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Includes missing, incomplete, unclear, outdated, uncoordinated, unreviewed or unimplemented formal person-level care plans and established named equivalents such as integrated care or care-and-crisis plans.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 reassess and update care plans and falls risks after hospital return
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
Insufficient end-of-life care planning to guide nursing and care staff
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.5
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Action
Use multidisciplinary meetings involving all relevant care bodies to inform comprehensive End of Life care plans where appropriate.
Stated by Sycamore Horizon Ltd -
Action
Pilot the End of Life care plan in three homes.
Stated by Sycamore Horizon Ltd -
Action
Complete Quality Assurance review and sign-off of the End of Life care plan.
Stated by Sycamore Horizon Ltd
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Action
Implement the signed-off End of Life care plan across the full portfolio of homes and train staff to use it.
Stated by Sycamore Horizon Ltd -
Action
Review the resuscitation protocol and End of Life care plan at least every three years and earlier when legislation or incidents require review.
Stated by Sycamore Horizon Ltd
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Concerns raised1
Failure to create a care plan and provide assistance
This report raised 6 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 formal written care plans with clear crisis-management guidance for distant residential homes
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
Delays in completing 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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Inadequate caremap planning
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
Reinforce CAREMAP reviews at each case review and record responsibility for actions and feedback at the next review.
Stated by HM Prison and Probation Service
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Concerns raised1
Lack of individualised neonatal nursing 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.
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
Staffing, training, governance and clinical issues are local matters that should be addressed by the NHS Trust.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to provide care plans
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
Failure to revisit and revise risk care plans
Insufficient scope and depth of risk care planning
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.2
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Action
Revise clinical risk-care-planning documents to reduce repetition and support succinct recording of relevant issues.
Stated by Sussex Partnership NHS Foundation Trust -
Action
Complete regular audits of risk-care-planning documentation to ensure required standards are met.
Stated by Sussex Partnership NHS Foundation Trust
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
Clinicians understood the patient’s risks despite deficiencies in some risk-care documentation.
Stated by Sussex Partnership NHS Foundation Trust
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Concerns raised1
Failure of training protocols and Care Plans to ensure emergency-service calls and ambulance attendance despite client wishes
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