Recurring concern
Unreliable coordination and escalation between care providers and mental health services
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Request correctionFirst reported 25 Apr 2017•Latest report 22 Dec 2025
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
- Individual concerns
- 22
- Date range
- 2017–2025
- Stated actions
- 24
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
Lack of a formalised contact and escalation system with Nottinghamshire Healthcare NHS Foundation Trust
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.
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
Heathcotes cannot implement a formal contact and escalation system with Nottinghamshire Healthcare NHS Foundation Trust because it lacks power and control.
Stated by Heathcotes Group
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Concerns raised1
Lack of interface between senior or experienced providers for complex cases
This report raised 13 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.5
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Action
Attend Dual Diagnosis interface meetings and contribute to community release plans with mental-health and wider partner services.
Stated by WithYou -
Action
Review and revise the joint working protocol and implement a more robust referral pathway across mental health and substance misuse services.
Stated by Lincolnshire County Council -
Action
Implement robust communication, information-sharing and aligned clinical pathways with We Are With You.
Stated by Lincolnshire Partnership NHS Foundation Trust
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Action
Strengthen dual-diagnosis policies and protocols to provide an enhanced Care Programme Approach with joint substance-misuse working.
Stated by Lincolnshire Partnership NHS Foundation Trust -
Action
Review internal policies and protocols and embed care pathways with We Are With You, including discussion with commissioners about required investment.
Stated by Lincolnshire Partnership NHS Foundation Trust
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Concerns raised1
Failure to contact relevant medical or mental health services about identified concerns
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.
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 care coordination after placement with a private provider
This report raised 10 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 joint-working arrangements between the NHS and private psychiatric consultants
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.
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
Implement a staff protocol for coordinating NHS care with private psychiatric treatment and explaining the process to patients.
Stated by Central and North West London NHS Foundation 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
A standard MOU with all private psychiatrists cannot be agreed because the Trust may work with numerous providers across its geography.
Stated by Central and North West London NHS Foundation Trust
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Concerns raised1
Failure to make formal post-discharge referral or contact with community mental health services and general practitioner
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.
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 verify treatment information with external mental health service 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.1
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Action
Distribute guidance to City and Hackney clinical staff on contacting external mental health providers.
Stated by East London NHS Foundation Trust
Data last updated 7 September 2026