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 raised1
Failure to share Child and Family Assessments in accordance with best practice
This report raised 14 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 multi-agency information sharing and communication between health care providers
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.2
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Action
Support NHS England and devolved health authorities in developing improved mental-health care, including information sharing, case coordination and family-carer support.
Stated by Royal College of General Practitioners -
Action
Amend assessment and consent forms to ask about psychiatric history and obtain consent to contact relevant mental health practitioners.
Stated by Recipient name withheld
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 RCGP mental-health education, guidance and service-improvement work is considered an adequate response to suicide-prevention concerns.
Stated by Royal College of General Practitioners
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Concerns raised1
Failure to share information between emergency agencies without repeating caller screening
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 obtain and share information with other trusts for patients moving to or from the area
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.4
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Action
Review the Transfer and Discharge of Care policy to cover transfers involving vulnerable populations, including students, travellers and refugees.
Stated by Kent and Medway Mental Health NHS Trust -
Action
Implement Trust-wide reminders and policy-sharing that disseminate learning from gaps in Rebecca’s care.
Stated by Kent and Medway Mental Health NHS Trust -
Action
Incorporate South London and the Maudsley’s Transient People policy into the overarching policy document.
Stated by Kent and Medway Mental Health NHS Trust
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Action
Continue testing and refining care-transfer processes.
Stated by Kent and Medway Mental Health NHS Trust
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Concerns raised1
Lack of a dedicated means for urgent clinical discussion between external healthcare professionals and ambulance service staff
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
Insufficient information sharing between mental health and substance and alcohol misuse services
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.
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
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Action
Develop and implement secure digital record-sharing arrangements across NHS and partner organisations, including comprehensive shared care records.
Stated by NHS England
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Concerns raised1
Inconsistent sharing of clinical documentation and care plans between statutory agencies and private-sector care providers
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.1
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Action
Discuss information sharing with Trust leaders and check improvements during the next Trust inspection.
Stated by Care Quality Commission
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Concerns raised1
Insufficient communication and information sharing between prison healthcare organisations
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.3
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Action
Procure and award an integrated single-provider healthcare contract for HMP Lewes, using one provider and database to support integrated delivery.
Stated by NHS England -
Action
Review providers’ use of SystmOne tasks in response to concerns about communication and messages going astray.
Stated by NHS England -
Action
Improve health and care data collection and information-sharing before, during and after incarceration to support continuity of care.
Stated by Department of Health and Social Care
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
Prison staff cannot access clinical records on SystmOne because such access is not appropriate.
Stated by HM Prison and Probation Service
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Position
Healthcare providers are responsible for the quality and safety of care, including investigating care and considering improvements.
Stated by Department of Health and Social Care
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Concerns raised1
Failure of healthcare organisations to use integrated database systems
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 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
Commission prison healthcare through a Prime Provider model using a single contract, provider and database.
Stated by NHS England -
Action
Improve prison healthcare data and intelligence collection and enable information-sharing before, during and after incarceration to support continuity of care.
Stated by Department of Health and Social Care
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
Clinical-record access is restricted, while daily prison-healthcare meetings and database updates are considered sufficient for information sharing.
Stated by HM Prison and Probation Service
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Position
Healthcare providers are responsible for the quality and safety of care provided at HMP Lewes.
Stated by Department of Health and Social Care
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Concerns raised2
Failure of school healthcare provision to share confidential health information with GP surgeries
Failure to share relevant information between health agencies for fully informed healthcare decisions
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.
Data last updated 7 September 2026