Recurring concern
Failure to reliably transfer medical records between healthcare organisations
First reported 28 Nov 2013•Latest report 20 Oct 2025
What this concern includes
Includes failures in the dedicated transfer of existing medical records between healthcare organisations, including delayed, incomplete, untraceable or systemically unsupported transfer between GP practices, hospitals, mental-health services or other healthcare organisations where the records are needed for safe care.
Not included
- Excludes generic inter-agency information-sharing failures where the asserted object is not medical records or an equivalent clinical record transfer.
- Excludes failures to create, complete or accurately maintain records when transfer or inter-organisational availability is not the unsafe condition.
- Excludes failures limited to reviewing or acting on records after they have been reliably transferred and made available.
- Excludes transfer of non-clinical records, administrative documents or information between organisations without a healthcare medical-record context.
- Excludes communication of isolated clinical advice or results where the dedicated medical-record transfer process is not deficient.
- Reports
- 29
- Individual concerns
- 30
- Date range
- 2013–2025
- Stated actions
- 47
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 of electronic records systems to support transfer of clinical information between mental health and physical health specialists
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.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Issues concerning Pennine Care NHS Foundation Trust should be addressed in the Trust’s response.
Stated by Department of Health and Social Care
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Position
Shared care records are considered a safe and secure way to bring together separate records from different health and care organisations.
Stated by Department of Health and Social Care
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Concerns raised1
Lack of integrated electronic access to medical and treatment records between treating teams
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 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
Enable two-way WCCIS information sharing between Swansea community mental health and drug and alcohol teams.
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.2
-
Position
Further WCCIS rollout is on hold pending Welsh Government approval of National Programme Team recommendations.
Stated by Swansea Bay University Local Health Board
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Position
The Local Authority must request and implement any amendments to WCCIS system functionality.
Stated by Swansea Bay University Local Health Board
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Concerns raised1
Lack of rapid access to NHS records on admission to a private hospital
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 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
Review national guidance on risk assessments.
Stated by NHS England
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
Implementation and operation of shared care records is assigned to Integrated Care Boards.
Stated by NHS England
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Concerns raised1
Delays in transferring GP medical notes between practices
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
Invest in technology to improve patient care through the General Practice Forward View.
Stated by Department of Health and Social Care -
Action
Increase electronic transfer of health records between general practices through the General Practice Forward View.
Stated by Department of Health and Social Care
-
Concerns raised1
Failure to print medical notes and other documents from the Trust IT system in shared premises
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.1
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Action
Increase Liaison Team overnight staffing to two staff members.
Stated by Tees, Esk and Wear Valleys NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Operational processes for locally commissioned mental health services are the responsibility of local NHS providers and their commissioning partners.
Stated by Department of Health and Social Care
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Position
Enforcement action was not required because the regulator concluded there was no ongoing risk to service users.
Stated by Department of Health and Social Care
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Concerns raised1
Lack of care summaries when complex patients transfer between GP surgeries
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Position
Primary Care Support England, rather than the College, is responsible for the system of transferring GP records.
Stated by Royal College of General Practitioners
-
Concerns raised1
Lack of shared patient care records across health care departments
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 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
Develop a shared care record for Derby and Derbyshire to address information-sharing problems across multiple healthcare providers.
Stated by NHS England -
Action
Task the Learning from Deaths Forum with considering system improvements alongside the move to a shared care record.
Stated by NHS England
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
Coordination and management of discharge care plans fall outside NHS Digital’s area of responsibility.
Stated by NHS England
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Concerns raised1
Delays in transferring patients' medical notes and history to GP practices
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 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
Enable all Derby and Derbyshire general practices to use GP2GP electronic record transfer.
Stated by NHS Derby and Derbyshire Integrated Care Board -
Action
Offer Ashbourne Medical Practice additional GP2GP and electronic record transfer training.
Stated by NHS Derby and Derbyshire Integrated Care Board
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Concerns raised1
Failure to transfer complete patient data when patients move between general practices
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 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
Review and address root causes of electronic GP2GP record-transfer failures.
Stated by NHS England -
Action
Increase the GP2GP transfer file-size limit from 50MB to 100MB.
Stated by NHS England
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Concerns raised1
Failure to transfer the full medical records and past medical history to the new substance misuse service
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.
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
Complete a wide-ranging review of GP communication across all community substance misuse services.
Stated by Turning Point -
Action
Improve processes for transferring client data at the beginning and end of contracts.
Stated by Turning Point
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 commissioned provider is responsible for resolving transfer of full records when a new provider takes over.
Stated by Hopwood House Medical Practice
Data last updated 7 September 2026