Recurring concern
Unreliable consolidation and access to patients’ cross-service clinical risk information
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Request correctionFirst reported 28 Nov 2013•Latest report 10 Jun 2026
What this concern includes
Includes failures to consolidate, link, flag, transfer, retrieve or provide access to clinically significant patient history and risk information across healthcare services, including information from different NHS Trusts, GP practices, emergency departments and receiving hospitals where the information is needed for safe assessment, treatment or risk management.
Not included
- Excludes generic communication, documentation or coordination deficiencies where cross-service clinical history or risk information is not the material unsafe object.
- Excludes failures to act on complete and accessible clinical history or risk information when the information-access process itself was reliable.
- Excludes condition-specific information systems or pathways, such as allergy, mental-health, oxygen or medication systems, when that named concern provides the more specific supported boundary.
- Excludes failures confined to creating, completing or maintaining a record within one service where no cross-service consolidation, transfer or access deficiency is identified.
- Excludes non-clinical, administrative or operational information that is not needed for patient assessment, treatment or safety-risk management.
- Reports
- 20
- Individual concerns
- 20
- Date range
- 2013–2026
- Stated actions
- 35
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 separate clinical record systems to provide cross-organisational access to crucial information
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.
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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
Unavailability of electronic access to regular GP records in out-of-hours care
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 authorised professionals to access GP records through GP-Connect across primary care settings.
Stated by NHS England
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Concerns raised1
Failure to provide Shropdoc personnel with access to referring patients’ GP records
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.
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
Write to practices encouraging discussion of enhanced Summary Care Records with patients who have chronic illness.
Stated by SHROPSHIRE & TELFORD LOCAL MEDICAL COMMITTEE
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Concerns raised1
Lack of access to relevant records across healthcare providers
This report raised 2 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
Lead the Global Digital Exemplar programme to improve electronic record sharing and disseminate digital information-sharing learning across NHS trusts.
Stated by NHS England -
Action
Support Local Health and Care Record Exemplars to establish safe, integrated access to permitted patient information across health and care organisations.
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
Existing secure RiO access arrangements are considered sufficient for sharing health records with other agencies.
Stated by Cornwall Partnership NHS Foundation Trust
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Concerns raised1
Lack of access to NHS records by out-of-hours services
This report raised 2 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
Expand Summary Care Record availability and use across more settings, including urgent and emergency care.
Stated by Department of Health and Social Care -
Action
Work towards interoperable digital care records across health and care services.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to pass important patient history to the receiving hospital
This report raised 2 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 out-of-hours and hospital emergency department clinicians with direct access to patients’ GP notes
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
Seek formal assurance from Mastercall on new-starter processes and contingencies for practitioners without NHS Smartcards.
Stated by Department of Health and Social Care -
Action
Map and analyse shared-record access processes and systems with Mastercall to identify and mitigate further risks.
Stated by Department of Health and Social Care -
Action
Work with Mastercall to provide fit-for-purpose mobile access to relevant patient information at the point of care through a governed improvement project.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to ensure key clinical staff can access important electronic information held in different NHS trusts
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 the GP surgery with access to transferred patient records
This report raised 2 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