First reported 12 Sep 2013•Latest report 16 Jun 2026
Definition
What this concern includes
Includes failures of electronic patient-record systems or their dedicated workflows that prevent relevant information from being reliably accessed, displayed, preserved, shared, handed over or acted upon across clinical care.
Not included
Excludes failures concerning paper-only records or information sharing with no explicit electronic patient-record connection.
Excludes generic failures of clinical attention, staffing, training or communication unless the report directly ties them to the electronic patient-record system or its dedicated workflow.
Excludes concerns about the clinical decision itself where the electronic patient-record system did not contribute to the information-access or action failure.
Excludes unrelated information systems that are not electronic patient-record systems or directly integrated clinical-record workflows.
Reports
67
Distinct published reports
Individual concerns
75
A report can raise multiple concerns
Date range
2013–2026
First to latest report issue date
Stated actions
102
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.
Department of Health and Social Care19
NHS England19
Care Quality Commission5
Avon and Wiltshire Mental Health Partnership NHS Trust3
University Hospitals of Derby and Burton NHS Foundation Trust3
Essex Partnership University NHS Foundation Trust2
Greater Manchester Health and Social Care Partnership2
Ministry of Justice2
NHS Derby and Derbyshire Integrated Care Board2
Appello Careline Limited1
Association of Ambulance Chief Executives1
Association Of British Neurologists1
Barts Health NHS Trust1
Betsi Cadwaladr University LHB1
Birmingham Women'S and Children'S NHS Foundation Trust1
NHS trust40
Ministerial department22
Executive non-departmental public body19
Healthcare site6
Health and social care service regulator5
Integrated care board5
Private limited company4
Community interest company2
Domiciliary care provider2
Health-system partnership2
Independent healthcare provider2
Registered charity2
Type not available2
Company1
Company limited by guarantee1
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.
East Sussex
Concerns raised1
Failure to reliably transfer key medical information between incompatible systems
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 concerns
Each 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
Undertake an internal review of EMIS Web interoperability and medical-record transfer issues raised in the report.
Stated by Egton Medical Information Systems LimitedStated completedThe respondent said that this action was complete when they made their response on 25 March 2024.
Action
Maintain compliance with the latest NHS England GP2GP specifications and associated processes for electronic medical-record transfers.
Stated by Egton Medical Information Systems LimitedStated completedThe respondent said that this action was complete when they made their response on 25 March 2024.
Stated by Egton Medical Information Systems LimitedStated in progressThe respondent said that this action was in progress when they made their response on 25 March 2024.
Action
Enable functionality supporting automatic electronic transfer of prisoners’ full community GP records to prison GPs and back on release.
Stated by The Phoenix Partnership (Leeds) LtdStated completedThe respondent said that this action was complete when they made their response on 25 March 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Existing GP2GP functionality and NHS England specification compliance sufficiently mitigate the identified medical-record transfer risks; no further software development is required.
Stated by Egton Medical Information Systems LimitedExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
EMIS cannot control whether prisons request medical records through GP2GP or a manual process.
Stated by Egton Medical Information Systems LimitedUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
GP data controllers are responsible for permitting data sharing and enabling the relevant reciprocal controls under data protection legislation.
Stated by The Phoenix Partnership (Leeds) LtdRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
East Riding and Hull
Concerns raised1
Failure of the electronic patient record system to identify authors of changes to finalised discharge letters
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 concerns
Each 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
Action
Complete an internal review and consult other Lorenzo users about the Immediate Discharge Summary author-identification process.
Stated by NHS Humber Health PartnershipStated completedThe respondent said that this action was complete when they made their response on 21 February 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
A single remedy to identify all authors of Immediate Discharge Summary changes cannot yet be identified because non-clinical staff manage summaries before finalisation.
Stated by NHS Humber Health PartnershipUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The proposed Immediate Discharge Summary process change cannot begin fully until required project, system and stakeholder resources become available and internal approval is completed.
Stated by NHS Humber Health PartnershipUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Responsibility for the Lorenzo system relationship sits directly with trusts and the supplier because NHS England has no contract.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Exeter and Greater Devon
Concerns raised1
Lack of access to temporary GP practice records through the NHS Spine
Responses linked to these concerns
Each 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
Action
Improve information sharing between the detained estate and wider NHS by enabling access to Spine-connected services, including PDS, eRS and GP2GP Transfer.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 12 February 2024.
Action
Provide GP2GP electronic transfer of community GP records into and out of healthcare systems across the adult male and children’s secure estate.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 12 February 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing temporary-registration and detained-estate information-sharing processes are considered sufficient, subject to consent and direct contact where necessary.
Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Manchester South
Concerns raised1
Failure to share clinical notes across different electronic systems
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Essex
Concerns raised1
Failure of the clinical record to present information as a continuous chronological running record
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 concerns
Each statement is shown once, even when linked to more than one 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 of record-keeping systems to support direct transfer and sharing of clinical information
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Avon
Concerns raised1
Failure to integrate the Summary Care Record with SMH and primary care electronic patient records for automatic transfer of clinical information
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 concerns
Each 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
Action
Implement the National Care Records Service to provide integration with local clinical systems and alternative authentication methods.
Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 22 September 2023.
Action
Deliver programmes such as GP Connect and MIG that convey allergy information end to end in machine-processable form.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 22 September 2023.
Action
Develop in-context NCRS integration with Careflow through coordinated NHSE, NBT and System C work.
Stated by Bristol NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 22 September 2023.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Current SCR viewing requirements prevent clinical systems from machine-processing allergy information for automatic insertion into local patient records.
Stated by NHS EnglandUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
NHSE is best placed to address seamless integration of electronic patient record systems across England.
Stated by Bristol NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester South
Concerns raised1
Failure of electronic records systems to support transfer of clinical information between mental health and physical health specialists
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 concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Issues concerning Pennine Care NHS Foundation Trust should be addressed in the Trust’s response.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Shared care records are considered a safe and secure way to bring together separate records from different health and care organisations.
Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
North West Wales
Concerns raised1
Unavailability of all relevant notes electronically for fully informed treatment and care decisions
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 concerns
Each 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
Action
Continue Health Board engagement in WCCIS implementation, including reviewing functionality and supporting required development work.
Stated by Betsi Cadwaladr University LHBStated in progressThe respondent said that this action was in progress when they made their response on 12 June 2023.
Mid Kent and Medway
Concerns raised1
Absence of electronic-record alerts for required medication discrepancy reviews
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 concerns
Each 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
Action
Develop auditable electronic prescribing functionality that alerts doctors when pharmacists identify issues requiring review.
Stated by Medway NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 November 2022.
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Includes failures of electronic patient-record systems or their dedicated workflows that prevent relevant information from being reliably accessed, displayed, preserved, shared, handed over or acted upon across clinical care.
