Recurring concern
Unreliable inter-agency information sharing for coordinated care
First 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 raised1
Failure to communicate relevant dementia information to transport and 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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Lack of compatible digital record-keeping and medical note systems enabling information sharing between maternity services
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 establish consent arrangements and information-sharing between CRI and Nottinghamshire Healthcare
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
Lack of accessible universal records throughout the offender pathway
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 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
Review the Transitions Protocol and develop it into a Prison Service Instruction defining mandatory transition, safeguarding, assessment, information-sharing and collaborative-working procedures.
Stated by Ministry of Justice -
Action
Roll out the Y2A Portal across England and Wales to improve information sharing between youth offending, probation and adult young offender services.
Stated by Ministry of Justice -
Action
Implemented the Y2A Portal across England and Wales.
Stated by Youth Justice Board for England and Wales
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Action
Considered how Youth Offending Teams could use the Y2A Portal to provide information to young adult establishments.
Stated by Youth Justice Board for England and Wales -
Action
Update and recirculate guidance on transition planning, professional communication, information sharing, and detention placement plans by 31 March 2016.
Stated by London Borough of Tower Hamlets
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
Practical and resource constraints prevent implementing a universal electronic records system between agencies.
Stated by Ministry of Justice
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Concerns raised1
Failure to provide receiving care homes with relevant incident information
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.
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 of relevant agencies to access and share information about vulnerable adults’ home environments
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 share clinically important information across mental health and primary care services
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.5
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Action
Implement next-working-day telephone and two-day written feedback from AMHP assessments to relevant GPs.
Stated by Leicester City Council -
Action
Remind Adult Mental Health social workers to share relevant information with the full multidisciplinary team and carers.
Stated by Leicester City Council -
Action
Require staff to include referrals to other agencies in discharge letters and communicate them clearly to patients and carers.
Stated by Leicestershire Partnership NHS Trust
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Action
Review and approve a revised Discharge Policy with detailed electronic discharge-letter requirements.
Stated by Leicestershire Partnership NHS Trust -
Action
Require medical and nursing staff to notify GPs when patients miss outpatient appointments.
Stated by Leicestershire Partnership NHS Trust
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Concerns raised1
Lack of a process for sharing information and joining up care between community and obstetric providers
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.
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 share the GP’s mobile telephone number with the London Ambulance Service
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 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 raised2
Failure to communicate and acknowledge transfers of patient care between agencies
Failure to share mental health assessment information with other agencies involved in patient care
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
Communicate and record clear responsibility statements for all inter-agency care transfers across daytime and out-of-hours services, including on RiO and CareFirst.
Stated by Approved Mental Health Professional/Social Work Service -
Action
Communicate triage, assessment and referral outcomes to referrers, service users, families, carers and relevant agencies.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust -
Action
Audit Wiltshire PCLS records for comprehensive triage, assessment and outcome communication documentation.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
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Action
Review recording systems, establish a clear information-recording policy, store information on CareFirst, and share assessment reports with AWP and GPs.
Stated by Approved Mental Health Professional/Social Work Service
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
Existing policies and processes for family involvement, triage, communication, recording and monitoring address the identified assessment and care concerns.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
Data last updated 7 September 2026