Recurring concern
Failure to reliably complete My Safety Plans
- Reports that mention this concern
- 3
- Times this concern has been raised
- 3
- Stated actions linked to this concern
- 4
What this concern includes
Includes failures of the named My Safety Plan process, including failure to initiate it on admission, complete it before discharge, populate it with relevant risks and safety actions, or maintain it when a patient’s circumstances or risks require review.
What is not included
- Excludes generic care plans, risk assessments or discharge checklists where My Safety Plan is not the identified safety-planning control.
- Excludes failures to implement actions from a completed My Safety Plan when the plan itself was reliably created and maintained.
- Excludes unrelated organisational action plans, incident action plans and service-improvement plans.
- Excludes generic staff training or documentation deficiencies unless they directly impair completion or maintenance of a My Safety Plan.
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.
Reports and published responses 3 reports
See individual reports that have raised this concern, and the actions taken in response
-
Concerns raised1
Failure to complete comprehensive patient risk assessments and associated safety documentation
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- East London 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.3
-
East London NHS Foundation Trust
Provide monthly Dialog+, My Safety Plan and risk-assessment training for staff.
-
East London NHS Foundation Trust
Require completion and review of Dialog+ and My Safety Plan documentation within 72 hours of admission, including weekly case-note audits.
-
East London NHS Foundation Trust
Use daily unit huddles to report new admissions and monitor completion of initial assessments and care planning.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
East London NHS Foundation Trust
No further action is considered necessary because considerable work has addressed the identified concerns.
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Concerns raised1
Failure of My Safety Plans to clearly convey suicide risk
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Surrey and Borders Partnership NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Surrey and Borders Partnership NHS Foundation Trust
Formal risk documentation and information-sharing procedures are considered sufficient; My Safety Plan is not intended to record or share clinical suicide risk.
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Concerns raised1
Failure to commence and complete a safety plan during admission and before discharge
This report raised 13 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- NHS Greater Manchester Integrated Care Board
- Priory Group
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Priory Group
Remind staff to complete required My Safety Plans and monitor compliance through daily dashboard reviews and audits.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
NHS Greater Manchester Integrated Care Board
The NHS sending provider is responsible for overseeing individual care, including engagement in communication, discharge and care planning for out-of-area patients.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026