Recurring concern
Failure of case monitoring to identify cases requiring follow-up
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Request correctionFirst reported 27 Dec 2013•Latest report 4 Mar 2026
What this concern includes
Includes failures of case monitoring, allocation tracking or referral follow-up where the control does not identify that a case has not been seen, assessed or progressed.
Not included
- Excludes failures limited to the quality of clinical documentation when they do not concern identifying cases requiring follow-up.
- Excludes delays or missed actions where no monitoring, tracking or follow-up identification failure is described.
- Excludes generic staffing, communication or technology deficiencies not explicitly tied to monitoring or follow-up of cases.
- Reports
- 33
- Individual concerns
- 36
- Date range
- 2013–2026
- Stated actions
- 49
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
Lack of a consistent follow-up process for salbutamol overuse patterns
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.
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 of the FRT caseload system to ensure efficient follow-up of referrals and queries
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.1
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Action
Implement the MaST caseload-management tool with electronic risk, disengagement and RAG indicators supporting MDT prioritisation, and monitor its use through regular audits.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Failure to follow up repeated failed clinical encounters
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.3
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Action
Review the DNA policy to formalise escalation after two consecutive missed appointments.
Stated by North London NHS Foundation Trust -
Action
Implement the revised DNA policy through staff training and monitor its impact through a quality-improvement project.
Stated by North London NHS Foundation Trust -
Action
Organise additional London Care Record training to improve information sharing and notification of GPs when concerns or disengagement arise.
Stated by North London NHS Foundation Trust
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Concerns raised1
Failure to track and regularly check electronic patient contacts
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.2
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Action
Implement monthly compliance audits of email response times and maintain email auditing as a standing SSP Health process.
Stated by The Pike Practice -
Action
Establish or update standard operating procedures for managing practice emails.
Stated by The Pike Practice
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
Existing email controls and established electronic triage systems are considered appropriate for managing non-urgent communications and urgent-care routing.
Stated by The Pike Practice
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Position
Individual practices are responsible for establishing reliable systems and managing email correspondence according to their local requirements.
Stated by Department of Health and Social Care
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Concerns raised1
Absence of GP follow-up triggers for recently discharged patients with worsening conditions and missed routine appointments
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.1
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Action
Share the review findings with CQC’s Primary and Community Care operations team for consideration in its regulatory response.
Stated by Care Quality Commission
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
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Position
Concerns about points 2 and 3 relate to primary care rather than the Trust’s responsive responsibilities.
Stated by Hull University Teaching Hospitals NHS Trust
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Position
Providers involved in Linda’s care should address the specific care concerns, provide further information, and identify related learning.
Stated by NHS England -
Position
Oversight of the GP practice is assigned to the integrated care board, while findings inform CQC’s regulatory response.
Stated by Care Quality Commission
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Concerns raised1
Case allocation and deallocation without action or explanatory recording
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.2
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Action
Require recorded explanations for case deallocation and provide management oversight of all case closures.
Stated by Westmorland and Furness Council -
Action
Conduct regular case-file audits of chronology and completed actions.
Stated by Westmorland and Furness Council
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Concerns raised1
Failure to track outstanding diagnostic results for patients leaving the Accident and Emergency Department
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.1
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Action
Publish national standards for communicating diagnostic test results after hospital discharge.
Stated by NHS England
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Concerns raised1
Failure to capture and monitor referral outcomes
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.
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
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Action
Align property services and building compliance policies and processes, including gas safety and contractor management.
Stated by London & Quadrant Housing Trust -
Action
Review all gas repairs closed outside the agreed service level without reference back, tracing records and identifying closure reasons.
Stated by London & Quadrant Housing Trust -
Action
Record relevant calls centrally and track every repair through the internal housing management system to maintain an auditable trail.
Stated by London & Quadrant Housing Trust
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Action
Hold weekly contractor meetings, reconcile work-in-progress reports with internal records, and review every repair to prevent unauthorised abortion without escalation.
Stated by London & Quadrant Housing Trust -
Action
Automatically follow up incomplete or requested-aborted repairs and escalate unsuccessful resident contact for an in-person welfare check.
Stated by London & Quadrant Housing Trust
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Concerns raised1
Failure of the practice follow-up system to ensure investigations are completed at the correct time
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 identify patients requiring service review for multidisciplinary discussion and follow-up
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.3
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Action
Implement the updated CDAT operational policy and daily duty tracker, with same-day logging and senior daily cross-checks for follow-up.
Stated by North London NHS Foundation Trust -
Action
Review and monitor the new duty-tracking process through scheduled review, audit and governance processes to ensure effective embedding.
Stated by North London NHS Foundation Trust -
Action
Include the new duty-tracking process in induction for new CDAT staff.
Stated by North London NHS Foundation Trust
Data last updated 7 September 2026