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 provide senior clinical review
This report raised 24 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
Increase permanent Acute Medical Unit staffing, including matron input, an additional senior nurse and a support assistant role.
Stated by University Hospitals Sussex NHS Foundation Trust
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Concerns raised1
Failure to conduct detailed assessment and re-consult treatment options during clinical deterioration
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
Delays in seeking clinical review of deteriorating patients
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 raised1
Failure to arrange clinical assessment after a telephone report of pain in a high-risk patient
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 provide timely clinical assessment of a patient's condition
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.
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
Implement a clinical-assessment policy requiring transfer to A&E when health professionals cannot attend within one hour.
Stated by the proprietor of Monkstone House Residential Home of 1 Locks Common, Porthcawl, CF36 3HU -
Action
Hold senior-staff meetings to reinforce seeking medical advice and ensuring clients are seen by a professional when concerns arise.
Stated by the proprietor of Monkstone House Residential Home of 1 Locks Common, Porthcawl, CF36 3HU -
Action
Develop a clear out-of-hours escalation process for resolving disputed clinical issues.
Stated by Swansea Bay University Local Health Board
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
The district nursing assessment was appropriate because the catheter was draining freely; the patient required medical rather than nursing assessment.
Stated by Swansea Bay University Local Health Board
Data last updated 7 September 2026