Recurring concern
Failure to obtain clinically indicated repeat investigations
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Request correctionFirst reported 20 Jan 2015•Latest report 30 Jan 2026
What this concern includes
Includes failures to request, arrange or complete a clinically indicated repeat laboratory, imaging, physiological or cardiac investigation, including repeat inflammatory markers, blood tests and ECGs, where the repeat investigation is needed to reassess a patient's condition or guide treatment.
Not included
- Excludes failures limited to reviewing, communicating or acting on an investigation result when the repeat investigation itself was obtained as required.
- Excludes investigations that were never clinically indicated or scheduled for repeat assessment.
- Excludes generic staffing, documentation, communication or follow-up deficiencies unless they directly cause failure to obtain a clinically indicated repeat investigation.
- Excludes failures involving an initial investigation rather than a required repeat investigation.
- Reports
- 12
- Individual concerns
- 14
- Date range
- 2015–2026
- Stated actions
- 13
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 carry out regular blood tests
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.1
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Action
Enforce the hospital discharge and clinical follow-up procedure, including review, action logging, GP confirmation and management audit.
Stated by Premiere Health Limited
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Concerns raised1
Failure to undertake interval cardiac scans or echocardiograms to check for deterioration
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.
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 ensure clinically indicated tests are repeated, directed and monitored
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.
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Concerns raised1
Failure to complete or communicate required repeat blood tests
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.
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Concerns raised1
Failure to act on high clozapine blood test results through repeat testing and dose adjustment
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.
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
Audit all patients prescribed clozapine on the identified doctor’s caseload for unconsidered anomalous results.
Stated by Birmingham and Solihull Mental Health NHS Foundation Trust -
Action
Issue a practice alert to doctors reminding them to review anomalous clozapine results.
Stated by Birmingham and Solihull Mental Health NHS Foundation Trust -
Action
Strengthen multidisciplinary meeting focus on physical health and include clozapine in quality-improvement checks of testing and abnormal-result actions.
Stated by Birmingham and Solihull Mental Health NHS Foundation Trust
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Action
Send pharmacy reports of clozapine results above 600 to the Clozapine Lead for direct escalation to the Consultant and Divisional Pharmacist.
Stated by Birmingham and Solihull Mental Health NHS Foundation Trust -
Action
Draft and send a clozapine safety alert to clinicians to support immediate action where necessary.
Stated by Birmingham and Solihull Mental Health NHS Foundation Trust
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Concerns raised2
Failure to obtain repeat blood tests for clinical comparison
Failure to obtain a second ECG when clinically indicated
This report raised 10 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 a clear process for repeat blood samples in babies and subsequent checking and actioning of results
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.
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 perform recommended repeat blood tests for potassium-level monitoring
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.4
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Action
Revise and approve the adult hypokalaemia management guideline as a consistent clinical tool.
Stated by the Dudley Group NHS Foundation Trust -
Action
Publicise the revised hypokalaemia guideline on the Trust intranet.
Stated by the Dudley Group NHS Foundation Trust -
Action
Circulate the revised hypokalaemia guideline to all Trust medical staff.
Stated by the Dudley Group NHS Foundation Trust
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Action
Present the revised hypokalaemia guideline at the scheduled July Medicine Audit and Governance Meeting.
Stated by the Dudley Group NHS Foundation Trust
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Concerns raised1
Failure to repeat indicated tests and act on the results
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.
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 automatically arrange and communicate repeat DVT scanning after a negative scan
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
Implement a follow-up system booking repeat ultrasound scans 6–8 days after a negative scan and notifying GP practices about non-attendance.
Stated by Isle of Wight NHS Trust
Data last updated 7 September 2026