Recurring concern
Unclear accountability for allergy services and provision
- Reports that mention this concern
- 2
- Times this concern has been raised
- 3
- Stated actions linked to this concern
- 1
What this concern includes
Includes failures to assign, document or maintain clear accountability for allergy services and provision at national or system level, including the absence of named responsibility within NHS England or the Department of Health.
What is not included
- Excludes generic governance, leadership or accountability deficiencies that are not specifically tied to allergy services and provision.
- Excludes failures in allergy diagnosis, treatment, referral, communication or clinical guidance where accountability for allergy services is not the unsafe condition.
- Excludes local accountability for an individual patient's allergy care unless the assertion explicitly concerns the same system-level accountability for allergy services and provision.
- Excludes neutral descriptions of allergy services or organisational structure without an identified absence or unreliability of accountable ownership.
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 2 reports
See individual reports that have raised this concern, and the actions taken in response
-
Concerns raised2
Lack of named accountability for allergy services and provision
Lack of national leadership for anaphylaxis work
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Department of Health and Social Care
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
-
Department of Health and Social Care
Establish and jointly chair an Expert Advisory Group for Allergy to identify priority policy areas and advise on improving outcomes.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
Department of Health and Social Care
NHS England is responsible for national clinical policy and strategy for allergy services in England, rather than the Department.
-
Department of Health and Social Care
Existing NHS England allergy advisory structures and its process for reviewing National Clinical Director posts address national leadership without requiring an allergy director now.
-
Concerns raised1
Lack of named accountability for allergy services and provision
This report raised 20 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- Department of Health and Social Care
- NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
-
NHS England
Matters of concern 1–14 and 20 do not concern NHS Pathways and fall outside its remit.
-
Department of Health and Social Care
Commissioning and management of general allergy services is a local responsibility rather than a national departmental responsibility.
-
Department of Health and Social Care
NHSEI is responsible for clinical policy and strategy for allergies in the NHS in England, including specialised allergy services.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026