Recurring concern
Failure to provide care for vulnerable people excluded by service thresholds
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Request correctionFirst reported 20 Aug 2013•Latest report 16 Dec 2024
What this concern includes
Includes failures to identify, accept, care for or arrange appropriate alternative support for vulnerable people who fall outside formal high-risk, eligibility or service-boundary criteria, including the absence of a system for people outside MARAC high-risk criteria and cases passed between organisations without active care.
Not included
- Excludes ordinary service-capacity shortages, delays or poor care where no threshold-based exclusion or service-boundary gap is identified.
- Excludes generic multi-agency communication, ownership or coordination failures where vulnerable people are not being excluded by eligibility or risk thresholds.
- Excludes failures involving people who meet the relevant service threshold but receive inadequate care within that service.
- Excludes isolated vulnerability-identification failures where no resulting exclusion from care or absence of an accountable alternative is asserted.
- Reports
- 5
- Individual concerns
- 5
- Date range
- 2013–2024
- Stated actions
- 7
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
Gap in services for people too high risk to go home but not ill enough for detention
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.1
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Action
Ensure SPFT audits potential voluntary admissions to test the pathway available for high-risk patients who are not detained and cannot safely return home.
Stated by NHS Surrey and Sussex Integrated Care Board
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Concerns raised1
Lack of a system to identify and care for vulnerable people outside the “high risk” criteria
This report raised 10 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 consider suitable alternative agency support for patients outside severe and enduring mental illness criteria
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.1
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Action
Implement regular multidisciplinary meetings with WAWY to discuss patients’ care and treatment pathways.
Stated by Cornwall Partnership NHS Foundation Trust
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Concerns raised1
Lack of lower-level assistance for young people with life issues who do not meet CAMHS access criteria
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.
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 relevant organisations to provide care for people excluded by their eligibility criteria
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.
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
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Action
Re-procure redesigned specialist mental health and learning disability services.
Stated by NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board -
Action
Make an expanded range of specialist services available, including interventions for complex presentations and medically unexplained symptoms.
Stated by NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board -
Action
Provide an expanded primary-care psychological therapies service accessible by self-referral or professional referral.
Stated by NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
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Action
Operate Primary Care Liaison as a single point of access, providing triage, primary-care advice, assessment routing and pathway facilitation.
Stated by NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board -
Action
Implement a primary-care psychotherapy service for people unsuitable for or unable to engage with existing services and those below referral thresholds.
Stated by NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
Data last updated 7 September 2026