Recurring concern
Unsafe operation of multidisciplinary clinical meetings
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Request correctionFirst reported 10 Jan 2014•Latest report 27 May 2026
What this concern includes
Includes failures of explicitly multidisciplinary clinical meetings, ward rounds, CPA meetings or comparable clinical case meetings involving inadequate preparation, relevant-record review, appropriate attendance, patient participation, risk discussion, decision-making, meeting effectiveness or recording where these impair safe care decisions.
Not included
- Excludes non-clinical, governance, learning or administrative meetings unless the assertion directly concerns a multidisciplinary clinical meeting about a patient's care.
- Excludes generic communication, staffing, training or documentation deficiencies that are not directly tied to the operation of a multidisciplinary clinical meeting.
- Excludes failures of a separately named clinical pathway or safety system where meeting operation is only an incidental component and the wider named concern provides the appropriate boundary.
- Excludes inappropriate treatment, discharge or referral decisions where no deficiency in the multidisciplinary clinical meeting is identified.
- Reports
- 33
- Individual concerns
- 38
- Date range
- 2014–2026
- Stated actions
- 32
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 multidisciplinary crisis planning meetings
This report raised 18 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
Use Dynamic Support Register and Care and Treatment Review referral processes to coordinate enhanced community support and alternatives to hospital admission.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Failure to hold a multidisciplinary risk discussion for an unsafe home birth
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
Set minimum standards for safe homebirth services, including clear terminology, safety and risk assessment, multidisciplinary care planning, consent documentation, and standardised equipment.
Stated by NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
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Position
The NHS Trust should consider support and consent matters because they concern local NHS delivery rather than requested national guidance.
Stated by National Institute for Health and Care Excellence
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Position
Professionals must address alternative care when NICE recommendations are not followed in the specific circumstances.
Stated by National Institute for Health and Care Excellence -
Position
Support under the Royal College of Midwives guideline falls outside NICE’s remit because NICE did not produce that guideline.
Stated by National Institute for Health and Care Excellence -
Position
Responsibility for the specific homebirth concerns sits with NHS England, which will issue the substantive response.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to enable named-nurse participation in MDTs
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.2
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Action
Implement MDT scheduling that enables named-nurse attendance or requires an appropriate alternative clinician to attend and prepare with the patient.
Stated by Alternative Futures Group Limited -
Action
Record named-nurse or alternative-clinician MDT attendance and monitor compliance through monthly senior-practitioner audits.
Stated by Alternative Futures Group Limited
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Concerns raised1
Failure of the multidisciplinary team meeting to discuss the patient's case
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.
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
Enable Epic to auto-populate the next morning trauma list from referrals to reduce manual list-entry errors.
Stated by East Suffolk and North Essex NHS Foundation Trust
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Concerns raised1
Failure of internal multidisciplinary joint working
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.6
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Action
Establish and staff a dedicated Early Days in Custody Nurse role to oversee reception screening, risk assessment, information sharing, escalation, supervision, and quality assurance.
Stated by HCRG Care Group -
Action
Provide structured reception-nurse supervision, coaching, documentation audits, case-based feedback, and governance reporting to improve recording and escalation of mental-health risks.
Stated by HCRG Care Group -
Action
Review mental-health operational procedures and referral processes to clarify urgent-referral thresholds, escalation routes, and expected 24-hour response times.
Stated by HCRG Care Group
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Action
Standardise sample-based community mental health caseload audits across localities.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Reissue mandatory escalation guidance and introduce MDT agendas and case-presentation templates for changing risk or uncertainty.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Require teams to record cases needing MDT discussion and require team leaders to review compliance weekly.
Stated by Essex Partnership University 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
Existing supervision, MDT escalation, governance, and proportionate sample-based audits are considered sufficient; exhaustive case-by-case auditing is not required.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Lack of an embedded mechanism for cross-sector MDT meetings and liaison in foreign-body cases
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.
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
Trial a joint physical and mental health policy for managing patients who insert foreign bodies, including joint meetings and impact review.
Stated by Nottinghamshire Healthcare NHS Foundation Trust -
Action
Implement and approve a new guideline for managing deliberately inserted foreign bodies, including clear MDT and mental-health consultation requirements.
Stated by Sherwood Forest Hospitals NHS Foundation Trust
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Concerns raised1
Lack of a specialist renal consultant at the MDT
This report raised 12 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
Operate a focused weekly kidney and upper-tract urological cancer MDT reviewing relevant recent scans with specialist multidisciplinary participation across hospital sites.
Stated by Mid and South Essex 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
Specialist renal consultant participation and cross-site hybrid MDT working are considered to have addressed concerns about decision-making and hospital interaction.
Stated by Mid and South Essex NHS Foundation Trust
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Concerns raised1
Failure to convene a multidisciplinary meeting to coordinate the biopsy pathway
This report raised 1 other concern. 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
Require bedside Infection Service reviews for complex pressure ulcers and multidisciplinary discussion with ward and Tissue Viability teams, escalating appropriate osteomyelitis cases to the complex bone MDT.
Stated by University Hospitals Birmingham NHS Foundation Trust
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Concerns raised1
Failure to provide a Consultant Histopathologist at Hepato-pancreato-biliary MDT meetings
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.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
NHS England should further address concerns about consultant histopathologist attendance at meetings and national vacancies.
Stated by Department of Health and Social Care
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Position
Trusts, rather than NHS England, are responsible for ensuring safe staffing levels in hospitals’ current day-to-day operations.
Stated by NHS England
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Concerns raised1
Failure to conduct multidisciplinary discussion of changes in presentation
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.
Data last updated 7 September 2026