Recurring concern
Unreliable named-nurse allocation and identification
First reported 14 Jul 2014•Latest report 29 Feb 2024
What this concern includes
Includes failures in the named-nurse system for allocating, identifying, communicating and recording the nurse responsible for each patient, including delayed or absent allocation, allocation without the nurse's or patient's knowledge, and missing records of the appointment.
Not included
- Excludes failures in the named nurse's subsequent care, engagement, risk assessment or one-to-one sessions when named-nurse allocation and identification were reliable.
- Excludes generic nursing staffing, handover, communication or record-keeping deficiencies unless they directly impair the named-nurse allocation and identification system.
- Excludes allocation of named consultants, care coordinators or other roles unless the assertion explicitly concerns the named-nurse system.
- Excludes unrelated allocation of resources, tasks, care types or staff to positions.
- Reports
- 4
- Individual concerns
- 5
- Date range
- 2014–2024
- Stated actions
- 4
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 raised2
Inadequate allocation of named nurses to patients
Failure to record the named nurse appointed to each patient
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.2
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Action
Review and revise named-nurse allocation in adult mental health acute wards, including allocation on admission where possible.
Stated by Nottinghamshire Healthcare NHS Foundation Trust -
Action
Record each patient’s named nurse in the care plan and audit compliance.
Stated by Nottinghamshire Healthcare NHS Foundation Trust
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Concerns raised1
Failure to allocate a named nurse
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
Nebulous execution of the named nurse system
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 identify a named nurse responsible for each patient on every shift
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.
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
Audit shift planners randomly to verify completion of all required areas.
Stated by Devon Partnership NHS Trust -
Action
Use ward allocation boards, shift planners, staff identification boards and minimum handover standards to communicate patient allocations and status to incoming staff.
Stated by Devon Partnership NHS Trust
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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Position
Existing policies, standards and guidance address the concerns; new standards are not required, though further assurance actions will be implemented.
Stated by Devon Partnership NHS Trust
Data last updated 7 September 2026