Recurring concern
Failure to convene coordinated professional case-planning discussions for safety concerns
- Reports that mention this concern
- 18
- Times this concern has been raised
- 19
- Stated actions linked to this concern
- 29
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.
What is 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.
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 18 reports
See individual reports that have raised this concern, and the actions taken in response
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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.
Linked responses
- South West Yorkshire Partnership Teaching NHS Foundation Trust
- Together Housing Group Limited
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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Together Housing Group Limited
Develop a vulnerability database to identify higher-risk tenants and update relevant information annually and at key tenancy or safeguarding points.
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Together Housing Group Limited
Resume regular tenancy audits focused on tenants with no recent contact or identified vulnerability, including property inspections where access is permitted.
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South West Yorkshire Partnership Teaching NHS Foundation Trust
Distribute a staff alert requiring hoarding-related risks and planned interventions to be recorded in care plans.
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South West Yorkshire Partnership Teaching NHS Foundation Trust
Reinforce inclusion of family and carers in care planning and risk management through training, the information leaflet and staff alert.
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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.
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.
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.
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.
Linked response
- Avon and Wiltshire Mental Health Partnership 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.1
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Avon and Wiltshire Mental Health Partnership NHS Trust
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.
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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Avon and Wiltshire Mental Health Partnership NHS Trust
No revision of existing policies, systems or procedures was considered necessary in light of the deaths.
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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.
Linked responses
- HM Prison and Probation Service
- Pennine Care 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.2
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Pennine Care NHS Foundation Trust
Provide clinical staff attending multi-agency meetings with adequate time to review case information and contribute to discussions and action planning.
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HM Prison and Probation Service
Issue guidance to MAPPA agencies on preparing for meetings and fully recording agreed actions, completed actions and communications.
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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.
Linked response
- Department for Education (DfE) and the Department of Communities and Local Government (DCLG
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
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Department for Education (DfE) and the Department of Communities and Local Government (DCLG
Support the Public Service Transformation Network and Early Intervention Foundation in co-designing better outcomes for vulnerable people.
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Department for Education (DfE) and the Department of Communities and Local Government (DCLG
Support local authorities in delivering the expanded troubled families programme to improve coordinated services for vulnerable families.
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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Department for Education (DfE) and the Department of Communities and Local Government (DCLG
Local Safeguarding Children Boards are responsible for safeguarding children and ensuring local agencies’ effectiveness.
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Department for Education (DfE) and the Department of Communities and Local Government (DCLG
The Association of Independent LSCB Chairs was asked to consider the concerns raised about local safeguarding arrangements.
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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.
Linked response
- University Hospitals Sussex 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.1
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University Hospitals Sussex NHS Foundation Trust
Remind consultants and shift leaders to require a detailed management plan and shift-leader confirmation before transferring patients.
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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University Hospitals Sussex NHS Foundation Trust
The consultant’s undated signature on transfer documentation was not relevant to the patient’s clinical care.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026