Recurring concern
Unreliable operation of inter-provider healthcare service agreements
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Request correctionFirst reported 1 May 2015•Latest report 22 Nov 2022
What this concern includes
Includes failures in the operation of an explicitly identified healthcare service-level agreement or equivalent inter-provider service agreement, including development and implementation of delivery plans, clarification or renegotiation of responsibilities, required governance review, communication arrangements and monitoring of agreement performance where these affect coordinated patient care.
Not included
- Excludes generic inter-agency communication, coordination or accountability failures where no healthcare service-level agreement or equivalent formal inter-provider agreement is identified.
- Excludes failures in the substantive clinical care or treatment provided after the agreement has operated reliably.
- Excludes ordinary contract-management or procurement issues with no identified patient-safety or coordinated-care consequence.
- Excludes failures confined to a single provider's internal policy, care plan or staffing arrangement where no formal inter-provider agreement is the deficient control.
- Reports
- 5
- Individual concerns
- 5
- Date range
- 2015–2022
- Stated actions
- 6
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
Lack of a service level agreement for treatment of patients from Cornwall when the UHP service is unavailable
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.1
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Action
Explore with University Hospitals Plymouth and Royal Cornwall Hospital what interim out-of-region thrombectomy referral support North Bristol can offer.
Stated by Bristol NHS Foundation Trust
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Concerns raised1
Lack of progress in reviewing or renegotiating the inter-Trust Service Level Agreement
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
Complete review and renegotiation of the inter-Trust SLA, incorporating learning from the inquest, and obtain final organisational sign-off.
Stated by Royal Surrey NHS Foundation Trust and Surrey and Sussex Healthcare NHS Trust
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Concerns raised1
Failure to develop and implement the delivery plan in relation to the existing CMHT-Addaction service level agreement
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.1
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Action
Develop and implement a robust multi-agency implementation plan for the dual diagnosis strategy.
Stated by Cornwall Council and Cornwall Partnership NHS Foundation Trust and NHS Cornwall and the Isles of Scilly Integrated Care Board
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Concerns raised1
Failure of nominated officers to review the operation and performance of Service Agreements
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
Review and clarify cross-trust service-level agreements, including specifications, performance information, leads and routine review arrangements.
Stated by North West Boroughs Healthcare NHS Foundation Trust -
Action
Complete a joint review of the Radiology Service Agreement to place patient safety at the centre of its specification.
Stated by Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust
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Concerns raised1
Lack of a clear service level agreement for PIC and GP joint care
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
Maintain a Service Level Agreement with the local GP practice for joint care.
Stated by Ashfield House Surgery and Partnerships in Care Limited
Data last updated 7 September 2026