Recurring concern
Failure to provide continuity of patient care
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Request correctionFirst reported 4 Sep 2013•Latest report 15 Jun 2026
What this concern includes
Includes failures of the end-to-end patient-care continuity process, including unclear or unassigned responsibility, changing or excessive personnel, inadequate continuity between clinicians or services, and insufficient coordination that leaves care fragmented or without consistent oversight.
Not included
- Excludes failures limited to a specific handover, record, referral or discharge control when continuity of patient care is not itself the shared unsafe condition.
- Excludes generic staffing shortages, workload or turnover concerns unless they directly result in failure to maintain continuity of patient care.
- Excludes continuity failures in non-patient processes, such as equipment, premises or administrative workflows.
- Excludes failures belonging to a more specific named safety system or pathway where that system is the supported parent boundary.
- Reports
- 88
- Individual concerns
- 92
- Date range
- 2013–2026
- Stated actions
- 151
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
Lack of continuity of care
This report raised 11 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
Add the date of X-ray performance and review to consultant handover documentation.
Stated by University Hospitals Birmingham NHS Foundation Trust
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Concerns raised1
Failure to allocate a specific individual Care Co-Ordinator or Lead Care Professional to service users receiving active treatment
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
Recruit to fill the Central Norfolk Long Term Treatment Team’s band 5 vacancy.
Stated by Trust
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Concerns raised1
Disjointed coordination of care between crisis house and crisis team services
This report raised 6 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
Work with OneHousing to establish shared access to clinical records and risk assessments for Highbury Grove staff.
Stated by North London NHS Foundation Trust -
Action
Introduce joint risk assessments completed by OneHousing and Camden and Islington staff.
Stated by North London NHS Foundation Trust -
Action
Reinforce detailed feedback to OneHousing staff and agreement of a written action plan when crisis team staff complete risk assessments.
Stated by North London NHS Foundation Trust
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
Information-sharing problems have been rectified through ready access to relevant clinical information and established communication channels.
Stated by North London NHS Foundation Trust
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Concerns raised1
Lack of continuity of care caused by reliance on locum GPs
This report raised 6 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
Poor multidisciplinary communication for consistent systematic patient management
This report raised 14 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.4
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Action
Define critical-care leadership and accountability under the consultant in charge, with consultant-led handover for junior night staff.
Stated by Queen Victoria Hospital NHS Foundation Trust -
Action
Use unified multidisciplinary critical-care documentation and audit its implementation within the enhanced recovery programme.
Stated by Queen Victoria Hospital NHS Foundation Trust -
Action
Develop multidisciplinary communication training, including staff ability to challenge decision-makers.
Stated by Queen Victoria Hospital NHS Foundation Trust
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Action
Develop electronic document management to integrate multidisciplinary documentation, enhanced recovery pathways and patient alerts.
Stated by Queen Victoria Hospital NHS Foundation Trust
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
NHS Improvement, NHS England, and the Care Quality Commission, working with the Trust and commissioners, were responsible for ensuring appropriate action.
Stated by Department of Health and Social Care
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Concerns raised1
Lack of continuity of care by the District Nursing Team
This report raised 9 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
Provide continuity through Named Nurse visits, structured handovers, and Caseload Holder oversight.
Stated by Stockport NHS Foundation Trust -
Action
Hold monthly residential-home care meetings and share key information at District Nursing Time Team meetings.
Stated by Stockport NHS Foundation Trust
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Concerns raised1
Failure to assign clear responsibility for coordinating and delivering care before discharge
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 assign overall management responsibility for care
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Lack of coordinated mental health care during crisis and transfer
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
Unclear post-procedure clinical accountability
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.
Data last updated 7 September 2026