Recurring concern
Failure to implement identified safety actions
- Reports that mention this concern
- 45
- Times this concern has been raised
- 48
- Stated actions linked to this concern
- 80
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.
What is 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.
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 45 reports
See individual reports that have raised this concern, and the actions taken in response
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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.
Linked response
- First MTR South Western Trains Limited
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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First MTR South Western Trains Limited
Install trespass gates, witches hats and anti-tread guards at the ends of Portchester station platforms.
-
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
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.
Linked responses
- Barnet Homes Limited
- Sovereign Network Homes
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
-
Sovereign Network Homes
Conduct annual fire risk assessments and assign risk-based target dates to improvements or additional requirements identified.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Barnet Homes Limited
Responsibility for fire risk assessment at the property is outside the respondent’s ownership and borough remit, except for actions directly affecting its service.
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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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to complete actions and recommendations within set timeframes
Linked response
- Betsi Cadwaladr University LHB
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
-
Betsi Cadwaladr University LHB
Require serious incident investigation reports to undergo Incident Learning Panel scrutiny and approval, with an action plan on the required template.
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Betsi Cadwaladr University LHB
Track investigation actions in the Datix patient safety system and audit completion timeframes and supporting evidence.
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Betsi Cadwaladr University LHB
Appoint a clinician to review historic action plans and verify action completion and available evidence.
-
Betsi Cadwaladr University LHB
Continue reviewing historic action plans until prior actions are confirmed complete.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Betsi Cadwaladr University LHB
Historic action-plan review was temporarily interrupted because the appointed clinician was redeployed to frontline services during the COVID wave.
-
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.
Linked response
- Betsi Cadwaladr University LHB
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
-
Betsi Cadwaladr University LHB
Upload approved serious-incident actions to Datix, require completion evidence, measure timely closure and audit evidence quality.
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Concerns raised1
Failure to implement the action plan in full
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
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.
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.
Linked response
- Greater Manchester Police
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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Greater Manchester Police
Compile recent similar incidents, identify common themes and report learning to the strategic domestic-violence lead.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Greater Manchester Police
The Serious Crime Division Coordination Unit is responsible for coordinating, recording and monitoring actions arising from post-incident recommendations.
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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.
Linked response
- Betsi Cadwaladr University LHB
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
-
Betsi Cadwaladr University LHB
Introduce a weekly Incident Review Meeting to review recent incidents, monitor delayed investigations, and drive investigations and action plans to completion.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026