Recurring concern
Failure to provide required medication promptly when clinically needed
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Request correctionFirst reported 4 Sep 2013•Latest report 17 Jun 2026
What this concern includes
Includes failures in the medication-provision process that delay or prevent clinically required medication from being prescribed, processed, dispensed or administered when needed, including delayed usual medication after admission and delayed urgent therapeutic medication.
Not included
- Excludes long-term medication review, medication reconciliation, dosage verification and medication administration concerns when timely provision of required medication is not the shared unsafe condition.
- Excludes failures limited to medication continuity across care transitions where the issue is maintaining uninterrupted access rather than promptly initiating or providing medication when clinically needed.
- Excludes medication shortages, prescribing inappropriateness or monitoring failures that do not directly cause delayed or absent provision of clinically required medication.
- Excludes generic staffing, communication, documentation or electronic-system deficiencies unless they directly result in delayed or absent provision of the required medication.
- Reports
- 32
- Individual concerns
- 34
- Date range
- 2013–2026
- Stated actions
- 51
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
Absence of intravenous anti-depressant medication for people unable to take medication orally
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 prescribe or dispense medication before self-discharge against medical advice patients leave the 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.
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
Complete a Trust-wide review of self-discharge against medical advice policies and procedures.
Stated by Greater Manchester Mental Health NHS Foundation Trust -
Action
Develop, ratify and implement a single Trust-wide self-discharge procedure with a checklist, senior clinical review, capacity and risk assessments, detention consideration, documentation and medication supply requirements.
Stated by Greater Manchester Mental Health NHS Foundation Trust -
Action
Disseminate the ratified procedure to Care Groups and staff through the intranet and junior-doctor induction.
Stated by Greater Manchester Mental Health NHS Foundation Trust
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Concerns raised2
Delays and failures in prescribing and administering therapeutic medication for first-episode psychosis
Failure to action family concerns and escalations about urgent medication
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
Review urgent-care medication needs to determine whether to expand nurse-accessible PGD medicines.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Develop organisation-wide urgent-care resources reinforcing initial FP10 use for patients requiring urgent symptom-relief medication.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Delays in administering prescribed antibiotics
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
Develop and deliver an SBAR handover training programme for all neonatal intensive care nursing and medical staff.
Stated by the Queen Elizabeth Hospital, King'S Lynn, NHS Foundation Trust -
Action
Debrief staff involved in the delayed antibiotic communication.
Stated by the Queen Elizabeth Hospital, King'S Lynn, NHS Foundation Trust
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Concerns raised1
Failure to ensure prescribed medication for a patient with serious mental health problems
This report raised 11 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
The GP practice is to provide the response concerning medication prescribing, correspondence handling, pharmacy communication and escalation processes.
Stated by Greater Manchester Mental Health NHS Foundation Trust
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Concerns raised1
Delays or omissions in the administration of prescribed Parkinson’s medication
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 ensure essential medication is available in the correct location
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 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
Existing admission medication reviews, clinical pharmacist assessments and in-Trust prescribing arrangements address essential medication availability.
Stated by Blackpool Teaching Hospitals NHS Foundation Trust
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Concerns raised1
Delays in prescribing prophylactic anticoagulation for patients at high risk of VTE
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 administer prescribed steroids
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 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 adhere to Consultant instructions on medication provision prior to operation
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
Relaunch and clarify thromboprophylaxis guidance for relevant staff, including when prophylaxis should be withheld before surgery.
Stated by Wye Valley NHS Trust -
Action
Review all specialty-specific thromboprophylaxis guidelines.
Stated by Wye Valley NHS Trust
Data last updated 7 September 2026