Recurring concern
Unreliable coordinated review of vulnerable residents’ support needs
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Request correctionFirst reported 29 Jul 2022•Latest report 24 Nov 2024
What this concern includes
Includes failures to convene, complete, record, reconvene or follow up coordinated professional reviews of vulnerable residents’ support, placement, supervision or safety needs, including multi-agency or multidisciplinary review when health, self-neglect, accommodation or need for enhanced support creates a material safety concern.
Not included
- Excludes routine meetings or case discussions where no vulnerable resident’s support, placement or safety needs are being reviewed.
- Excludes failures in direct care, staffing, welfare checks or accommodation security when no deficient coordinated review or follow-up process is identified.
- Excludes generic multidisciplinary communication or care-coordination failures without a specific vulnerable-resident support or safety-review context.
- Excludes clinical, safeguarding or care assessments that are completed appropriately when the remaining issue is failure to implement the resulting care or protective action.
- Reports
- 3
- Individual concerns
- 3
- Date range
- 2022–2024
- 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
Failure to hold Vulnerable Adult Risk Management meetings when there are multifactorial concerns about comorbidities and self neglect
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 renew the VARM procedure into a more contemporary, seamless and accessible Multi Agency Risk Management meeting procedure.
Stated by East Riding of Yorkshire Council -
Action
Relaunch risk-management training after the new Multi Agency Risk Management procedure is finalised.
Stated by East Riding of Yorkshire Council -
Action
Consider making Multi Agency Risk Management training mandatory for adult social care and health practitioners through the practice development board.
Stated by East Riding of Yorkshire Council
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
Local and system concerns fall outside NHS England’s national policy and programme remit.
Stated by NHS England
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Position
Local organisations should address the local and system concerns raised in the report.
Stated by NHS England
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Concerns raised1
Failure to follow up professional meetings about vulnerable residents’ support needs
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.2
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Action
Amend procedures to strengthen escalation when agencies do not attend professionals’ meetings.
Stated by Bournemouth Churches Housing Association Limited -
Action
Provide safeguarding escalation training to service managers and above.
Stated by Bournemouth Churches Housing Association Limited
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
Position
The service provides housing-related support and does not undertake care planning because it is not a CQC-regulated service.
Stated by Bournemouth Churches Housing Association Limited
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Position
The professionals meeting was not immediately rearranged because the tenancy risk had been mitigated, with subsequent individual discussions addressing housing and support needs.
Stated by Bournemouth Churches Housing Association Limited
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Concerns raised1
Failure to escalate and follow up concerns raised about the care package
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.2
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Action
Hold quarterly case-manager meetings with commissioned providers’ clinical leads and the child’s lead professional to identify concerns and monitor whether clinical needs are safely met.
Stated by NHS North West London -
Action
Develop a parental agreement and provide families with escalation routes and information about raising concerns during assessment and planning.
Stated by NHS North West London
Data last updated 7 September 2026