Includes reports identifying delayed, missed or insufficiently timely consultant review of patients, including failures to seek or arrange an early consultant review where consultant input is required.
What is not included
Excludes delays in non-consultant consultations, referrals or specialist services unless the report specifically concerns consultant review.
Excludes failures involving only documentation, communication, continuity, staffing or on-call cover when delayed consultant review is not itself identified.
Excludes concerns about the quality or appropriateness of consultant decisions where timely review was not a material issue.
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.
Department of Health and Social Care7
Care Quality Commission3
Barts Health NHS Trust2
East London NHS Foundation Trust2
Royal College of Obstetricians and Gynaecologists2
Royal College of Paediatrics and Child Health2
St Peter's Hospital2
Tameside General Hospital2
University Hospitals Sussex NHS Foundation Trust2
Ashford and St Peter'S Hospitals NHS Foundation Trust1
Betsi Cadwaladr University LHB1
Colchester Hospital1
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust1
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust1
East Suffolk and North Essex NHS Foundation Trust1
NHS trust23
Healthcare site9
Ministerial department7
Health and social care service regulator3
Health professional body2
Integrated care board2
Multi-service care provider2
Professional body2
Type not available2
English district council1
Health and care professional regulator1
Local health board1
Reports and published responses 35 reports
See individual reports that have raised this concern, and the actions taken in response
Inner North London
Concerns raised1
Delays in consultant review for patients with impaired consciousness
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
Barts Health 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.2
Barts Health NHS Trust
Train staff to obtain prompt consultant review for acutely unwell patients or potentially dangerous injuries.
Barts Health NHS Trust
Explain the escalation policy to new trainees, including timely assessment, intervention, documentation and senior review.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Barts Health NHS Trust
The Trust stated that medical review and appropriate post-fall checks occurred soon after the fall, contrary to the reported five-hour delay.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Surrey
Concerns raised1
Lack of independent consultant assessment of paediatric admissions outside normal working hours
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
Frimley Health NHS Foundation Trust
Royal College of Paediatrics and Child Health
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
Frimley Health NHS Foundation Trust
Consider further work to strengthen consultant-delivered paediatric cover towards 24/7 service.
Frimley Health NHS Foundation Trust
Work towards consultant paediatrician review within 14 hours for every acute paediatric admission.
Royal College of Paediatrics and Child Health
Audit compliance with the Facing the Future paediatric service standards across UK units.
Royal College of Paediatrics and Child Health
Review the consultant-review standard, collate supporting evidence, and consider increasing consultant reviews from once to twice daily within 24 hours.
Royal College of Paediatrics and Child Health
Model with Health Education England the national medical-staffing implications of recommending twice-daily consultant review.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Royal College of Paediatrics and Child Health
The hospital Trust is responsible for addressing local policies, their implementation, staff practice and competence, including parental concerns.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
West Sussex
Concerns raised1
Lack of independent consultant assessment of paediatric admissions
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Failure to escalate to a consultant
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
South Yorkshire (Western)
Concerns raised2
Failure to contact a consultant when Early Warning Scores indicate clinical deterioration
Failure to refer patients to consultant level when Early Warning Scores indicate escalation
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.