Recurring concern
Unreliable provision of safety-critical patient information to paramedics
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Request correctionFirst reported 28 Feb 2014•Latest report 28 Apr 2023
What this concern includes
Includes failures in the bounded process of preparing, maintaining or communicating safety-critical patient information to attending paramedics or ambulance crews, including missing or inaccurate medical history, allergies, medication, mobility, consciousness, presenting circumstances or other information needed for pre-hospital assessment and treatment.
Not included
- Excludes failures in ambulance computer systems or ambulance-service information-transfer systems where the source does not identify the patient-information handover or provision process as deficient.
- Excludes generic clinical record-keeping, inter-service communication or handover failures where paramedics or ambulance crews are not the relevant recipient.
- Excludes failures limited to paramedic clinical judgement, treatment, transport, dispatch or hospital handover after the relevant patient information was reliably provided.
- Excludes information deficiencies concerning non-safety-critical administrative details unless they materially impair paramedic assessment or treatment.
- Reports
- 12
- Individual concerns
- 12
- Date range
- 2014–2023
- Stated actions
- 18
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 provide paramedics with a clear and relevant patient history
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.
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
Conduct monthly resuscitation drills covering emergency alarms, equipment, oxygen, defibrillation, clinical handover and cardiac-checklist use.
Stated by North East London 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
SBARD and the Adult Cardiac Checklist already provide recognised frameworks for handing cardiac incident information to paramedics.
Stated by North East London NHS Foundation Trust
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Position
Concerns about care provision and coordination are mainly for the NHS Trust to address.
Stated by Department of Health and Social Care
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Concerns raised1
Delays in calling emergency services and relaying basic emergency information
This report raised 15 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
Deliver drop-in refresher life-support training for clinical and administrative staff, emphasizing immediate help-seeking and pinpoint-alarm use.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Conduct a medical-emergency simulation with Derwent Centre staff and share incident learning for incorporation into current training.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Develop and launch an emergency communication tool containing essential patient and site information for ambulance calls across all wards.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Failure to pass relevant incident and vulnerability information to ambulance and hospital staff
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.1
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Action
Improve officers’ sharing of vital incident information with colleagues, ambulance crews and medical staff.
Stated by Metropolitan Police Service
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Concerns raised1
Lack of sufficiently clear EEAS training on communicating relevant recorded information to ambulance crews for dynamic risk assessments
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.
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 maintain current information for immediate guidance to paramedics
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.2
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Action
Place alerts on the NWAS system for children with current advance care plans and review them when changed or at least annually.
Stated by Pennine Care NHS Foundation Trust -
Action
Review archived records for children with palliative care needs to identify advance care plans predating the electronic system and include them in alerts.
Stated by Pennine Care NHS Foundation Trust
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Concerns raised1
Failure to provide paramedics with basic patient information
This report raised 13 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
Implement the adapted Hospital Passport Transport Traffic Light System across West Sussex homes and the wider company.
Stated by Shaw Healthcare Limited
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Concerns raised1
Failure to communicate arranged admission-bed information to ambulance crews
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.3
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Action
Work with the CAD supplier to alter call duplication so pertinent destination information transfers into the active call.
Stated by EEAST -
Action
Require dispatch staff to transfer pertinent information manually into new calls until the technological solution is available.
Stated by EEAST -
Action
Share CAD information-recording and transmission best practice and solutions with other ambulance services.
Stated by EEAST
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Concerns raised1
Failure to provide ambulance staff with medical history and medication information
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
Failure to provide the Ambulance Service with accurate current patient-status information
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.1
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Action
Extend ward medical-emergency simulations to test ambulance-call connection and availability of patient information and observations.
Stated by Birmingham and Solihull Mental Health NHS Foundation Trust
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Concerns raised1
Failure to use available medical history to advise ambulance services of cardiac problems
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
Require call handlers to share relevant medical details with emergency services at initial contact unless instructed otherwise.
Stated by Magenta Living -
Action
Brief all trained community alarm call handlers on the revised procedures, record their understanding, and provide the updated procedure.
Stated by Magenta Living -
Action
Address the revised procedures with new call-handling staff through the normal induction programme.
Stated by Magenta Living
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Action
Monitor staff implementation of procedural changes through spot audits, call-recording reviews, data checks, and performance improvement measures.
Stated by Magenta Living
Data last updated 7 September 2026