Recurring concern
Failure to establish effective plans to address identified safety concerns
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Request correctionFirst reported 18 Sep 2014•Latest report 6 Jan 2026
What this concern includes
Includes failures to establish, specify or assure an effective corrective-action or improvement plan addressing identified safety concerns, service shortcomings or incident learning, including the anchor's failure to address specific service-provision shortcomings and comparable absences of meaningful plans in other reports.
Not included
- Excludes failures to implement, complete or deliver actions from an already established safety plan where plan formation is not itself deficient.
- Excludes inadequate incident investigations where the investigation process, rather than the absence or inadequacy of a resulting improvement plan, is the unsafe condition.
- Excludes generic governance, oversight or organisational-learning deficiencies unless the report specifically identifies failure to establish a meaningful plan addressing known safety concerns.
- Excludes ordinary service-improvement planning without an identified patient, public or operational safety concern.
- Reports
- 28
- Individual concerns
- 28
- Date range
- 2014–2026
- Stated actions
- 67
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 assign definitive, timed actions and named responsibility for identified care concerns
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.
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 clinical and discharge failings through an effective plan
This report raised 9 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.5
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Action
Replace the Symphony-Medisec link with a Medisec Viewer app that launches with Symphony and communicate its required use to all staff.
Stated by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust -
Action
Implement a CDU standard operating procedure defining responsibility across the patient pathway.
Stated by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust -
Action
Implement a CDU pathway document to support communication between the main hospital department and CDU on admission.
Stated by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
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Action
Introduce a discharge checklist to improve discharge documentation and reduce recurrence of discharge omissions.
Stated by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust -
Action
Continue developing an electronic CDU discharge summary and put it in place within three months.
Stated by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
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Concerns raised1
Delays in formulating action plans after serious incident investigations and reviews
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.3
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Action
Revise the serious-incident investigation model, pairing Corporate Concerns Team staff with catastrophic-incident investigators and expanding staff training capacity.
Stated by Betsi Cadwaladr University LHB -
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 -
Action
Implement a project-management approach for comprehensive investigations, including completion milestones agreed with the designated Chair.
Stated by Betsi Cadwaladr University LHB
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Concerns raised1
Failure to establish a timeframe for completion of junction safety improvements
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.2
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Action
Install yellow-backed warning signs and refresh road markings on the Sibbertoft approach.
Stated by Northamptonshire County Council -
Action
Introduce inaudible transverse rumble strips before the junction mouth on the Sibbertoft approach.
Stated by Northamptonshire County Council
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Concerns raised1
Absence of an agreed and effective system plan
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.
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Concerns raised1
Lack of sufficiently detailed, complete and evidence-supported action planning
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
Update the previous action plan with supporting evidence showing that identified actions have been taken forward.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Lack of a robust, comprehensive action plan with timescales
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
Action plans based on erroneous investigation findings
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.2
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Action
Establish named RCA Chairs to oversee investigation scope, team composition, SMART action plans and report sign-off.
Stated by University Hospitals of Leicester NHS Trust -
Action
Systematically review every action plan and track actions through to full implementation.
Stated by University Hospitals of Leicester NHS Trust
Data last updated 7 September 2026