Recurring concern
Unreliable care-planning processes
- Reports that mention this concern
- 120
- Times this concern has been raised
- 141
- Stated actions linked to this concern
- 200
What this concern includes
Includes missing, incomplete, unclear, outdated, uncoordinated, unreviewed or unimplemented formal person-level care plans and established named equivalents such as integrated care or care-and-crisis plans.
What is not included
- Excludes standalone procedural instructions, treatment steps, extubation plans and immediate deterioration-management plans unless the source explicitly identifies them as part of the person's formal care plan.
- Excludes organisational improvement plans, staffing plans and operational contingency plans.
- Excludes discharge planning, risk assessment, family involvement or generic records when that separate control is the concern and formal care-plan reliability is not directly asserted.
Trends
Reports over time
Reports mentioning this concern, 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.
Reports and published responses 120 reports
See individual reports that have raised this concern, and the actions taken in response
-
Concerns raised1
Failure to update general health and mobility care plans
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to update mental health care plans
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Ministry of Defence
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Ministry of Defence
Improve clinical record keeping to ensure care plans, risk assessments and clinical reasoning are documented clearly and electronically.
-
Ministry of Defence
Strengthen senior-clinician oversight of record-keeping quality and regularly review clinicians whose performance falls below the required standard.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Ministry of Defence
The care plan was updated and risk levels were reviewed, contrary to the concern that neither had been updated as risk escalated.
-
Concerns raised1
Failure to update care plans following identified mouthing risks
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Department of Health and Social Care
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
Department of Health and Social Care
Existing CQC regulatory action and continued monitoring are considered sufficient to reduce further risks at the care home.
-
Department of Health and Social Care
Registered providers and service managers are responsible for safe care, local risk assessments and mitigating environmental and other risks.
-
Concerns raised2
Failure to document increased observation arrangements in written records or care plans
Failure to include resident bedroom-door preferences in care plans
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure to update Care and Treatment Plans when mental health deteriorates
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Sussex Partnership NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Sussex Partnership NHS Foundation Trust
Revise care plan formats and processes to improve care standards.
-
Sussex Partnership NHS Foundation Trust
Continue monitoring compliance with care plans, risk assessments and supervision through performance reporting and audits.
-
Concerns raised1
Failure to develop robust plans addressing protective factors and harm minimisation
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Oxleas NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Oxleas NHS Foundation Trust
Strengthen community mental-health assessment oversight, including further face-to-face assessment where diagnoses differ and monthly quality audits.
-
Oxleas NHS Foundation Trust
Establish a Trust-wide rolling programme delivering STORM and DICES training on suicide prevention, risk assessment, safety planning and risk management.
-
Concerns raised1
Failure to formally review care plans for patients prescribed Clozapine
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Priory Group
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Priory Group
Complete the 2020 formal audit of patient care plans and analyse its results.
-
Concerns raised1
Failure to create formal written care plans for patients with complex medical needs
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure of interagency communication to produce a clear and effective care plan for people with learning disabilities
This report raised 10 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- Department of Health and Social Care
- NHS Greater Manchester Integrated Care Board
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Department of Health and Social Care
Publish an evidence review of care co-ordination for people with learning disabilities, focused on health and wellbeing.
-
NHS Greater Manchester Integrated Care Board
Improve timely discharge-summary publication, targeting delivery within 48 hours and performance above the Trust’s 95% standard.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
Department of Health and Social Care
The local NHS is expected to reflect on the LeDeR findings and address local failings in care for people with learning disabilities.
-
NHS Greater Manchester Integrated Care Board
Community care matters in Derbyshire fall outside the Greater Manchester Health and Social Care Partnership’s remit.
-
Concerns raised1
Lack of overarching care plans for service users whose care requirements exceed brief intervention
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- North East London NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
North East London NHS Foundation Trust
Issue a reminder to maintain an up-to-date overarching care plan for every patient receiving AABIT care.
-
North East London NHS Foundation Trust
Produce and discuss monthly RIO reports demonstrating compliance with care and crisis plans on the correct pathway.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026