Recurring concern
Inadequate patient information for surgical procedures
First reported 12 Mar 2015•Latest report 24 Sep 2019
What this concern includes
Includes failures of patient-facing information arrangements specifically for surgical procedures, including absent, incomplete, unsuitable or undistributed procedure-specific information leaflets and equivalent written or accessible materials about preparation, risks, recovery or required follow-up.
Not included
- Excludes generic patient communication or health-literacy deficiencies not specifically tied to information for a surgical procedure.
- Excludes failures in obtaining informed consent where the consent process, rather than provision of surgical patient information, is the unsafe condition.
- Excludes discharge information unrelated to surgery, and clinical information exchanged solely between professionals.
- Excludes failures involving one particular leaflet's wording or format when no broader deficiency in surgical patient-information provision is identified.
- Reports
- 4
- Individual concerns
- 5
- Date range
- 2015–2019
- Stated actions
- 9
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 a patient information leaflet for this type of surgery
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.3
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Action
Remind preoperative assessment staff to provide the appropriate patient information leaflet and document that provision.
Stated by Lewisham and Greenwich NHS Trust -
Action
Complete an audit of patient-information leaflet provision to assess whether the communication strategy was effective.
Stated by Lewisham and Greenwich NHS Trust -
Action
Include the availability of patient information leaflets in induction programmes for newly appointed medical staff, emphasising provision during consultations.
Stated by Lewisham and Greenwich NHS Trust
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Concerns raised1
Failure to ensure discharge information addresses thromboembolism risk after trauma-related surgery
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
Review patient information provided after blood-clot risk assessment.
Stated by Bradford Teaching Hospitals NHS Foundation Trust -
Action
Develop a revised leaflet for patients following blood-clot risk assessment.
Stated by Bradford Teaching Hospitals NHS Foundation Trust -
Action
Introduce the revised leaflet for all patients from 1 December 2018.
Stated by Bradford Teaching Hospitals NHS Foundation Trust
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Concerns raised2
Failure to provide enhanced recovery paperwork
Failure to provide the enhanced recovery cystectomy leaflet
This report raised 6 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
Review and circulate updated cystectomy pathway documentation covering enhanced recovery, patient information and discharge requirements.
Stated by East Sussex Healthcare NHS Trust -
Action
Use the cystectomy pathway documentation for all relevant surgical cases.
Stated by East Sussex Healthcare NHS Trust
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Concerns raised1
Failure to provide procedure and aftercare leaflets to patients
This report raised 6 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
Document leaflet provision using a pre-assessment tick box and required staff entries.
Stated by Norfolk and Norwich University Hospitals NHS Foundation Trust
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
The Trust’s implemented Action Plan was considered to have addressed the reported care concerns, with learning and improvement demonstrated.
Stated by Department of Health and Social Care
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Position
The Department cannot become involved in or comment on individual cases.
Stated by Department of Health and Social Care
Data last updated 7 September 2026