First reported 25 Apr 2017•Latest report 22 Dec 2025
Definition
What this concern includes
Includes failures in formal arrangements between care providers and mental-health services for contact, referral, information sharing, crisis-support coordination, responsibility allocation and escalation to senior or specialist mental-health teams.
Not included
Excludes failures confined to a single mental-health service’s internal assessment, treatment, staffing or appointment process.
Excludes generic communication or coordination deficiencies without a bounded care-provider and mental-health-service interface.
Excludes failures occurring after the relevant mental-health service has been reliably contacted and accepted responsibility, unless the cross-provider coordination process itself remains deficient.
Excludes ordinary differences in service remit or availability where no unsafe failure of contact, referral, information sharing or escalation is identified.
Reports
17
Distinct published reports
Individual concerns
22
A report can raise multiple concerns
Date range
2017–2025
First to latest report issue date
Stated actions
24
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.
NHS England5
Department of Health and Social Care4
NHS Northamptonshire Integrated Care Board2
Northamptonshire Healthcare NHS Foundation Trust2
Betsi Cadwaladr University LHB1
Care Quality Commission1
Central and North West London NHS Foundation Trust1
Cheshire and Wirral Partnership NHS Foundation Trust1
Department for Education1
Derbyshire Community Health Services NHS Foundation Trust1
Derbyshire Healthcare NHS Foundation Trust1
East London NHS Foundation Trust1
Elysium Healthcare Limited1
Greater Manchester Mental Health NHS Foundation Trust1
Health and Safety Executive1
NHS trust9
Executive non-departmental public body5
Integrated care board5
Ministerial department5
Local health board3
Care-home operator1
Coronial office1
English county council1
Executive agency1
Health and social care service regulator1
Healthcare site1
Private limited company1
Professional body1
Registered charity1
Registered provider of social housing1
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.
Northamptonshire
Concerns raised3
Failure to communicate medication changes between private and NHS psychiatric providers
Failure of notification pathways to identify patients receiving private and NHS psychiatry
Lack of a consistent protocol for patients receiving private and NHS psychiatry
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Northamptonshire
Concerns raised3
Failure of notification pathways to ensure NHS mental health services are aware of private psychiatric treatment
Lack of a protocol for patients receiving concurrent private and NHS psychiatry
Failure to communicate medication changes between private and NHS psychiatric providers
Responses linked to these concerns
Each 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
Action
Develop and complete a Trust-wide protocol for managing patients receiving simultaneous NHS and private psychiatric care.
Stated by NHFTStated in progressThe respondent said that this action was in progress when they made their response on 18 March 2026.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
The Trust cannot ensure notification of private psychiatric care because patients and private providers are not obliged to inform it.
Stated by NHFTUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The Integrated Care Board is responsible for confirming actions to encourage GPs to notify the Trust about concurrent private psychiatric care.
Stated by NHFTRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Derby and Derbyshire
Concerns raised1
Failure to escalate and share increasing contact with health visitors with perinatal mental health services
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 concerns
Each 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.6
Action
Use the Perinatal Mental Health Service advice line for consultation and proactively share relevant contextual information about patients already receiving its care.
Stated by Derbyshire Community Health Services NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 15 December 2025.
Action
Develop and circulate an infographic explaining the advice line, appropriate use, and information to share, with practical examples for Health Visiting staff.
Stated by Derbyshire Community Health Services NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 15 December 2025.
Action
Update Health Visiting Service standard operating procedures to formalize information-sharing expectations and use of the Perinatal Mental Health Service advice line.
Stated by Derbyshire Community Health Services NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 15 December 2025.
Action
Publish perinatal mental health care pathway guidance and provide supporting e-learning resources for healthcare staff.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 15 December 2025.
Action
Encourage specialist perinatal mental health teams to include record keeping in training for the wider perinatal pathway.
Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 15 December 2025.
Action
Provide providers with guidance on recording information relevant to mother and baby and sharing information about frequent service access.
Stated by NHS Derby and Derbyshire Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 15 December 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Continuing to share only clinically relevant contacts is considered safer and sufficient; emailing every consultation would burden the perinatal mental health team.
Stated by Sett Valley Medical CentreExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Manchester North
Concerns raised1
Failure of charity crisis text services to link with local NHS Trusts and pathways
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 concerns
Each 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
Action
Implement a phased, locally delivered crisis-text service integrated with the Greater Manchester 111 mental-health crisis line.
Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 13 August 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
The non-NHS charity’s service delivery and clinical governance arrangements fall outside the respondent’s ability to comment on.
Stated by NHS EnglandOutside remitThe respondent said that this matter was outside its role or authority.
Position
Independent charitable organisations providing crisis text services are outside Government and NHS control.
Stated by Department of Health and Social CareOutside remitThe respondent said that this matter was outside its role or authority.
Manchester South
Concerns raised1
Lack of guidelines for communication and information sharing between private psychiatry providers and NHS services providing parallel neurodiversity care
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing hospital discharge guidance already governs information sharing between private and NHS providers, including medication and care information.
Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Inner West London
Concerns raised2
Lack of clarity in referral and crisis-support processes for patients receiving private and NHS treatment
Unclear urgent and crisis referral pathways from private practitioners to NHS services
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 concerns
Each 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.7
Action
Maintain a ratified Private Providers Shared Care Policy defining Trust and private-provider roles and responsibilities.
Stated by South West London and St George'S Mental Health NHS TrustStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Make the Private Providers Shared Care Policy accessible on the Trust website and communicate its existence internally and through local GP networks.
Stated by South West London and St George'S Mental Health NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 31 July 2024.
Action
Improve and publish prominent website information directing healthcare professionals to urgent mental-health crisis referrals, including the 24/7 crisis line.
Stated by South West London and St George'S Mental Health NHS TrustStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Share crisis-referral information externally through social media, website news articles, and campaign materials.
Stated by South West London and St George'S Mental Health NHS TrustStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Remind staff about the Urgent Care Pathway, checking private treatment and consent, and the Private Providers Shared Care Policy through a Monthly Learning Bulletin and local GP networks.
Stated by South West London and St George'S Mental Health NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 31 July 2024.
Action
Review the interface between NHS and non-NHS-funded independent health providers.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 31 July 2024.
Action
Expand urgent and emergency mental health care and access to crisis services.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
Position
No national or local system provides contact details for every private provider, so referral information cannot feasibly reach all providers.
Stated by South West London and St George'S Mental Health NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Private providers can refer patients directly to crisis services through the Mental Health Crisis Line, 111, 999 or A&E.
Stated by South West London and St George'S Mental Health NHS TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
The relevant NHS mental health trust is responsible for providing further information about its emergency referral signposting for private providers.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
National review of psychiatric referral pathways is considered a matter for the Department of Health and NHS England.
Stated by South West London and St George'S Mental Health NHS TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Inner South London
Concerns raised1
Lack of contact details for neighbouring psychiatric liaison and crisis mental health teams
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing NHS Service Finder and website directories provide professionals with current neighbouring mental health service contact details and referral information.
Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
North Wales (East and Central)
Concerns raised1
Lack of agreed minimum information-sharing standards between the Health Board and private psychiatric facilities
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 concerns
Each 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
Action
Develop a standard operating procedure governing information sharing, repatriation and discharge planning, and key documentation for out-of-area acute placements.
Stated by Betsi Cadwaladr University LHBStated plannedThe respondent said that this action was planned when they made their response on 12 February 2024.
Action
Monitor compliance with the standard operating procedure through local and divisional Putting Things Right meetings.
Stated by Betsi Cadwaladr University LHBStated plannedThe respondent said that this action was planned when they made their response on 12 February 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The framework agreement and internal policy adequately govern information sharing; concurrent discharge letters are not contractually required.
Stated by Elysium Healthcare LimitedExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
West Sussex, Brighton and Hove
Concerns raised1
Lack of a clear pathway for sharing private psychiatrist consultation and treatment details with NHS inpatient settings
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Carmarthenshire and Pembrokeshire
Concerns raised1
Failure of communication and information sharing between Primary Mental Health Services and Tier 2 therapy providers
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
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Includes failures in formal arrangements between care providers and mental-health services for contact, referral, information sharing, crisis-support coordination, responsibility allocation and escalation to senior or specialist mental-health teams.
