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
Lack of access to relevant records across healthcare providers
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
Lead the Global Digital Exemplar programme to improve electronic record sharing and disseminate digital information-sharing learning across NHS trusts.
Stated by NHS England -
Action
Support Local Health and Care Record Exemplars to establish safe, integrated access to permitted patient information across health and care organisations.
Stated by NHS England
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
Existing secure RiO access arrangements are considered sufficient for sharing health records with other agencies.
Stated by Cornwall Partnership NHS Foundation Trust
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Concerns raised1
Failure to make medical-record edits visible to treating clinicians
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
Lack of a shared electronic mental health record system across teams
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Insufficient written narrative detail accompanying coded clinical record entries
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 SystmOne system does not have a systemic defect preventing staff from recording important medication-management information.
Stated by Rotherham Doncaster and South Humber NHS Foundation Trust
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Concerns raised1
Lack of compatible digital record-keeping and medical note systems enabling information sharing between maternity services
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
Lack of CRI access to Nottinghamshire Healthcare electronic patient records
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.
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Concerns raised1
Failure of SystmOne to provide usable search and clear flagging of important historical 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.3
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Action
Re-procure the electronic healthcare system with improved sharing of risk indicators between healthcare services and NOMS.
Stated by NHS England -
Action
Implement an interface between healthcare services and NOMS to share risk indicators and support proactive risk management.
Stated by NHS England -
Action
Provide full training and regular training updates for the new electronic healthcare system.
Stated by NHS England
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Concerns raised1
Failure of electronic record transfer systems to highlight key information
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.
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
Remind practices to check, highlight and correctly code significant diagnoses when patients transfer to another practice.
Stated by NHS England Lancashire and Greater Manchester
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
Receiving practices must establish patients’ clinical needs from transferred records, while sending practices remain responsible for record accuracy.
Stated by NHS England Lancashire and Greater Manchester
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Concerns raised1
Failure of the System 1 summary page to display relevant important information
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
Take the SystmOne summary-page information issue forward through the West Midlands Regional SystmOne User Group.
Stated by Herefordshire and Worcestershire Health and Care NHS Trust and Hewell Prison and HM Prison and Probation Service
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Concerns raised1
Failure to record admission information in computerised Rio notes
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.
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
Review Place of Safety staffing levels through the Safer Staffing initiative to support timely observations and information recording.
Stated by Avon and Wiltshire Mental Health Partnership 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
The RIO entry was made shortly after the incident, although documentation was delayed while staff managed the traumatic incident and debrief.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
Data last updated 7 September 2026