Recurring concern
Failure to provide continuity of patient care
- Reports that mention this concern
- 88
- Times this concern has been raised
- 92
- Stated actions linked to this concern
- 151
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.
What is 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.
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 88 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Lack of continuity between operating surgeons and postoperative consultants
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- University Hospitals Sussex 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.1
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University Hospitals Sussex NHS Foundation Trust
Run mandatory daily morning Board Rounds across all wards and specialties to coordinate patient acuity, investigations, interventions and communication.
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Concerns raised1
Failure to assign overall responsibility for asthma care
This report raised 23 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- 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.1
-
NHS England
Share examples of effective asthma-service practice through the clinical networks.
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Concerns raised1
Lack of continuity of care preventing a clinician from maintaining an overview of the patient and her health
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- NHS Greater Manchester Integrated Care Board
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
-
NHS Greater Manchester Integrated Care Board
Review clinical staffing numbers and clinical sessions to support patient continuity and existing staff.
-
Concerns raised1
Lack of continuity of care
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Lack of a coordinated plan to treat alcohol dependence
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Hampshire Hospitals 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.4
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Hampshire Hospitals NHS Foundation Trust
Maintain a 24-hour referral service and dedicated pathway with the Inclusion Service.
-
Hampshire Hospitals NHS Foundation Trust
Provide alcohol-service inpatient access through weekly and arranged ad hoc Inclusion inreach.
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Hampshire Hospitals NHS Foundation Trust
Maintain telephone and onsite liaison with Inclusion regarding referrals and referred patients receiving inpatient care.
-
Hampshire Hospitals NHS Foundation Trust
Participate in a monthly multi-provider High Intensity User Group to identify further support for frequent attenders.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Hampshire Hospitals NHS Foundation Trust
Existing referral, liaison, follow-up and high-intensity-user arrangements are considered sufficient to address the reported concerns.
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Concerns raised1
Failure to maintain continuity of engagement and care during key staff changes and sickness absence
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to maintain continuity of care when patients have contact with multiple professionals
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Inconsistent continuity of psychiatric care across teams and wards
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Greater Manchester Mental Health 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
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Greater Manchester Mental Health NHS Foundation Trust
Develop a consistent Manchester divisional service model to improve continuity of care.
-
Greater Manchester Mental Health NHS Foundation Trust
Strengthen clinical and operational leadership, consultant supervision and recruitment oversight across Manchester services.
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Greater Manchester Mental Health NHS Foundation Trust
Reduce out-of-area placements and create local inpatient capacity to limit transfers and preserve continuity.
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Greater Manchester Mental Health NHS Foundation Trust
Use patient-flow processes to identify high-risk individuals and minimise multiple-team involvement where clinically appropriate.
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Greater Manchester Mental Health NHS Foundation Trust
Review care-planning procedures to strengthen continuity and consistent management plans for high-risk individuals.
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Concerns raised1
Failure to ensure consistency and continuity of care
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Nottinghamshire Healthcare 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.1
-
Nottinghamshire Healthcare NHS Foundation Trust
Introduce the Modified Modified Continuity Index into routine reporting, trial it in one team, and then implement it across Crisis Teams.
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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Nottinghamshire Healthcare NHS Foundation Trust
Continuity of staff cannot always be provided because 24-hour crisis response requirements and high-intensity care create operational constraints.
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Concerns raised1
Lack of continuity in medical care
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Northern Care Alliance 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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Northern Care Alliance NHS Foundation Trust
Mrs Parker was seen by three junior doctors, not seven.
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Northern Care Alliance NHS Foundation Trust
Multiple clinicians are normal practice because specialist input and full handover provide appropriate continuity of care.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026