Recurring concern
Electronic patient records failing to make relevant clinical information available and actionable
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Request correctionFirst reported 12 Sep 2013•Latest report 16 Jun 2026
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
- Individual concerns
- 75
- Date range
- 2013–2026
- Stated actions
- 102
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 of IT systems across healthcare organisations to support shared access to complete patient information
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
Build digital infrastructure using artificial intelligence, automation and video-call technologies to support NHS services.
Stated by Department of Health and Social Care -
Action
Publish a plan for digital health and social care to modernise digital technology and improve data use and care pathways.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to flag key information on DHUFT RiO records
This report raised 11 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
Develop and publish RiO guidance explaining how to view, add and remove alerts.
Stated by Dorset Healthcare University NHS Foundation Trust -
Action
Update RiO training and provide a standalone e-learning module on using the alerts system, promoting it to existing users and staff.
Stated by Dorset Healthcare University 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
No further action is identified for RiO significant-event flags because their use already forms part of the Trust’s training programme.
Stated by Dorset Healthcare University NHS Foundation Trust
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Concerns raised1
Failure of separate clinical record systems to provide cross-organisational access to crucial 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 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 healthcare information systems to provide providers with access to complete patient records
Responses linked to these concernsEach 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.1
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Position
The receiving provider was given comprehensive referral information, which it considered sufficient to proceed with admission.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to upload PDF medical records and important information promptly in original form to the electronic notes system
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.1
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Action
Implement Cito electronic records functionality for scanning, uploading and viewing documents.
Stated by Tees, Esk and Wear Valleys NHS Foundation Trust
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
Operational processes for locally commissioned mental health services are the responsibility of local NHS providers and their commissioning partners.
Stated by Department of Health and Social Care
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Position
Enforcement action was not required because the regulator concluded there was no ongoing risk to service users.
Stated by Department of Health and Social Care
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Concerns raised1
Failure of EPR records to accurately reflect information given to patients
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.4
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Action
Audit sampled patients treated at home to assess the information and advice provided, including clinician records and patient understanding.
Stated by Yorkshire Ambulance Service NHS Trust -
Action
Spot-audit EPR care plans for recorded leaflet completion and the quality of non-conveyance advice.
Stated by Yorkshire Ambulance Service NHS Trust -
Action
Re-audit care-plan documentation after the intervention.
Stated by Yorkshire Ambulance Service NHS Trust
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Action
Develop EPR tick-box indicators to record information left with patients.
Stated by Yorkshire Ambulance Service NHS Trust
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Concerns raised2
Inability of the GP team to access the electronic record
Delays in scanning clinical notes onto the electronic system
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.2
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Action
Provide ED GPs with access to Evolve and Lorenzo electronic records and require completion of related e-learning.
Stated by South Warwickshire University NHS Foundation Trust -
Action
Improve ED staff access to AEC notes and inform them where notes are located for patients who re-present.
Stated by South Warwickshire University NHS Foundation Trust
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Concerns raised1
Failure to clearly flag decisions to administer prophylactic anticoagulation in the patient electronic record
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.
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 suggested Smart Zone prompt cannot currently be provided because narrative care plans cannot be pulled into the system, which only flags assessment omissions.
Stated by West Suffolk NHS Foundation Trust
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Concerns raised1
Failure to keep patient transfer information on one database
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Electronic prescribing systems failing to direct prescribers to relevant medical records and the ‘Active Problems’ section
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026