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 to record and compile key patient information in CareNotes
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 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
Continue monitoring compliance with care plans, risk assessments and supervision through performance reporting and audits.
Stated by Sussex Partnership 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
Not all email correspondence is routinely uploaded; recording the substance of relevant contact is considered sufficient.
Stated by Sussex Partnership NHS Foundation Trust
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Concerns raised1
Failure of digital information access between acute and community trusts
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.
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
The local NHS is expected to reflect on the LeDeR findings and address local failings in care for people with learning disabilities.
Stated by Department of Health and Social Care
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Position
Community care matters in Derbyshire fall outside the Greater Manchester Health and Social Care Partnership’s remit.
Stated by NHS Greater Manchester Integrated Care Board
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Concerns raised2
Incomplete recording in district nurse electronic care and treatment records
Failure of electronic care records to provide remote access to shared clinical information
This report raised 9 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 updating electronic patient records with NHS 111 triage documents
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
RIO records system displaying an older information-sharing form as the most recent
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 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
Amend and disseminate RiO guidance on editing or creating information-sharing forms.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
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Concerns raised1
Failure of electronic records to preserve and clearly display original entries
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.2
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Action
Update Rio form guidance to show staff how to find the history of electronic record entries.
Stated by Midlands Partnership University NHS Foundation Trust -
Action
Develop the Rio system further to make exact changes between versions of electronic records identifiable.
Stated by Midlands Partnership University NHS Foundation Trust
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Concerns raised1
Failure to provide clinicians with access to transferring prisoners’ full healthcare records
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
Issue HMP Haverigg staff a reminder to confirm transfers with Healthcare so medical records are promptly reassigned and available on arrival.
Stated by HM Prison and Probation Service
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Concerns raised1
Electronic clinical notes permitting alteration of author times
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
Appraise available electronic-record functionality and discuss it with users.
Stated by Sir David Dalton -
Action
Incorporate a “date and time seen” field into new electronic-record documents.
Stated by Sir David Dalton -
Action
Issue all electronic-record users guidance for recording retrospective notes without changing authored times.
Stated by Sir David Dalton
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Concerns raised1
Failure to record senior clinician advice in electronic notes
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
Record post-discharge Tinzaparin instructions on electronic drug charts and transfer them automatically to electronic discharge advice notes for eligible patients.
Stated by Leeds Teaching Hospitals NHS Trust -
Action
Add electronic notes recording discharge medication advice after multidisciplinary team meetings with treating clinicians.
Stated by Leeds Teaching Hospitals 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
Comprehensively reviewing the entire medical record before electronic discharge prescribing is considered impractical for junior doctors.
Stated by Leeds Teaching Hospitals NHS Trust
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Concerns raised1
Lack of electronic record alerts to clinical staff when results are ready
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.
Data last updated 7 September 2026