First reported 29 May 2013•Latest report 15 Jun 2026
Definition
What this concern includes
Includes failures of the inter-agency care information-sharing system, including inadequate arrangements, communication channels, shared records or contact mechanisms when these prevent timely access to relevant care, needs or risk information between agencies.
Not included
Excludes information-sharing failures unrelated to coordination between agencies supporting a person.
Excludes failures confined to a single organisation's records, assessment, documentation or communication process unless the report directly links them to inter-agency information sharing.
Excludes generic staffing, confidentiality, policy or technology deficiencies that are not specifically tied to the unsafe inter-agency information-sharing condition.
Excludes hazards involving public access to harmful information or physical communication and rescue equipment.
Reports
212
Distinct published reports
Individual concerns
235
A report can raise multiple concerns
Date range
2013–2026
First to latest report issue date
Stated actions
492
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 Care57
NHS England39
Ministry of Justice14
Home Office11
Greater Manchester Health and Social Care Partnership9
HM Prison and Probation Service8
NHS Greater Manchester Integrated Care Board8
Care Quality Commission7
Greater Manchester Mental Health NHS Foundation Trust7
Birmingham and Solihull Mental Health NHS Foundation Trust6
Metropolitan Police Service6
College of Policing5
Greater Manchester Police5
Midlands Partnership University NHS Foundation Trust5
Pennine Care NHS Foundation Trust5
NHS trust106
Ministerial department68
Executive non-departmental public body45
Police force30
Integrated care board24
Type not available20
Healthcare site19
Private limited company15
English county council12
Health-system partnership12
English metropolitan district council11
Executive agency11
English unitary authority9
National policing body8
Health and social care service regulator7
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.
County Durham and Darlington
Concerns raised1
Failure to pass on Community Falls Service recommendations to family and social services
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.
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
Work with Community Falls Teams to explore strengthening communication of falls-prevention recommendations to families and social services.
Stated by Durham County CouncilStated in progressThe respondent said that this action was in progress when they made their response on 17 July 2025.
Nottinghamshire
Concerns raised1
Failure to provide previous PPNs to Adult Social Care when a current PPN is referred immediately
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
Amend information-sharing processes so referred PPNs include relevant previously unshared PPNs from the preceding 12 months, commencing 1 October 2025.
Stated by Crime, Custody and Criminal JusticeStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.
Devon, Plymouth and Torbay
Concerns raised1
Failure of separate hospital trusts to provide clinicians with access to each other’s medical records
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.
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.3
Action
Continue collaborating with neighbouring NHS partners to coordinate care, treatment and information sharing for patients receiving cross-organisation care.
Stated by Somerset NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 July 2025.
Action
Work with Somerset Integrated Care Board and the national team to develop an integrated electronic health record across Somerset services.
Stated by Somerset NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 July 2025.
Action
Implement a single electronic patient record across the merged Trust sites to improve coordination and continuity of care.
Stated by Royal Devon University Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Funding integrated information technology systems across organisations is beyond the Trust’s control.
Stated by Somerset NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Merged services, a shared electronic record and planned Devon-wide integration are considered sufficient to improve coordination across sites.
Stated by Royal Devon University Healthcare NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Manchester South
Concerns raised1
Lack of guidelines for communication and information sharing between private psychiatry providers and NHS services providing parallel neurodiversity care
Responses linked to these concerns
Each 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
Position
Existing hospital discharge guidance already governs information sharing between private and NHS providers, including medication and care information.
Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Staffordshire and Stoke-on-Trent
Concerns raised1
Lack of access to other teams’ electronic notes during suicide 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 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
Initiate discussions with MPFT information governance and digital teams to include Talking Therapies data in the Integrated Care Record and agree the proposed dataset.
Stated by North Staffordshire Combined Healthcare NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 26 March 2025.
Action
Operate agreed cross-service checks and contact processes to identify patients using other mental health services, share relevant information, and incorporate it into risk assessment and review.
Stated by North Staffordshire Combined Healthcare NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 26 March 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Widening IAPTUS access is not currently considered feasible because of confidentiality, consent, supervision-note, system and data-protection constraints.
Stated by Midlands Partnership University NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Urgent or serious risks should be escalated immediately to secondary care under existing national Talking Therapies guidance rather than through shared record access.
Stated by Midlands Partnership University NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
IAPTUS access cannot be widened because confidentiality, consent, supervision-note access, data-protection and system-design constraints prevent sharing full records.
Stated by North Staffordshire Combined Healthcare NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Birmingham and Solihull
Concerns raised1
Insufficient interagency information sharing with landlords
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 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
Continue strengthening joint procedures, information sharing and collaborative working with Birmingham City Council and supported housing providers.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 6 March 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The referring agency is responsible for providing landlords with available resident information, largely based on the resident’s disclosures.
Stated by Birmingham City CouncilRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Cornwall and Isles of Scilly
Concerns raised1
Failure to share information about ambulance delays between police and ambulance services
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 concerns
Each 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
Position
The South Western Ambulance Service NHS Foundation Trust is responsible for addressing information-sharing concerns raised in the report.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Cornwall and Isles of Scilly
Concerns raised1
Failure to obtain and share complete contact information for ambulance disposition decisions
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.2
Action
Train SWAST control-room staff to obtain accurate contact and incident information during calls with police.
Stated by South Western Ambulance Service NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 4 March 2025.
Action
Require officers using the police control room to explain why they cannot call 999 directly, and train police and ambulance personnel to record relevant information when liaising.
Stated by Devon & Cornwall PoliceStated completedThe respondent said that this action was complete when they made their response on 4 March 2025.
Essex
Concerns raised1
Failure to share vital mental health information
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.
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.4
Action
Develop and expand the Shared Care Record to provide unified access to patient information across partner services.
Stated by Mid and South Essex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Action
Disseminate Shared Care Record notifications, guidance and videos to emergency department clinical staff during rollout.
Stated by Mid and South Essex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Action
Implement the NOVA unified electronic patient record across acute, community and mental health services.
Stated by Mid and South Essex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Action
Develop a unified electronic patient record across EPUT and MSEFT, including bidirectional primary-care integration.
Stated by Essex Partnership University NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 18 February 2025.
Mid Kent and Medway
Concerns raised2
Lack of shared access to safeguarding records across agencies
Failure to provide agencies with access to all relevant cross-sector safeguarding information
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 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.5
Action
Deliver the national rollout of reforms to family help, multi-agency child protection and family group decision-making, including multi-agency child protection teams.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 16 April 2025.
Action
Deliver system-wide learning events on provider learning, family perspectives and inter-agency working following children’s and young people’s suicides.
Stated by NHS Kent and Medway ICBStated completedThe respondent said that this action was complete when they made their response on 16 April 2025.
Action
Develop a system-wide improvement plan addressing agency information sharing, risk assessments and decision-making.
Stated by NHS Kent and Medway ICBStated plannedThe respondent said that this action was planned when they made their response on 16 April 2025.
Action
Implement the Kent and Medway Care Record to enable inter-agency access to health and social care records.
Stated by NHS Kent and Medway ICBStated completedThe respondent said that this action was complete when they made their response on 16 April 2025.
Action
Continue work supporting use of the Kent and Medway Care Record across relevant services.
Stated by NHS Kent and Medway ICBStated in progressThe respondent said that this action was in progress when they made their response on 16 April 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
No direct education interface with the Kent and Medway Care Record is currently planned because County Council front-door teams provide an alternative information-sharing route.
Stated by NHS Kent and Medway ICBExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
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Includes failures of the inter-agency care information-sharing system, including inadequate arrangements, communication channels, shared records or contact mechanisms when these prevent timely access to relevant care, needs or risk information between agencies.
