First reported 12 Sep 2013•Latest report 22 Jun 2026
Definition
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
Distinct published reports
Individual concerns
129
A report can raise multiple concerns
Date range
2013–2026
First to latest report issue date
Stated actions
192
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 Care23
NHS England22
Care Quality Commission6
Barts Health NHS Trust5
Betsi Cadwaladr University LHB5
HM Prison and Probation Service5
Cwm Taf Morgannwg University Local Health Board4
Manchester University NHS Foundation Trust4
Recipient name withheld4
Swansea Bay University Local Health Board4
Leicestershire Partnership NHS Trust3
North London NHS Foundation Trust3
Nottinghamshire Healthcare NHS Foundation Trust3
Royal London Hospital3
Tameside and Glossop Integrated Care NHS Foundation Trust3
NHS trust67
Ministerial department26
Executive non-departmental public body25
Local health board14
Healthcare site11
Multi-service care provider11
Integrated care board8
Health and social care service regulator6
Prison or young offender institution6
Type not available6
Company limited by guarantee5
Executive agency5
Police force4
Devolved government3
Health-system partnership3
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.
East London
Concerns raised1
Unavailability of notes for the 24th November admission
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.
East London
Concerns raised1
Failure to ensure prominent and accurate filing of critical respiratory action plans in online clinical records
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.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Milton Keynes
Concerns raised1
Unreliable access to patients' primary care records in Emergency Departments
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.6
Action
Provide Emergency Department clinicians access to Shared Care Records, GP Connect and Summary Care Records for patient care.
Stated by Bedfordshire Hospitals NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 4 August 2025.
Action
Continue working with healthcare partners to ensure necessary patient data sharing occurs for effective treatment.
Stated by Bedfordshire Hospitals NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 4 August 2025.
Action
Optimise the eCare record for sharing through the Health Information Exchange.
Stated by Milton Keynes University Hospital NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 4 August 2025.
Action
Establish Health Information Exchange links with providers serving significant numbers of common patients.
Stated by Milton Keynes University Hospital NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 4 August 2025.
Action
Encourage other providers to share more pertinent record content through the Health Information Exchange.
Stated by Milton Keynes University Hospital NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 4 August 2025.
Action
Link Summary Care Record visibility into the Acute Electronic Patient Record front screen when it launches.
Stated by Buckinghamshire Healthcare NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 4 August 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Expanding the patient information shared through existing records is outside the Trust’s control.
Stated by Bedfordshire Hospitals NHS Foundation TrustOutside remitThe respondent said that this matter was outside its role or authority.
Position
NHS England regulates the extent of information contained in the Summary Care Record.
Stated by Bedfordshire Hospitals NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Existing Summary Care Record visibility and some EMIS access are considered sufficient to mitigate concerns about hospital clinicians’ visibility of primary care records.
Stated by Buckinghamshire Healthcare NHS TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Northumberland
Concerns raised1
Lack of one accessible system for weights, heights and BMI
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 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.5
Action
Develop improved information-sharing strategies across primary care, secondary care, schools, mental health services and social care, including exploring monthly multidisciplinary meetings.
Stated by 49 Marine Avenue GP Surgery (NPC SurgeryStated in progressThe respondent said that this action was in progress when they made their response on 14 July 2025.
Action
Execute a programme to improve interoperability and sharing of patient records, including medical history, investigations, height, weight and other vital measurements.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 14 July 2025.
Action
Deliver a Single Patient Record bringing patients’ medical records together in one comprehensive digital record, targeted to begin processing information by 2028.
Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.
Action
Implement SystmOne electronic records for Nutrition and Dietetics outpatient consultations, including visibility, communication, measurement tracking and auditable triage.
Stated by Northumbria Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.
Action
Continue reviewing clinical systems and digital platforms to streamline central reporting and interoperability of height and weight measurements.
Stated by Northumbria Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 July 2025.
South London
Concerns raised1
Lack of shared access to mental health and A&E clinical 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 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
Specify the Core Information Standard and support sharing critical clinical information through local Shared Care Records.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 26 February 2025.
Action
Advance national interoperability between Shared Care Records across England.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 26 February 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Individual NHS Trusts are responsible for procuring, implementing and locally converging their chosen electronic patient record systems.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Local care organisations and NHS Trusts are responsible for agreeing additional shared information and negotiating local data-sharing arrangements.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
National interoperability between shared care records has no defined timeframe because the required funding has not yet been confirmed.
Stated by NHS EnglandUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Essex
Concerns raised2
Lack of appropriate access by mental health crisis staff to primary care mental health records
Lack of acute Trust nurse access to mental health and GP records
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.
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
Develop and expand the Shared Care Record to provide unified access to patient information across partner services.
Stated by Mid and South Essex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Action
Implement the NOVA unified electronic patient record across acute, community and mental health services.
Stated by Mid and South Essex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Action
Develop a unified electronic patient record across EPUT and MSEFT, including bidirectional primary-care integration.
Stated by Essex Partnership University NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Action
Disseminate Shared Care Record notifications, guidance and videos to emergency department clinical staff during rollout.
Stated by Mid and South Essex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Concerns about care before 6 June 2023 do not relate to the respondent, so it has identified no action concerning them.
Stated by Mid and South Essex NHS Foundation TrustOutside remitThe respondent said that this matter was outside its role or authority.
Position
Mental Health Crisis staff had access to SystmOne records; only the Mental Health Liaison team lacked access at the relevant time.
Stated by Essex Partnership University NHS Foundation TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Mid and South Essex NHS Foundation Trust is best placed to address acute hospital access to GP records.
Stated by Essex Partnership University NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Rutland and North Leicestershire
Concerns raised1
Unavailability of medical records for surgery and post-operative care
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.
Worcestershire
Concerns raised1
Failure to provide the Neighbourhood Team with direct access to hospital records for patients with pressure sores
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.2
Action
Obtain electronic patient-record access for two staff members per Neighbourhood Team, including evening and night community nursing teams.
Stated by Herefordshire and Worcestershire Health and Care NHS Trust and Worcestershire Acute Hospitals NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 February 2025.
Action
Review access uptake after all identified staff receive access and determine whether additional electronic patient-record licences are required.
Stated by Herefordshire and Worcestershire Health and Care NHS Trust and Worcestershire Acute Hospitals NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 14 February 2025.
Manchester West
Concerns raised1
Failure of health information systems to enable authorised cross-provider access to 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.2
Action
Continue rolling out Electronic Patient Records and support trusts to replace, extend, or optimise existing systems.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 7 February 2025.
Action
Deliver a single patient record, beginning its rollout from 2028 with maternity care.
Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 7 February 2025.
Surrey
Concerns raised1
Failure of primary and secondary care providers to access each other’s electronic medical records
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
Notify the ICB about the need for improved connectivity and clinical information sharing between electronic record systems.
Stated by Esher Green SurgeryStated completedThe respondent said that this action was complete when they made their response on 16 January 2025.
Action
Implement temporary or other changes recommended by the ICB or SABP to support clinical information sharing and communication pending IT integration.
Stated by Esher Green SurgeryStated plannedThe respondent said that this action was planned when they made their response on 16 January 2025.
Action
Provide live GP medication and correspondence feeds with embedded single-sign-on access through the Surrey Care Record.
Stated by Surrey Heartlands ICBStated completedThe respondent said that this action was complete when they made their response on 16 January 2025.
Action
Implement a live Surrey Care Record feed displaying complete GP consultation free text, including historic consultations.
Stated by Surrey Heartlands ICBStated plannedThe respondent said that this action was planned when they made their response on 16 January 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Electronic record connectivity is a commissioning responsibility for the Surrey-wide ICB, not an individual GP practice.
Stated by Esher Green SurgeryRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The practice cannot independently improve communication across Surrey; practice-level action will not address the wider issue without a uniform SABP approach.
Stated by Esher Green SurgeryUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Surrey Care Record access is considered sufficient to resolve the risk of GPimhs staff lacking necessary GP record information.
Stated by Surrey Heartlands ICBExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
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Includes failures to retrieve, locate, present or provide access to relevant existing records for assessment, treatment and care decisions.
