First reported 14 Jan 2014•Latest report 3 Jun 2026
Definition
What this concern includes
Includes dedicated failures of the hospital discharge-summary process that affect the accuracy, completeness, finalisation, quality assurance or timely transmission of summaries to GPs.
Not included
Excludes generic IT, staffing, training or documentation deficiencies not explicitly tied to the hospital discharge-summary process.
Excludes failures concerning other clinical documents or information-sharing processes that are not discharge summaries.
Excludes downstream failures by GPs or other recipients to review or act on a discharge summary after it has been received.
Reports
26
Distinct published reports
Individual concerns
32
A report can raise multiple concerns
Date range
2014–2026
First to latest report issue date
Stated actions
54
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.
Tameside and Glossop Integrated Care NHS Foundation Trust2
Ashford and St Peter'S Hospitals NHS Foundation Trust1
Barts Health NHS Trust1
Blackpool Teaching Hospitals NHS Foundation Trust1
Care Quality Commission1
Department of Health and Social Care1
Dudley Integrated Health and Care NHS Trust1
Epsom and St Helier University Hospitals NHS Trust1
Hampshire and Isle of Wight Healthcare NHS Foundation Trust1
Hampshire Hospitals NHS Foundation Trust1
Imperial College Healthcare NHS Trust1
Isle of Wight NHS Trust1
Kent and Medway Mental Health NHS Trust1
King's College Hospital1
King'S College Hospital NHS Foundation Trust1
NHS trust23
Healthcare site4
Executive non-departmental public body2
English metropolitan district council1
Health and social care service regulator1
Ministerial department1
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.
Leicester City and South Leicestershire
Concerns raised1
Failure to ensure accurate and complete discharge information is communicated to primary care teams
Responses linked to these concerns
Each 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.12
Action
Use a standardised discharge-letter template covering admission reasons and discharge diagnoses.
Stated by University Hospitals of Leicester NHS TrustStated completedThe respondent said that this action was complete when they made their response on 24 October 2016.
Action
Provide junior doctors with e-learning reinforcing accurate information in discharge letters to GPs.
Stated by University Hospitals of Leicester NHS TrustStated completedThe respondent said that this action was complete when they made their response on 24 October 2016.
Action
Request GP feedback and conduct regular audits of discharge-letter information quality.
Stated by University Hospitals of Leicester NHS TrustStated completedThe respondent said that this action was complete when they made their response on 24 October 2016.
Action
Increase the frequency of discharge-letter audits for each monthly QMG cycle.
Stated by University Hospitals of Leicester NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 24 October 2016.
Action
Extend GP feedback collection, review findings, discuss necessary actions, report to the Executive Quality Board, and repeat the audit at intervals.
Stated by University Hospitals of Leicester NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 24 October 2016.
Action
Discuss the case with the consultant involved to encourage reflective learning.
Stated by University Hospitals of Leicester NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 24 October 2016.
Action
Strengthen the Letters Policy to clarify discharge-letter procedures and senior medical oversight.
Stated by University Hospitals of Leicester NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 24 October 2016.
Action
Continue joint work through the LLR-wide discharge group to address IT barriers to electronic transfer of discharge letters to primary care.
Stated by NHS Leicester City Clinical Commissioning GroupStated in progressThe respondent said that this action was in progress when they made their response on 24 October 2016.
Action
Report monthly discharge-letter audit results to the CCGs’ Contract team for formal oversight.
Stated by NHS Leicester City Clinical Commissioning GroupStated plannedThe respondent said that this action was planned when they made their response on 24 October 2016.
Action
Develop a process for obtaining timely GP feedback on inaccurate discharge letters and supporting rapid correction and clinician learning.
Stated by NHS Leicester City Clinical Commissioning GroupStated in progressThe respondent said that this action was in progress when they made their response on 24 October 2016.
Action
Include a discharge-letter quality indicator in the 2017–2018 UHL contract and formally monitor and report it, with corrective-action discussions if improvements are not sustained.
Stated by NHS Leicester City Clinical Commissioning GroupStated plannedThe respondent said that this action was planned when they made their response on 24 October 2016.
Action
Include in the junior doctors’ induction programme an item emphasising accurate, timely information for primary care.
Stated by NHS Leicester City Clinical Commissioning GroupStated plannedThe respondent said that this action was planned when they made their response on 24 October 2016.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Responsibility for commissioning services and providing assurance on mitigation actions rests with the Leicester City Clinical Commissioning Group.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Brighton and Hove
Concerns raised1
Failure to send hospital discharge summaries electronically to GPs on the day of discharge
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Exeter and Greater Devon
Concerns raised1
Failure to send discharge letters to GPs documenting dangerous treatment side effects
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Shropshire, Telford and Wrekin
Concerns raised1
Failure to send discharge summaries to patients’ GPs
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Inner South London
Concerns raised1
Failure to communicate discharge information and monitoring needs to primary care
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 concerns
Each 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
Produce discharge notifications for patients who self-discharge.
Stated by The TrustStated completedThe respondent said that this action was complete when they made their response on 5 May 2014.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The Trust states that the GP was informed by telephone and received a discharge summary containing the abnormal results.
Stated by The TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Manchester South
Concerns raised1
Failure of discharge documentation to include vital admission and discharge information
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
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Includes dedicated failures of the hospital discharge-summary process that affect the accuracy, completeness, finalisation, quality assurance or timely transmission of summaries to GPs.
