Recurring concern
Unreliable documentation of safety risk assessments
- Reports that mention this concern
- 27
- Times this concern has been raised
- 27
- Stated actions linked to this concern
- 47
What this concern includes
Includes failures to document formal, informal or clinically judged safety risk assessments, risk discussions, risk formulations, assessor identities and material assessment details in the records used for ongoing care, custody, safeguarding or safety review. Includes the anchor assertion, post-triage risk assessments, mental-health risk-assessment details and comparable police or prison risk-assessment records.
What is not included
- Excludes failures to perform or clinically formulate a risk assessment where documentation is not itself deficient.
- Excludes generic clinical, care or administrative record-keeping failures that do not specifically concern documentation of a safety risk assessment.
- Excludes failure to communicate or act on a risk assessment after it has been accurately documented, unless the documentation process is also deficient.
- Excludes hazard-specific or named risk systems, such as mental-health, falls, suicide, prisoner or safeguarding risk-assessment systems, when the assertion is confined to a distinct system with a more specific supported parent.
Trends
Reports over time
Reports mentioning this concern, 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.
Reports and published responses 27 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure to record risk assessments prior to leave
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring 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 perform and document VTE risk assessments after reduced mobility from baseline
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Norfolk and Suffolk NHS Foundation Trust
Stated actions 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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Norfolk and Suffolk NHS Foundation Trust
Update medical trainee, local and junior doctor induction materials to cover physical health emergencies, diagnostic overshadowing, VTE assessment, prophylaxis and escalation guidance.
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Norfolk and Suffolk NHS Foundation Trust
Roll out face-to-face bite-size physical-health training across the Trust, including VTE and thrombolisation.
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Concerns raised1
Failure to accurately record and file important medical records
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Trust
Provide record-keeping training to Turner Ward staff on Trust expectations.
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Concerns raised1
Failure to document store operator and regular delivery driver views and experiences in DPRA risk assessments
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- DHL Supply Chain Ltd UK & Ireland
Stated actions 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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DHL Supply Chain Ltd UK & Ireland
Apply the revised Nisa DPRA process across delivery locations using risk-based prioritisation and weekly management oversight.
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Concerns raised1
Failure to accurately record progress notes and risk assessments
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Midlands Partnership University NHS Foundation Trust
Stated actions 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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Midlands Partnership University NHS Foundation Trust
Remind staff to validate records and routinely audit unvalidated notes, providing audit feedback to clinical teams.
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Midlands Partnership University NHS Foundation Trust
Extend mandatory clinical risk management training to cover the revised mental-health risk assessment and management procedures.
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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Midlands Partnership University NHS Foundation Trust
Automatic validation of all electronic records is not achievable because some staff entries must be validated by other staff.
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Concerns raised1
Inadequate and disorganised choking risk assessment record keeping
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Hc-One Limited
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
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Hc-One Limited
Complete swallowing risk assessments with independent validation and Care Manager sign-off of updates.
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Hc-One Limited
Rewrite residents’ care plans to specify detailed individual care requirements.
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Hc-One Limited
Introduce dining registers and quick-reference guides for managing specialist diets, with formal review and update governance.
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Hc-One Limited
Implement daily ‘Resident of the day’ care-plan reviews and report changing needs through the clinical risk register.
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Concerns raised1
Failure to record falls risk consistently with the assessment score
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring 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 document consultant VTE assessments
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Stated actions 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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Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Advise consultants and associate specialists to ensure VTE assessments are completed and documented during post-take ward rounds and to support trainees.
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Concerns raised1
Failure to maintain complete, sufficient and consistent nursing records, handovers, risk assessments and care plans
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring 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 record risk, contact details, appointment information and follow-up arrangements
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026