Recurring concern
Failure to implement identified safety actions
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Request correctionFirst reported 17 Dec 2013•Latest report 24 Apr 2026
What this concern includes
Includes failures to implement, complete or deliver actions arising from incident investigations, root-cause analyses, Trust action plans or other explicit safety action plans, including avoidable delays in completing their outstanding steps.
Not included
- Excludes failures to create or sufficiently specify an action plan where no implementation failure is identified.
- Excludes delays concerning ordinary clinical, infrastructure or administrative tasks that are not identified safety-plan actions.
- Excludes generic organisational, staffing, training, audit or governance deficiencies unless they are explicitly presented as failures to implement identified safety actions.
- Reports
- 45
- Individual concerns
- 48
- Date range
- 2013–2026
- Stated actions
- 80
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
Failure to fully implement identified station security recommendations
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.
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
Install trespass gates, witches hats and anti-tread guards at the ends of Portchester station platforms.
Stated by First MTR South Western Trains Limited
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Concerns raised1
Failure to implement action and learning from self-harming incidents
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.
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 address identified fire risks from fire risk assessments
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.
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
Conduct annual fire risk assessments and assign risk-based target dates to improvements or additional requirements identified.
Stated by Sovereign Network Homes
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
Responsibility for fire risk assessment at the property is outside the respondent’s ownership and borough remit, except for actions directly affecting its service.
Stated by Barnet Homes Limited
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Concerns raised1
Failure of governance processes to complete serious incident investigation action plans
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 complete actions and recommendations within set timeframes
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.4
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Action
Require serious incident investigation reports to undergo Incident Learning Panel scrutiny and approval, with an action plan on the required template.
Stated by Betsi Cadwaladr University LHB -
Action
Track investigation actions in the Datix patient safety system and audit completion timeframes and supporting evidence.
Stated by Betsi Cadwaladr University LHB -
Action
Appoint a clinician to review historic action plans and verify action completion and available evidence.
Stated by Betsi Cadwaladr University LHB
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Action
Continue reviewing historic action plans until prior actions are confirmed complete.
Stated by Betsi Cadwaladr University LHB
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
Historic action-plan review was temporarily interrupted because the appointed clinician was redeployed to frontline services during the COVID wave.
Stated by Betsi Cadwaladr University LHB
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Concerns raised1
Delays in implementing actions following adverse incidents
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
Upload approved serious-incident actions to Datix, require completion evidence, measure timely closure and audit evidence quality.
Stated by Betsi Cadwaladr University LHB
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Concerns raised1
Failure to implement the action plan in full
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 implement changes addressing the risk of incorrect prescribing
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 implement all Domestic Homicide Review and Independent Management Review recommendations
This report raised 8 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
Compile recent similar incidents, identify common themes and report learning to the strategic domestic-violence lead.
Stated by Greater Manchester Police
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 Serious Crime Division Coordination Unit is responsible for coordinating, recording and monitoring actions arising from post-incident recommendations.
Stated by Greater Manchester Police
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Concerns raised1
Failure to implement action plans within agreed timescales
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
Introduce a weekly Incident Review Meeting to review recent incidents, monitor delayed investigations, and drive investigations and action plans to completion.
Stated by Betsi Cadwaladr University LHB
Data last updated 7 September 2026