Recurring concern
Unreliable access to relevant clinical records for safe care
First reported 12 Sep 2013•Latest report 22 Jun 2026
What this concern includes
Includes failures to retrieve, locate, present or provide access to relevant existing records for assessment, treatment and care decisions.
Not included
- Excludes absent or inaccurate information that was never reliably recorded.
- Excludes failures to transfer otherwise available information to another service or recipient.
- Excludes failure to review records that were already available unless access or retrieval was also deficient.
- Reports
- 122
- Individual concerns
- 129
- Date range
- 2013–2026
- Stated actions
- 192
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
Insufficiently robust and timely capture of available healthcare information
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
Implement a robust clinical-information process with documented responsibilities, follow-up, escalation and senior risk-system scrutiny for obtaining prisoners’ clinical notes.
Stated by Leicestershire Partnership NHS Trust -
Action
Implement the Safer Prisons recording procedure and train reception and healthcare staff to document risk information and decisions in O-Nomis and SystmOne.
Stated by Glen Parva Young Offender Institution
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Concerns raised1
Unavailability of Community medical records at hospital admission
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.
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 community health records cannot be provided locally until national pilot studies are completed and the service is extended to hospital emergency settings.
Stated by Swansea Bay University Local Health Board
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Concerns raised1
Failure to ensure medical personnel have immediate electronic access to complete patient notes
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.
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
Choice and implementation of electronic patient-record systems are matters for individual NHS Trusts.
Stated by Department of Health and Social Care
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Position
Electronic RiO records and information-sharing through team meetings and handovers provide a more appropriate account than printed records alone.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
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Concerns raised1
Unavailability of records of previous oxygen levels on readmission
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 raised2
Failure to provide the doctor with access to the complete computerised system
Failure to make the PRF available to the doctor providing emergency care
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.
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 ambulance information system worked: the PRF was scanned before the doctor assessed the patient.
Stated by Stockport NHS Foundation Trust
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Concerns raised1
Unavailability of System 1 medical records in specified reception units
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 to obtain relevant previous inpatient mental health records
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
Finalise the RAID Operational Policy with explicit requirements to obtain collateral information.
Stated by East London 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
Contacting historical psychiatric services was considered unnecessary because information was unlikely to be obtained during the short period of RAID involvement.
Stated by East London NHS Foundation Trust
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Position
The second and third concerns are being investigated and addressed separately by East London NHS Foundation Trust.
Stated by Barts Health NHS Trust
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Concerns raised1
Failure to ensure continuous access to existing patients' medical 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
Explore electronic case records through the national procurement process and determine the preferred approach to developing them.
Stated by Betsi Cadwaladr University LHB
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Concerns raised1
Lack of availability of prior hospital notes and treatment records to Emergency Department staff
This report raised 12 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
Replace the medical-records system to provide Emergency Department staff with extensive patient-history access.
Stated by Tameside General Hospital
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Concerns raised1
Lack of awareness among custody medical services of out-of-hours access to Children's Services 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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026