First reported 6 Nov 2013•Latest report 22 Dec 2025
Definition
What this concern includes
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.
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.
Reports
46
Distinct published reports
Individual concerns
50
A report can raise multiple concerns
Date range
2013–2025
First to latest report issue date
Stated actions
87
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.
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
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.
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.
Responses linked to these concerns
Each 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
Action
Monitor documentation more closely and provide nurses with real-time feedback.
Stated by University Hospitals Sussex NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 7 May 2015.
Action
Review and condense Acute Medical Unit documentation into multidisciplinary paperwork that directs care and reduces duplication.
Stated by University Hospitals Sussex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 7 May 2015.
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.
Responses linked to these concerns
Each 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.6
Action
Implement national-standard Early Warning Score paperwork and provide recurring staff training on deterioration recognition and fluid-balance monitoring.
Stated by Survey and Sussex NHS Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 27 January 2015.
Action
Provide Sepsis, Acute Kidney Injury and fluid-balance monitoring study days for ward nurses.
Stated by Survey and Sussex NHS Healthcare NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 27 January 2015.
Action
Deliver ward-based teaching on patient assessment, acute kidney injury and fluid balance, with further sessions planned during 2015.
Stated by Survey and Sussex NHS Healthcare NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 27 January 2015.
Stated by Survey and Sussex NHS Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 27 January 2015.
Action
Conduct a Trust-wide audit of fluid-balance chart completion during 2015.
Stated by Survey and Sussex NHS Healthcare NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 27 January 2015.
Action
Start BEACH courses in April 2015, including fluid-balance monitoring training.
Stated by Survey and Sussex NHS Healthcare NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 27 January 2015.
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.
Responses linked to these concerns
Each 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
Action
Improve fluid-balance documentation through contemporaneous recording, two-hourly chart review during intentional rounding, and checks before shift handover.
Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 15 May 2014.
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.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one 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.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one 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.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Pin
Get email alerts
Request correction
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.
