Recurring concern
Unreliable admission assessment of patients
- Reports that mention this concern
- 27
- Times this concern has been raised
- 28
- Stated actions linked to this concern
- 18
What this concern includes
Includes failures of the admission or immediate receiving-assessment process, including omitted or delayed assessment, failure to complete required assessment components, failure to reconcile relevant pre-admission information, and failure to make necessary clinical information available to admission clinicians.
What is not included
- Excludes failures limited to maintaining or retrieving clinical records when no admission-assessment impact is identified.
- Excludes pre-discharge, post-discharge, outpatient or routine ongoing assessments that are not part of admission or immediate receiving assessment.
- Excludes condition-specific assessment pathways, such as VTE, bowel-obstruction or mental-health assessment, when that named pathway supplies the more specific supported concern.
- Excludes failures occurring after an adequate admission assessment where the problem is subsequent monitoring, treatment, escalation or care planning.
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 27 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Delays in doctor-led admission clerking
This report raised 1 other concern. 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 act on available nutritional requirements advice at admission
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Sheffield Teaching Hospitals NHS Foundation Trust
Stated actions 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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Sheffield Teaching Hospitals NHS Foundation Trust
Record IDDSI eating, drinking, texture and fluid requirements on the Electronic Whiteboard and populate multidisciplinary handover sheets.
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Sheffield Teaching Hospitals NHS Foundation Trust
Provide wards with IDDSI diet signage and related patient information forms, including visible IDDSI level descriptions.
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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Sheffield Teaching Hospitals NHS Foundation Trust
COVID-19 operational pressures prevent implementing all planned safety changes in the near future.
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Concerns raised1
Clerking and risk assessment of frail elderly transfer patients out of hours
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.
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Concerns raised1
Lack of knowledge of the clinical effects of substantial hepatic compromise during haemorrhagic admission
This report raised 13 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 of the admission recording system to make obtaining carer and family information mandatory
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Devon Partnership NHS Trust
Stated actions 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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Devon Partnership NHS Trust
Use an active Care Notes care-planning field to record information sought from carers or family.
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Devon Partnership NHS Trust
Activate a Care Notes risk-assessment area recording carers’ and family members’ views.
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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Devon Partnership NHS Trust
A mandatory field for carer and family information will not be added; free-text recording and audit follow-up are considered sufficient.
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Concerns raised1
Clerking of acute patients by a medical student
This report raised 10 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 assess the significance of patients’ existing comorbidity medication
This report raised 9 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
Lack of a clear diagnostic pathway and monitoring plan on admission
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Tameside and Glossop Integrated Care NHS Foundation Trust
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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Tameside and Glossop Integrated Care NHS Foundation Trust
Establish and ratify a small bowel obstruction surgical pathway covering diagnostic priorities and monitoring for this patient group.
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Concerns raised1
Lack of documented risk assessments at admission onto Mason Unit
This report raised 5 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
Unavailability of Community medical records at hospital admission
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- Swansea Bay University Local Health Board
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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Swansea Bay University Local Health Board
Electronic community health records cannot be provided locally until national pilot studies are completed and the service is extended to hospital emergency settings.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026