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 maintain a complete, accessible multidisciplinary patient record
This report raised 6 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
Absence of a comprehensive and accessible computerised clinical record for each detainee
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.
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 practicable steps can be taken concerning Harmondsworth working practices because management responsibility transferred to Mitie.
Stated by The GEO Group UK Ltd
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Concerns raised1
Lack of locum doctor access to electronic care records and related systems
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.
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 electronic patient record system to flag or summarise significant events and primary concerns in a single place
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 patient-note transfer between paper-based and electronic hospital 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 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 roll out the Chameleon electronic patient-record system across the Trust in stages.
Stated by Manchester University NHS Foundation Trust -
Action
Implement electronic patient records on Ward 16 so clinicians at both sites can access up-to-date notes without transferring paper records.
Stated by Manchester 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
Electronic records were accessible at both sites, so no further transfer of paper notes was considered necessary.
Stated by Manchester University NHS Foundation Trust
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Concerns raised2
Failure to ensure key clinical staff can access important electronic information held in different NHS trusts
Failure to provide prominent accurate and up-to-date information identifying the responsible mental health professional
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.
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 transfer important historical mental health records, including relapse management plans, into the electronic Rio record system
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
Require staff to check for historic relapse or other management plans in RiO when patients are re-referred.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust -
Action
Require staff to search historic electronic and paper records for specified recent clinical documents and copy identified documents into RiO.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust -
Action
Communicate the new record-checking requirements through staff supervision processes.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
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Action
Update RiO and information-governance training packages to reflect the new requirements.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust -
Action
Audit implementation of the record-checking and document-transfer requirements through the records audit plan.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
Data last updated 7 September 2026