Recurring concern
Failure to involve families and carers in discharge planning and decisions
Pin
Get email alerts
Request correctionFirst reported 30 Jan 2013•Latest report 7 Nov 2025
What this concern includes
Includes failures in the discharge process to identify appropriate families or carers, seek and consider their views or information, involve them in complex discharge planning and decisions, and communicate material arrangements or risks to them where involvement is appropriate.
Not included
- Excludes failures in family or carer involvement outside discharge planning or discharge decisions.
- Excludes communication solely between professionals, services or receiving organisations where family or carer involvement is not the unsafe condition.
- Excludes failures limited to the clinical suitability of a discharge, housing, care-package provision or equipment unless the report also identifies exclusion of relevant families or carers from the discharge process.
- Excludes mental-health care-planning involvement where discharge is not materially part of the asserted concern.
- Reports
- 35
- Individual concerns
- 40
- Date range
- 2013–2025
- Stated actions
- 36
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.
-
Concerns raised1
Failure to communicate discharge information to receiving care providers and family
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
-
Action
Provide ward nurses with refresher training on discharge processes, required documentation and Do Not Attempt Cardio-pulmonary Resuscitation forms.
Stated by University Hospitals Sussex NHS Foundation Trust -
Action
Emphasize completion of nurse-to-nurse discharge summaries for patients transferred to or returning to residential or nursing home care.
Stated by University Hospitals Sussex NHS Foundation Trust -
Action
Conduct monthly snapshot audits of ward medical records to monitor discharge-documentation standards.
Stated by University Hospitals Sussex NHS Foundation Trust
-
Action
Develop new discharge-planning paperwork to facilitate timely documentation and daily consideration of patients’ progress toward discharge.
Stated by University Hospitals Sussex NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Position
The discharge process was not fundamentally flawed; shortcomings arose from inadequate implementation on this occasion.
Stated by University Hospitals Sussex NHS Foundation Trust
-
Concerns raised2
Failure to consider the family’s views before discharge planning and implementation
Failure to hold the required pre-discharge meeting with the family
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.5
-
Action
Develop a discharge checklist confirming MDT engagement with patients and families before discharge.
Stated by Tameside and Glossop Integrated Care NHS Foundation Trust -
Action
Document through IAS/EIS systems that ITT cases have been discussed with patients and designated carers.
Stated by Tameside and Glossop Integrated Care NHS Foundation Trust -
Action
Provide patients and families opportunities to discuss discharge plans and a dedicated social-worker contact number.
Stated by Tameside and Glossop Integrated Care NHS Foundation Trust
-
Action
Formulate complex care plans for all parties to agree before patients return home.
Stated by Tameside and Glossop Integrated Care NHS Foundation Trust -
Action
Ensure care plans are accurately prepared, shared with patients and consenting next of kin, and agreed before discharge.
Stated by Tameside and Glossop Integrated Care NHS Foundation Trust
-
Concerns raised1
Failure to ensure family involvement in accommodation arrangements before discharge
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 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.
-
Concerns raised1
Failure to notify family members of discharge where family support is relevant to safety
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to involve family in discharge planning
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 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.
Data last updated 7 September 2026