Recurring concern
Unreliable coordination and escalation between care providers and mental health services
- Reports that mention this concern
- 17
- Times this concern has been raised
- 22
- Stated actions linked to this concern
- 24
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.
What is 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.
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 17 reports
See individual reports that have raised this concern, and the actions taken in response
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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.
Linked response
- Heathcotes Group
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Heathcotes Group
Heathcotes cannot implement a formal contact and escalation system with Nottinghamshire Healthcare NHS Foundation Trust because it lacks power and control.
-
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.
Linked responses
- Lincolnshire County Council
- Lincolnshire Partnership NHS Foundation Trust
- WithYou
Stated actions 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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WithYou
Attend Dual Diagnosis interface meetings and contribute to community release plans with mental-health and wider partner services.
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Lincolnshire County Council
Review and revise the joint working protocol and implement a more robust referral pathway across mental health and substance misuse services.
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Lincolnshire Partnership NHS Foundation Trust
Implement robust communication, information-sharing and aligned clinical pathways with We Are With You.
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Lincolnshire Partnership NHS Foundation Trust
Strengthen dual-diagnosis policies and protocols to provide an enhanced Care Programme Approach with joint substance-misuse working.
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Lincolnshire Partnership NHS Foundation Trust
Review internal policies and protocols and embed care pathways with We Are With You, including discussion with commissioners about required investment.
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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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
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.
Linked response
- Central and North West London NHS Foundation Trust
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
-
Central and North West London NHS Foundation Trust
Implement a staff protocol for coordinating NHS care with private psychiatric treatment and explaining the process to patients.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Central and North West London NHS Foundation Trust
A standard MOU with all private psychiatrists cannot be agreed because the Trust may work with numerous providers across its geography.
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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.
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.
Linked response
- East London NHS Foundation Trust
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
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East London NHS Foundation Trust
Distribute guidance to City and Hackney clinical staff on contacting external mental health providers.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026