Unreliable inter-agency information sharing for coordinated care
First to latest report 29 May 2013 — 15 Jun 2026
Reports that mention this concern
212
Times this concern has been raised
235
Stated actions linked to this concern
492
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.
What is 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.
Trends
Reports over time
Reports mentioning this concern, 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
Reports and published responses 212 reports
See individual reports that have raised this concern, and the actions taken in response
Inner North London
Concerns raised1
Failure to verify treatment information with external mental health service providers
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
East London NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
East London NHS Foundation Trust
Distribute guidance to City and Hackney clinical staff on contacting external mental health providers.
Inner North London
Concerns raised1
Absence of a clearly understood system for sharing relevant community patient information and escalating care-quality concerns between the Community District Nursing Team and partner agencies
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Birmingham and Solihull
Concerns raised1
Failure to share and access mental health records effectively between organisations
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Gloucestershire
Concerns raised1
Lack of information sharing between agencies providing support services
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Birmingham and Solihull
Concerns raised1
Failure to communicate relevant clinical information between hospitals
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
the Dudley Group NHS Foundation Trust
University Hospitals Birmingham NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
the Dudley Group NHS Foundation Trust
Conduct meetings between QEHB and RHH clinical staff to identify communication and referral-system improvements.
the Dudley Group NHS Foundation Trust
Develop and agree a detailed cross-Trust action plan addressing identified communication, referral and emergency-management concerns.
the Dudley Group NHS Foundation Trust
Deliver the agreed cross-Trust action plan to address identified safety concerns.
University Hospitals Birmingham NHS Foundation Trust
Conduct cross-hospital meetings to identify communication and patient-management improvements following the clinical incident.
Inner South London
Concerns raised2
Failure of detained organisations to pass risk information consistently between one another
Lack of clear responsibility for passing or seeking relevant information
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
Hampshire County Council
Portsmouth City Council
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Hampshire County Council and Portsmouth City Council
Provide AMHP guidance on confidential information sharing with GP practices and prison healthcare.
Hampshire County Council and Portsmouth City Council
Work with NHS providers and Hampshire Constabulary to review information sharing after joint police-custody assessments.
Hampshire County Council and Portsmouth City Council
Establish a governance framework monitoring police-custody assessment outcomes, information sharing, relative communication and AMHP training records.
Birmingham and Solihull
Concerns raised1
Failure to highlight essential patient information during transfers between care homes
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
Avery Healthcare Group
Care Quality Commission
NHS England
Priory Group
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.5
Avery Healthcare Group
Implement an additional action plan and timetable responding to the inquest findings.
Avery Healthcare Group
Continue embedding all organisational policies and procedures at Aran Court.
Care Quality Commission
Inspect care homes’ emergency response, staff training, induction, and transfer-risk arrangements, including follow-up checks against the reported concerns.
Priory Group
Raise the transfer and discharge communication lessons from the incident in a forthcoming quarterly Safety 1st bulletin shared across Amore Care Homes.
Priory Group
Highlight to home staff the requirement to complete Form AM32 Transfer Discharge records, including prompts for key information such as PCA behaviour.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
Avery Healthcare Group
Comprehensive pre-admission and transfer documentation is considered sufficient to identify relevant clinical risks when completed correctly.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Care Quality Commission
Existing admission and handover documents were considered sufficient to capture known risks during transfers when completed appropriately.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Priory Group
System-wide direction on identifying essential transfer information is directed to the governing body, such as the regulator or relevant health department.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
NHS England
The commissioning organisation should ensure receiving care homes can meet transferred patients’ needs; the Care Quality Commission may comment on this.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Nottinghamshire
Concerns raised1
Failure of information-sharing between trusts
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Inner West London
Concerns raised1
Failure to pass requested further information back to the requesting agency or professional
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
West Yorkshire (Western)
Concerns raised1
Failure of agencies to obtain information from previously involved agencies
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.