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Includes missing, incomplete, unclear, outdated, uncoordinated, unreviewed or unimplemented formal person-level care plans and established named equivalents such as integrated care or care-and-crisis plans.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 meaningfully update care plans
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised2
Lack of updating care plans with meetings and decisions about changing needs
Lack of updating care plans to reflect and manage changing needs
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.
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
Use the introduced care plan template to record multidisciplinary meeting outcomes and update plans in response to changing needs.
Stated by Amc (Penryn) Limited -
Action
Review care plans monthly and amend them to reflect permanent or temporary changes in residents’ needs.
Stated by Amc (Penryn) Limited
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 new care-plan template and regular review process are relied upon to record multidisciplinary decisions and address changing needs.
Stated by Amc (Penryn) Limited
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Position
Monthly care-plan reviews and amendments are relied upon to address changing care needs.
Stated by Amc (Penryn) Limited
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Concerns raised1
Failure to maintain up-to-date written care and crisis plans
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
Provide interim and updated written care and crisis plans, including emergency contacts and safety plans after unplanned discharge, with reviews within seven and 28 days.
Stated by Norfolk and Suffolk NHS Foundation Trust -
Action
Roll out staff training in care planning and crisis or safety planning to embed the revised care-planning processes.
Stated by Norfolk and Suffolk NHS Foundation Trust
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Concerns raised1
Failure to regularly update care plans and risk assessments
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
Monitor Community Mental Health Team compliance using dashboards, reports and monthly performance meetings.
Stated by Cornwall Partnership NHS Foundation Trust -
Action
Implement structured recording and oversight of staff supervision under the revised Supervision Policy.
Stated by Cornwall Partnership NHS Foundation Trust
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Concerns raised1
Failure to draft proper 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.1
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Action
Check that newly arrived prisoners receive a full health assessment and care plan within seven days, recording checks for healthcare staff.
Stated by NHS England
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
Healthcare providers are responsible for the quality and safety of care provided at HMP Lewes.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to check or audit school allergy care plans and medication boxes
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
Lack of care plans addressing identified high fall risk
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.1
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Action
Implement organisation-wide multifactorial falls risk assessments, including reassessment, care planning, documentation and review requirements.
Stated by Hc-One Limited
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
Falls among older people cannot always be prevented, although risks can be minimised and staff responses improved.
Stated by Hc-One Limited
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Concerns raised1
Lack of psychiatric input into 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 raised2
Inadequate and insufficient care plans addressing specific risk issues
Lack of appropriate review and reassessment of care plans
This report raised 9 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
Formulate risk-specific care plans, review them monthly or when needs change, and audit completion and risk management.
Stated by Zinnia Healthcare Limited
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Concerns raised1
Failure to undertake falls prevention care plans
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
Add safety-equipment risk assessments to care plans, including whether equipment is used and reasons for non-use.
Stated by Beechwood Lodge
Data last updated 7 September 2026