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
Poor continuity of care staff
This report raised 15 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 continuity of care in team-based mental health care
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.
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 provide continuity of care
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.1
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Action
Review Crisis Resolution and Home Treatment team functions, including ways to improve consistency of staff contact with service users.
Stated by Norfolk and Suffolk NHS Foundation Trust
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Concerns raised1
Lack of continuity of care
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.1
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Action
Assign named nurses to inpatient patients and two nurses to each normal-location wing to improve continuity of care.
Stated by Herefordshire and Worcestershire Health and Care NHS Trust
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Concerns raised1
Lack of continuity of care caused by excessive involvement of different people
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 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
Insufficient HHT funding for continuity of care and named designated workers
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 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
Commence a named-worker pilot for Home Treatment Team service users and review it after six months.
Stated by South West London and St George'S Mental Health NHS Trust -
Action
Recruit nursing staff and increase the Wandsworth Home Treatment Team nursing establishment using allocated investment.
Stated by South West London and St George'S Mental Health NHS 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
Temporary whole-team care coordination is the current arrangement for HTT service users without an existing Care Coordinator.
Stated by South West London and St George'S Mental Health NHS Trust
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Concerns raised1
Unclear responsibility for stopping physical observations
This report raised 12 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
Review, revise and reissue the observation policy, brief relevant staff, obtain responsibility acknowledgements, and audit implementation with spot checks.
Stated by Partnerships in Care Group Limited
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Concerns raised1
Failure to ensure a known next appointment at discharge from CRHTT
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026