Recurring concern
Unsafe operation of multidisciplinary clinical meetings
Pin
Get email alerts
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.
-
Concerns raised4
Poor recording of ward rounds or multi-disciplinary team meetings
Inadequate patient participation in clinical meetings
Failure of appropriate personnel to attend clinical meetings
Inadequate consideration of patient history before clinical meetings
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.
-
Concerns raised1
Lack of a robust process for alerting care teams to overdue CPA meetings
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.
-
Concerns raised1
Failure to undertake multidisciplinary case conference reassessment by a forensic psychiatrist
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.2
-
Action
Strengthen assessment and multidisciplinary discharge processes for service users who go absent without leave.
Stated by Greater Manchester Mental Health NHS Foundation Trust -
Action
Develop forensic in-reach support for high-risk community patients, including timely advice, risk management and second opinions.
Stated by Greater Manchester Mental Health NHS Foundation Trust
-
Concerns raised1
Failure to invite the social worker to ward rounds
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
-
Action
Work with admitted young people to negotiate their social worker’s involvement after informing the Leaving Care Team.
Stated by East London NHS Foundation Trust
-
Concerns raised3
Delays in holding Care Programme Approach meetings
Inadequate multidisciplinary participation in CPA meetings
Inadequate quality and duration of CPA meetings
This report raised 14 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
-
Action
Disseminate prison-specific guidance on CPA management requirements to all prison sites for comment.
Stated by Central and North West London NHS Foundation Trust -
Action
Formally ratify the prison-specific CPA management guidance as a new policy by 1 October 2017.
Stated by Central and North West London NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Position
CPA meetings are controlled by healthcare providers, so HMPPS would not necessarily be involved in them.
Stated by HM Prison and Probation Service
-
Concerns raised1
Failure to review relevant clinical records during MDT meetings
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.
-
Concerns raised1
Inadequate documentation of multidisciplinary team meeting participants, outcomes and decisions
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
-
Action
Implement clear documentation of attendees, outcomes and decisions at multidisciplinary team meetings.
Stated by Leeds and York Partnership NHS Foundation Trust
-
Concerns raised1
Failure to formalise multidisciplinary team meetings
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.
-
Concerns raised1
Failure of school nurses to attend multidisciplinary meetings reliably
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.
-
Concerns raised1
Ineffective multidisciplinary CPA meeting participation and communication
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.
Data last updated 7 September 2026