Includes failures of the dedicated fluid-balance recording process, including records of intravenous fluids, fluid intake and output, and food or fluid offers and consumption, where the recording deficiency impairs reliable assessment of fluid status.
What is not included
Excludes failures to administer prescribed fluids when the recording process itself is not deficient.
Excludes general poor maintenance of clinical or nursing records unrelated to fluid balance.
Excludes failures in fluid-balance assessment, escalation or treatment decisions unless they also involve unreliable fluid-balance recording.
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.
Department of Health and Social Care6
University Hospitals Sussex NHS Foundation Trust4
Blackpool Teaching Hospitals NHS Foundation Trust3
Care Quality Commission3
NHS England3
Ashford and St Peter'S Hospitals NHS Foundation Trust2
General Medical Council2
Greater Manchester Mental Health NHS Foundation Trust2
Pennine Acute Hospitals NHS Trust2
Royal College of Obstetricians and Gynaecologists2
Stockport NHS Foundation Trust2
Academy of Medical Royal Colleges1
Amberley Hall Care Home1
Athena Care Homes (UK) Limited1
Barking, Havering and Redbridge University Hospitals NHS Trust1
NHS trust30
Healthcare site13
Ministerial department6
Nursing home4
Private limited company4
Executive non-departmental public body3
Health and care professional regulator3
Health and social care service regulator3
Health professional body3
Integrated care board3
Independent healthcare provider2
Local health board2
Clinical commissioning group1
English county council1
English unitary authority1
Reports and published responses 46 reports
See individual reports that have raised this concern, and the actions taken in response
Brighton and Hove
Concerns raised1
Failure to record fluid intake and output
This report raised 24 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
University Hospitals Sussex 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
University Hospitals Sussex NHS Foundation Trust
Monitor documentation more closely and provide nurses with real-time feedback.
University Hospitals Sussex NHS Foundation Trust
Review and condense Acute Medical Unit documentation into multidisciplinary paperwork that directs care and reduces duplication.
Surrey
Concerns raised2
Inadequacy of fluid balance charts
Failure to record post operative fluid balance
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
Survey and Sussex NHS Healthcare NHS 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.6
Survey and Sussex NHS Healthcare NHS Trust
Implement national-standard Early Warning Score paperwork and provide recurring staff training on deterioration recognition and fluid-balance monitoring.
Survey and Sussex NHS Healthcare NHS Trust
Provide Sepsis, Acute Kidney Injury and fluid-balance monitoring study days for ward nurses.
Survey and Sussex NHS Healthcare NHS Trust
Deliver ward-based teaching on patient assessment, acute kidney injury and fluid balance, with further sessions planned during 2015.
Conduct a Trust-wide audit of fluid-balance chart completion during 2015.
Survey and Sussex NHS Healthcare NHS Trust
Start BEACH courses in April 2015, including fluid-balance monitoring training.
Manchester South
Concerns raised1
Failure to keep fluid balance charts properly
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
Stockport 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.1
Stockport NHS Foundation Trust
Improve fluid-balance documentation through contemporaneous recording, two-hourly chart review during intentional rounding, and checks before shift handover.
Manchester South
Concerns raised1
Failure to commence fluid balance charts for patients receiving intravenous fluids
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Brighton and Hove
Concerns raised1
Failure to record fluid charts correctly
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Failure to maintain a complete Fluid Balance Chart
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.