Recurring concern
Unreliable documentation of falls-risk management
First reported 3 Sep 2014•Latest report 25 Feb 2026
What this concern includes
Includes failures to record, update or preserve falls-risk assessments, reassessments, precautions, management decisions and the rationale for measures adopted or not adopted, including the anchor's poor recording of falls-risk management and comparable discrepant or incomplete falls-risk documentation.
Not included
- Excludes failures to assess falls risk where the assessment itself, rather than its documentation, is the only deficient control.
- Excludes failures to implement falls-prevention measures after accurate falls-risk documentation is available.
- Excludes generic clinical-record deficiencies without a material falls-risk management component.
- Excludes recording of falls or post-fall clinical responses where the asserted unsafe condition is not documentation of falls-risk management.
- Reports
- 16
- Individual concerns
- 18
- Date range
- 2014–2026
- Stated actions
- 34
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 document falls risk assessments and fall-prevention interventions
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.
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
Review the Falls Risk Assessment and Care Plan to align it explicitly with NICE falls-prevention guidance.
Stated by East Kent Hospitals University NHS Foundation Trust
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Concerns raised1
Inaccurate falls-risk documentation
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.3
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Action
Audit documentation on service users’ falls and mobility.
Stated by Fairfield View Care Centre -
Action
Audit care plans and daily records daily and weekly for accurate risk assessments and fall documentation.
Stated by Fairfield View Care Centre -
Action
Provide care-planning training covering accurate risk assessments, service-user needs, documentation and involvement in care planning.
Stated by Fairfield View Care Centre
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Concerns raised1
Inaccurate recording of walking aids in falls risk assessments
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.
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 falls-risk identification and prevention measures, including standardised assessment, high-risk wristbands, direct-observation bays and monthly falls-reduction monitoring.
Stated by Barts Health NHS Trust
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Concerns raised1
Failure to accurately record previous falls in falls risk assessments
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 complete emergency department nursing documentation and falls assessment
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.2
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Action
Provide further documentation training through departmental nurse induction and nurse development training days.
Stated by University Hospitals Sussex NHS Foundation Trust -
Action
Conduct regular audits to ensure Short Stay Ward and Clinical Decisions Unit proformas are used correctly.
Stated by University Hospitals Sussex NHS Foundation Trust
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Concerns raised1
Poor recording of falls-risk management
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.
Data last updated 7 September 2026