Recurring concern
Failure to convene coordinated professional case-planning discussions for safety concerns
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Request correctionFirst reported 31 Oct 2014•Latest report 27 May 2026
What this concern includes
Includes failures to convene or conduct multi-professional, multi-disciplinary or multi-agency case-planning discussions needed to address a person's identified safety concerns or risks, including the anchor's senior professional planning meeting.
Not included
- Excludes generic failures of communication, documentation, staffing or training unless they are directly part of convening and conducting the case-planning discussion.
- Excludes post-incident learning meetings, governance working groups and routine meetings not intended to assess or manage an individual's safety concerns.
- Excludes failures of a specific clinical, safeguarding or other pathway where the discussion is only an incidental component and the wider named pathway is the supported concern.
- Reports
- 18
- Individual concerns
- 19
- Date range
- 2014–2026
- Stated actions
- 29
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 conduct regular multi-agency preventative review and reassessment of fire risks
This report raised 7 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
Develop a vulnerability database to identify higher-risk tenants and update relevant information annually and at key tenancy or safeguarding points.
Stated by Together Housing Group Limited -
Action
Resume regular tenancy audits focused on tenants with no recent contact or identified vulnerability, including property inspections where access is permitted.
Stated by Together Housing Group Limited -
Action
Distribute a staff alert requiring hoarding-related risks and planned interventions to be recorded in care plans.
Stated by South West Yorkshire Partnership Teaching NHS Foundation Trust
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Action
Reinforce inclusion of family and carers in care planning and risk management through training, the information leaflet and staff alert.
Stated by South West Yorkshire Partnership Teaching NHS Foundation Trust
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Concerns raised1
Failure to convene senior professionals to consider cases and prepare a plan
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
Failure to conduct required multidisciplinary and multi-agency care discussions
This report raised 10 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 scheduling appropriate professional meetings
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.
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Concerns raised1
Failure to draw up appropriate multi-agency care plans
This report raised 2 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.1
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Action
Produce and prominently issue a reflective training vignette through the internal safety alert system, requiring confirmation of action and monitoring implementation through supervision and appraisal.
Stated by Avon and Wiltshire Mental Health Partnership NHS 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
No revision of existing policies, systems or procedures was considered necessary in light of the deaths.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
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Concerns raised1
Failure of agencies to check and share available information before multi-agency meetings
This report raised 15 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.2
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Action
Provide clinical staff attending multi-agency meetings with adequate time to review case information and contribute to discussions and action planning.
Stated by Pennine Care NHS Foundation Trust -
Action
Issue guidance to MAPPA agencies on preparing for meetings and fully recording agreed actions, completed actions and communications.
Stated by HM Prison and Probation Service
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Concerns raised1
Failure to hold urgent multi-agency discussions involving all relevant agencies for young people at risk of self-harm
This report raised 5 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.2
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Action
Support the Public Service Transformation Network and Early Intervention Foundation in co-designing better outcomes for vulnerable people.
Stated by Department for Education (DfE) and the Department of Communities and Local Government (DCLG -
Action
Support local authorities in delivering the expanded troubled families programme to improve coordinated services for vulnerable families.
Stated by Department for Education (DfE) and the Department of Communities and Local Government (DCLG
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Local Safeguarding Children Boards are responsible for safeguarding children and ensuring local agencies’ effectiveness.
Stated by Department for Education (DfE) and the Department of Communities and Local Government (DCLG
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Position
The Association of Independent LSCB Chairs was asked to consider the concerns raised about local safeguarding arrangements.
Stated by Department for Education (DfE) and the Department of Communities and Local Government (DCLG
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Concerns raised1
Failure to formulate a detailed and complete senior clinical plan
This report raised 14 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.1
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Action
Remind consultants and shift leaders to require a detailed management plan and shift-leader confirmation before transferring patients.
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
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Position
The consultant’s undated signature on transfer documentation was not relevant to the patient’s clinical care.
Stated by University Hospitals Sussex NHS Foundation Trust
Data last updated 7 September 2026