Includes failures in the haematology clinical-review and advice process, including insufficient capacity for comprehensive reviews, failure to respond to requests, delayed or unavailable specialist review, and related arrangements that prevent timely haematology input.
What is not included
Excludes general healthcare or specialist staffing shortages where haematology clinical review or advice is not the affected function.
Excludes failures in anticoagulation, transfusion, oncology or other condition-specific care unless the assertion specifically concerns the haematology review and advice process.
Excludes failures occurring after adequate haematology advice or review has been provided, including unrelated treatment or follow-up deficiencies.
Excludes generic communication or referral failures that do not directly impair access to haematology clinical review or advice.
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.
Bedfordshire Hospitals NHS Foundation Trust1
Birmingham and Solihull Integrated Care System1
Department of Health and Social Care1
Mid and South Essex NHS Foundation Trust1
NHS England1
NHS Essex Integrated Care Board1
University Hospitals Birmingham NHS Foundation Trust1
NHS trust3
Executive non-departmental public body1
Health-system partnership1
Integrated care board1
Ministerial department1
Reports and published responses 3 reports
See individual reports that have raised this concern, and the actions taken in response
Essex
Concerns raised1
Failure to provide medical review or haematology referral for prolonged non-therapeutic INR
This report raised 12 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
Mid and South Essex NHS Foundation Trust
NHS England
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
Mid and South Essex NHS Foundation Trust
Implement a high-risk anticoagulation pathway with senior review criteria, INR monitoring, escalation thresholds, documentation requirements and governance audits.
Mid and South Essex NHS Foundation Trust
Complete a review of the anticoagulation service escalation process for complex patients under hospital care.
Mid and South Essex NHS Foundation Trust
Introduce documented senior-clinician and, where appropriate, haematology review requirements, an updated operating procedure, staff communication and governance audits for complex anticoagulation cases.
Mid and South Essex NHS Foundation Trust
Set referral and escalation triggers for prolonged poor INR control, missed appointments or persistent instability, supported by documented rationale, referral logging, record audits and governance review.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
NHS England
Mid and South Essex NHS Foundation Trust is best placed to address the concern about escalation because it concerns specific practitioners’ practice.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Birmingham and Solihull
Concerns raised1
Insufficient haematology department staffing and capacity for comprehensive reviews
Linked responses
Department of Health and Social Care
University Hospitals Birmingham 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.5
University Hospitals Birmingham NHS Foundation Trust
Increase transplant capacity by reallocating an existing consultant’s job plan to provide more transplant-dedicated time.
University Hospitals Birmingham NHS Foundation Trust
Extend the senior specialist registrar’s training for six months, focusing on myeloid disease and allogeneic transplantation while supporting transplant clinics under supervision.
University Hospitals Birmingham NHS Foundation Trust
Create and recruit an additional myeloid transplant consultant post.
University Hospitals Birmingham NHS Foundation Trust
Create a joint UHB–NHSBT consultant post covering transplant medicine, cellular therapies, laboratory oversight and cross-organisation communication.
University Hospitals Birmingham NHS Foundation Trust
Monitor recruitment to the new consultant posts and report progress through the Hospital Board.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Department of Health and Social Care
Individual NHS trusts and other employers are responsible for ensuring sufficient staffing for safe care.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Department of Health and Social Care
Regulation 18 already requires trusts to review staffing numbers and skills needed to provide safe care.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Bedfordshire and Luton
Concerns raised2
Failure of the Haematology Department to remain contactable by attending doctors
Failure of Haematologists to respond to requests for advice and review
No linked response statements
No 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.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.