Recurring concern
Unreliable inter-agency information sharing for coordinated care
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Request correctionFirst reported 29 May 2013•Latest report 15 Jun 2026
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
- Individual concerns
- 235
- Date range
- 2013–2026
- Stated actions
- 492
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 raised2
Failure of mental health trusts to communicate placement information with private providers and families
Failure of private providers to obtain relevant clinical information from referring services
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to independently verify patients’ concurrent opiate replacement therapy and prescribing organisation
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
Contact the service lead and request reviews of GP-data collection, verification, and reliable information sharing with registered GPs.
Stated by NHS England -
Action
Write to Staffordshire GP practices about the inquest risks, considering other agencies' opiate prescribing, and alerting the clinic when patients are registered elsewhere.
Stated by NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
NHS England is neither commissioner nor regulator of these substance misuse services and has no direct responsibility for them.
Stated by NHS England
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Position
The Local Authority, rather than NHS England or the Clinical Commissioning Group, commissions these substance misuse services.
Stated by NHS England
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Concerns raised1
Failure to provide healthcare professionals with complete relevant mental-health information for frontline assessments
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
Failure to provide sufficient details about safeguarding concerns and health care matters
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
Participate in a monthly Senior Safeguarding Working Group reviewing safeguarding cases and information gaps.
Stated by G4S Care And Justice Services (UK) Limited -
Action
Require fuller vulnerability details, record them on CID and referral forms, and check CID more thoroughly before onward referral.
Stated by Home Office -
Action
Check that referring officers identify and record relevant safeguarding and vulnerability concerns on referral forms.
Stated by Home Office
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Action
Raise safeguarding concerns with G4S when SCF forms lack adequate detail.
Stated by Urban Housing Services -
Action
Draft and distribute incident reports and support notifications when resident concerns, including mental-health issues, are identified.
Stated by Urban Housing Services
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
Information shared with external contractors is limited by GDPR to data shown to be required, relevant, secure and in the applicant’s best interests.
Stated by Home Office
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Concerns raised2
Lack of a single IT system supporting information sharing across NHS trusts
Failure of health and social care services to provide integrated care and share health information
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to respond to and action clinical information requests from the substance misuse service
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.4
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Action
Promote wider uptake of Focussed Care across Oldham practices to support substance-use-related care.
Stated by NHS Greater Manchester Integrated Care Board -
Action
Complete a wide-ranging review of GP communication across all community substance misuse services.
Stated by Turning Point -
Action
Improve recording of GP communications in the electronic client records system.
Stated by Turning Point
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Action
Review and improve follow-up systems for requests to GPs for information.
Stated by Turning Point
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
A joint learning meeting with Turning Point would occur only if Oldham CCG supported it.
Stated by Hopwood House Medical Practice
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Concerns raised1
Inadequate advance notification and information sharing for ACCT reviews
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.3
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Action
Develop escalation procedures with Care UK and the prison for occasions when healthcare cannot attend an ACCT review.
Stated by Midlands Partnership University NHS Foundation Trust -
Action
Remind staff to update medication-in-possession risk assessments during medication reviews so changes feed into ACCT information for dispensing and prison staff.
Stated by Midlands Partnership University NHS Foundation Trust -
Action
Embed the new ACCT case-management process, including dedicated case managers, review booking oversight and daily healthcare attendance allocation.
Stated by HM Prison and Probation Service
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Concerns raised1
Failure to share relevant information and communicate with external agencies
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.5
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Action
Instruct all clinical services to review record-keeping and partner-agency communication practices.
Stated by Norfolk and Suffolk NHS Foundation Trust -
Action
Review working practices for record keeping and communication with partner agencies across clinical services.
Stated by Norfolk and Suffolk NHS Foundation Trust -
Action
Provide management assurance on actions taken to improve record keeping and partner-agency communication.
Stated by Norfolk and Suffolk NHS Foundation Trust
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Action
Deliver a learning session on clinicians’ regulatory, legal and professional responsibilities for record keeping and communication.
Stated by Norfolk and Suffolk NHS Foundation Trust -
Action
Monitor intervention effectiveness through audit, user feedback and quality and safety reviews.
Stated by Norfolk and Suffolk 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
Operational managers are responsible for reviewing record-keeping and partner-agency communication practices and providing assurance of improvement actions.
Stated by Norfolk and Suffolk NHS Foundation Trust
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Concerns raised1
Failure to share wound photographs for timely escalation decisions
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.2
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Action
Share learning from the case and work with Whittington NHS Trust to improve wound-care planning and visit-frequency decisions.
Stated by Central and North West London NHS Foundation Trust -
Action
Reinforce secure sharing of photographs and other information about deteriorating wounds with specialist services and GPs during escalation.
Stated by Central and North West London 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
Automatic sharing of all wound photographs with every GP is not considered practical or necessary; photographs will be shared during deterioration escalation.
Stated by Central and North West London NHS Foundation Trust
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Concerns raised1
Failure to maintain communication links between healthcare providers and student support services
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 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.4
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Action
Introduce an online student-support tool providing 24/7 access and oversight of vulnerable or at-risk students.
Stated by University of Sussex -
Action
Reconfigure pastoral support from separate teams into coordinated thematic services with streamlined processes and clarified responsibilities.
Stated by University of Sussex -
Action
Improve professional-service data sharing, case-note access, links and active referrals across student support services.
Stated by University of Sussex
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Action
Continue working with the GP practice to improve data sharing about student patients and support risk mitigation.
Stated by University of Sussex
Data last updated 7 September 2026