Recurring concern
Failure to conduct timely, appropriate clinical assessments
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Request correctionFirst reported 28 Aug 2013•Latest report 17 Feb 2026
What this concern includes
Includes failures to conduct a clinically required assessment or full clinical review promptly and appropriately when the assessment is needed to identify or evaluate a patient's condition and guide safe care, including the anchor's delayed full review and delayed assessment of a patient's condition.
Not included
- Excludes specialised assessment pathways with a distinct named subject or established safety concern, such as full mental-health assessments, VTE risk reviews or post-procedure complication assessments, unless the assertion also directly supports the same general clinical-assessment failure.
- Excludes failures limited to the location, documentation, communication or handover of an assessment where the assessment itself was timely and appropriate.
- Excludes delays in treatment, medication, escalation or referral when the required clinical assessment was completed appropriately and the remaining failure is downstream.
- Excludes routine reassessment or review where no clinically required assessment or full clinical review is identified.
- Reports
- 25
- Individual concerns
- 28
- Date range
- 2013–2026
- Stated actions
- 38
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 carry out a clinical assessment during initial call handling
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
Train relevant Clinical Contact Centre staff.
Stated by Welsh Ambulance Services NHS Trust -
Action
Recruit clinicians within Clinical Contact Centres.
Stated by Welsh Ambulance Services NHS Trust -
Action
Implement clinical call handlers to assess GP calls for hospital admission.
Stated by Aneurin Bevan University LHB
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Concerns raised1
Failure to provide timely clinical review following reported deterioration
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.2
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Action
Conducted a follow-up inspection of Oxleas NHS Foundation Trust’s acute wards to assess whether specific improvements had been made.
Stated by Care Quality Commission -
Action
Return to inspect Oxleas NHS Foundation Trust and follow up the identified concerns to check that necessary improvements have been made.
Stated by Care Quality Commission
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
Specific circumstances of Julia MacPherson’s individual care and treatment fall outside the regulator’s remit for comment.
Stated by Care Quality Commission
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Concerns raised1
Failure to obtain timely Trauma and Orthopaedics review
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
Require all clinicians to use the head-injury proforma for hospital falls and Emergency Department presentations.
Stated by Sandwell and West Birmingham Hospitals NHS Trust -
Action
Monitor implementation of the approved head-injury guideline, including imaging, observation duration, specialist referrals and follow-through of requested actions.
Stated by Sandwell and West Birmingham Hospitals NHS Trust
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Concerns raised1
Failure to provide clinical review before transfer
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.
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
-
Action
Commence a serious incident investigation to review the care provided.
Stated by United Lincolnshire Teaching Hospitals NHS Trust
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Concerns raised1
Unavailability of timely clinical triage including assessment of clinical observations at walk-in centre services
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
Delays in clinical review of patients with deteriorating NEWS scores
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 to conduct timely appropriate clinical assessment
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.
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 provide GP clinical assessment for patients with deteriorating conditions and complex needs
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.
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 securing timely medical review
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.
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 conduct a timely full clinical review
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026