Recurring concern
Unreliable Care Programme Approach care coordination
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Request correctionFirst reported 24 Jun 2015•Latest report 12 Jan 2026
What this concern includes
Includes failures of the named Care Programme Approach and its dedicated care-coordination controls, including allocation of a care coordinator, structured reviews, medication review, care planning, role definition, risk management, inter-professional coordination and required follow-up.
Not included
- Excludes medication-review failures that are not part of the Care Programme Approach.
- Excludes generic care coordination, communication or governance deficiencies where the Care Programme Approach is not explicitly involved.
- Excludes failures of unrelated discharge, treatment or referral processes unless they are specifically identified as CPA controls.
- Excludes final membership conclusions; the cited assertions support consideration of this parent only.
- Reports
- 21
- Individual concerns
- 25
- Date range
- 2015–2026
- Stated actions
- 27
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 of care plan documentation to record behavioural fire risks and planned review
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
Distribute a staff alert requiring hoarding-related risks and planned interventions to be recorded in care plans.
Stated by South West Yorkshire Partnership Teaching NHS Foundation Trust -
Action
Reinforce inclusion of family and carers in care planning and risk management through training, the information leaflet and staff alert.
Stated by South West Yorkshire Partnership Teaching NHS Foundation Trust
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Concerns raised1
Delays in Care Programme Approach follow-up appointments
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.
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
Work with partners to address recruitment and retention challenges so services are appropriately resourced.
Stated by NHS Birmingham and Solihull Integrated Care Board -
Action
Provide additional investment to expand commissioned mental-health service capacity and provision.
Stated by NHS Birmingham and Solihull Integrated Care Board
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Concerns raised1
Lack of a proactive approach to scheduling CPA meetings
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.
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 conduct reviews in accordance with CPA protocol
Failure to record CPA care plans in the computer system
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 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
Delays in holding Care Programme Approach meetings
This report raised 16 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
Disseminate prison-specific guidance on CPA management requirements to all prison sites for comment.
Stated by Central and North West London NHS Foundation Trust -
Action
Formally ratify the prison-specific CPA management guidance as a new policy by 1 October 2017.
Stated by Central and North West London 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
CPA meetings are controlled by healthcare providers, so HMPPS would not necessarily be involved in them.
Stated by HM Prison and Probation Service
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Concerns raised1
Failure to record the need for a care plan approach on the computer system
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.3
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Action
Provide monthly supervision for all care coordinators, covering care-plan delivery, reviews, CPA status and record-keeping, with regular compliance audits.
Stated by East London NHS Foundation Trust -
Action
Review internal monitoring processes to identify gaps in CPA reviews and regular contact.
Stated by East London NHS Foundation Trust -
Action
Provide teams with live activity reports and weekly performance prompts covering CPA patients.
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
The London Borough of Tower Hamlets is handling formal processes addressing the care coordinator’s conduct, with Trust support.
Stated by East London NHS Foundation Trust
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Position
Implemented CMHT systems are considered sufficient to address concerns about monitoring care coordinators.
Stated by East London NHS Foundation Trust
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Concerns raised1
Failure to appoint a care coordinator under the Care Programme Approach
This report raised 25 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 review patients after 2 admissions within 6 months
Failure to adhere to the care programme approach
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.3
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Action
Develop a Standard Operating Procedure clarifying CPA roles, care-coordinator allocation, transfers, community allocation and required reviews.
Stated by Leicestershire Partnership NHS Trust -
Action
Complete a formal twice-yearly CPA audit across adult mental health inpatient and community services and develop resulting action plans.
Stated by Leicestershire Partnership NHS Trust -
Action
Publish a revised Mental Health Act Code of Practice strengthening patient rights and involvement of families, carers and friends.
Stated by Department of Health and Social Care
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
Local mental health commissioners and providers are responsible for taking necessary action when care-planning shortfalls are identified.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to arrange a care programme approach meeting before discharge
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.
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 ensure shared understanding of care co-ordinator roles and Care Programme Approach responsibilities
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.3
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Action
Review and clarify the respective roles and responsibilities of mental health and social care workers at the Service Manager Interface Meeting.
Stated by Derbyshire County Council and Derbyshire Healthcare NHS Foundation Trust -
Action
Update the Care Programme Approach Policy with clearer guidance on the relationship between CPA and Self-Directed Support.
Stated by Derbyshire County Council and Derbyshire Healthcare NHS Foundation Trust -
Action
Cascade the Service Manager Interface Meeting's role-clarification outcomes to staff through line-management supervision.
Stated by Derbyshire County Council and Derbyshire Healthcare NHS Foundation Trust
Data last updated 7 September 2026