failures.
Stated by North West Boroughs Healthcare NHS Foundation Trust
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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Position
The admission date was 4 August 2012, and obtaining GP medication information on 6 August was the earliest possibility at that time.
Stated by North West Boroughs Healthcare NHS Foundation Trust
Data last updated 7 September 2026