Recurring concern
Unreliable care-planning processes
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Request correctionFirst reported 1 Aug 2013•Latest report 2 Jun 2026
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Includes missing, incomplete, unclear, outdated, uncoordinated, unreviewed or unimplemented formal person-level care plans and established named equivalents such as integrated care or care-and-crisis plans.
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.
- Reports
- 120
- Individual concerns
- 141
- Date range
- 2013–2026
- Stated actions
- 200
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 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.
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 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.
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
Improve clinical record keeping to ensure care plans, risk assessments and clinical reasoning are documented clearly and electronically.
Stated by Ministry of Defence -
Action
Strengthen senior-clinician oversight of record-keeping quality and regularly review clinicians whose performance falls below the required standard.
Stated by Ministry of Defence
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
The care plan was updated and risk levels were reviewed, contrary to the concern that neither had been updated as risk escalated.
Stated by Ministry of Defence
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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.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
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
Existing CQC regulatory action and continued monitoring are considered sufficient to reduce further risks at the care home.
Stated by Department of Health and Social Care
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Position
Registered providers and service managers are responsible for safe care, local risk assessments and mitigating environmental and other risks.
Stated by Department of Health and Social Care
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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.
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 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.
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
Revise care plan formats and processes to improve care standards.
Stated by Sussex Partnership NHS Foundation Trust -
Action
Continue monitoring compliance with care plans, risk assessments and supervision through performance reporting and audits.
Stated by Sussex Partnership NHS Foundation Trust
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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.
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
Strengthen community mental-health assessment oversight, including further face-to-face assessment where diagnoses differ and monthly quality audits.
Stated by Oxleas NHS Foundation Trust -
Action
Establish a Trust-wide rolling programme delivering STORM and DICES training on suicide prevention, risk assessment, safety planning and risk management.
Stated by Oxleas NHS Foundation Trust
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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.
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
Complete the 2020 formal audit of patient care plans and analyse its results.
Stated by Priory Group
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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.
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 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.
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
Publish an evidence review of care co-ordination for people with learning disabilities, focused on health and wellbeing.
Stated by Department of Health and Social Care -
Action
Improve timely discharge-summary publication, targeting delivery within 48 hours and performance above the Trust’s 95% standard.
Stated by NHS Greater Manchester Integrated Care Board
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 local NHS is expected to reflect on the LeDeR findings and address local failings in care for people with learning disabilities.
Stated by Department of Health and Social Care
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Position
Community care matters in Derbyshire fall outside the Greater Manchester Health and Social Care Partnership’s remit.
Stated by NHS Greater Manchester Integrated Care Board
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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.
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
Issue a reminder to maintain an up-to-date overarching care plan for every patient receiving AABIT care.
Stated by North East London NHS Foundation Trust -
Action
Produce and discuss monthly RIO reports demonstrating compliance with care and crisis plans on the correct pathway.
Stated by North East London NHS Foundation Trust
Data last updated 7 September 2026