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.
Suffolk
Concerns raised1
Failure of online prescribers to access patients’ records during consultations
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 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.
Birmingham and Solihull
Concerns raised1
Lack of access to all clinical records when planning treatment
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 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
Implement an electronic patient record providing staff with accessible medication details and individual patient risk factors.
Stated by Birmingham Women'S and Children'S NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 13 January 2025.
Gloucestershire
Concerns raised1
Lack of interoperable electronic patient-record systems between general practices
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.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing GMS requirements and GP2GP enable electronic patient records to transfer between practices using different systems.
Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Manchester South
Concerns raised1
Failure to transfer administrative patient enquiries to the patient record and make them available to doctors
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.2
Action
Discuss adding record-keeping resources to the Hub Plus online information and support suite.
Stated by NHS Derby and Derbyshire Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 16 October 2024.
Action
Discuss high-quality patient-record and medical-record guidance at a Clinical Governance Leads patient-safety agenda item.
Stated by NHS Derby and Derbyshire Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 16 October 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
GP practices choose which online consultation tool to use and may opt out of automated integration with electronic patient records.
Stated by NHS Derby and Derbyshire Integrated Care BoardRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester South
Concerns raised1
Delays in recording senior clinical findings in the electronic patient 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 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.
Staffordshire and Stoke-on-Trent
Concerns raised1
Failure of computer systems to enable different NHS Trusts to access patient 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 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.7
Action
Support NHS and foundation trusts to acquire modern electronic patient record systems and improve their effectiveness after deployment.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 4 October 2024.
Action
Support increased electronic patient record convergence across Integrated Care Boards.
Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 4 October 2024.
Action
Provide UHDB with a list of liaison bank and Crisis Home Treatment staff requiring patient-notes access.
Stated by Midlands Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 4 October 2024.
Action
Work with other NHS trusts to maintain processes and safeguards that enable staff to access necessary patient records for safe care.
Stated by Midlands Partnership University NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 4 October 2024.
Action
Reiterate to MPFT the available routes for obtaining emergency Meditech V6 access for bank staff.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 4 October 2024.
Action
Develop a written standard operating procedure with MPFT formalising emergency access arrangements for bank staff.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 4 October 2024.
Action
Work with MPFT to arrange Meditech V6 access for current short-term Liaison Psychiatry bank staff who lack it.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 4 October 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Local healthcare providers decide which electronic patient record systems to procure and deploy, based on local operational and financial factors.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The response cannot comment on national NHS patient-record access arrangements, while addressing access locally with other trusts.
Stated by Midlands Partnership University NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Cross-organisation record access is addressed where possible through access arrangements and information-sharing protocols, despite wider interoperability limitations.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Berkshire
Concerns raised1
Unreliable use of electronic care-record repositioning prompts and mandatory tasks
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.
Manchester South
Concerns raised2
Failure to provide clinicians with access to GP records across differing IT systems and geographical boundaries
Failure of differing NHS IT systems to support timely access to GP-record 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.4
Action
Provide the National Care Records Service, including national services that enable authorised staff to access relevant patient information across care settings.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Implement Summary Care Record access for relevant clinical and discharge staff, including smart cards, training, induction, departmental support and troubleshooting.
Stated by East Cheshire NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 31 July 2024.
Action
Audit Summary Care Record use, access incidents, staff feedback and smart-card support data after implementation.
Stated by East Cheshire NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 31 July 2024.
Action
Strengthen clinical information gathering by prioritising comprehensive patient histories and asking GPs to review older records when relevant information is unavailable.
Stated by East Cheshire NHS TrustStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
East Cheshire NHS Trust is responsible for responding to concerns about its recording, sharing and access arrangements.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Local Integrated Care Boards are responsible for delivering Shared Care Records.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
NHS England is addressing differing NHS IT systems and GP record access, so the Trust will not address this matter further.
Stated by East Cheshire NHS TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester South
Concerns raised1
Failure of separate trust IT systems to transmit test information into the other trust’s patient 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 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
Collaborate across patient-safety and digital-clinical-safety teams to extract learning from EPR incidents and provide scenarios for evaluating systems and processes.
Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 4 July 2024.
Action
Continue improving interoperability between primary, secondary, tertiary and wider care information technology systems.
Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 4 July 2024.
Action
Challenge digital transformation leaders to examine interfaces between secondary and tertiary care systems and improve provider collaboration.
Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 July 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing EPR optimisation programmes at MUFT and NCA are considered sufficient to address concerns about separate clinical information systems.
Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Staffordshire and Stoke-on-Trent
Concerns raised2
Failure of electronic patient records to automatically share renal team entries between hospitals
Failure of allergy information to automatically cross-populate between records
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 unified electronic patient record across Trust sites, with staged rollout underway and allergy functionality planned for the first phase.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 6 June 2024.
Action
Provide cross-record patient links between the two electronic patient records and links to the GP Summary Care Record through the Master Patient Index.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 6 June 2024.
Action
Establish a multidisciplinary allergy working group to ensure robust systems for managing allergies and alerts.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 6 June 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
The Trust cannot extend an existing EPR across all sites because of contractual, technical, support-life and specialist-function constraints.
Stated by University Hospitals of Derby and Burton NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The Care Quality Commission will assess the incident and determine whether further regulatory action is needed.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The University Hospitals of Derby and Burton NHS Foundation Trust will address specific local actions in its separate response.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Pin
Get email alerts
Request correction
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.
