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
Inadequate communication about prisoners’ health conditions
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.2
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Action
Implement Regional Multi Professional Complex Case Clinic escalation for the most complex patients.
Stated by Practice Plus Group Health And Rehabilitation Services Limited -
Action
Work with NHS England to clarify routine health-information sharing and processes for risk or safeguarding concerns.
Stated by HM Prison and Probation Service
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
Practice Plus Group cannot resolve integration of healthcare and prison IT systems because SystmOne is commissioned by NHS England and medical records are confidential.
Stated by Practice Plus Group Health And Rehabilitation Services Limited
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Position
Existing information-sharing protocols and weekly meetings are considered appropriate for communication and management of complex safety concerns.
Stated by HM Prison and Probation Service
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Concerns raised1
Absence of effective arrangements for sharing important clinical information between private and public healthcare 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.
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
Enhance patient-information sharing with commissioned VCSE and independent/private healthcare providers.
Stated by NHS England -
Action
Continue proof-of-concept work to expand Summary Care Record access across private hospitals and independent healthcare services.
Stated by NHS England -
Action
Report proof-of-concept learning to the Expert Advisory Committee, including benefits and potential unintended consequences.
Stated by NHS England
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Action
Work with the Expert Advisory Committee to seek approval for full private-sector rollout and consider its scope, exclusions, constraints, and caveats.
Stated by NHS England -
Action
Transfer Summary Care Record users from the legacy SCRa service to the National Care Records Service.
Stated by NHS England
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
Local Integrated Care Boards are responsible for delivering shared care records, developed according to local health and care needs and existing systems.
Stated by NHS England
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Concerns raised1
Inaccessibility of primary care records to secondary mental health 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.1
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Action
Achieve national read-only interoperability between Shared Care Records across England.
Stated by NHS England
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
NHS England is best placed to address the absence of a unified record-keeping system across NHS providers.
Stated by Surrey and Borders Partnership NHS Foundation Trust and Surrey County Council
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Concerns raised1
Failure to update prescribing GPs about medication non-adherence and stockpiling risks
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.
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 medication-review procedures and subsequent GP notification were considered sufficient; no additional GP communication was expected before the review.
Stated by North London NHS Foundation Trust
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Concerns raised1
Failure of safeguarding information sharing between local authorities, care homes and police
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.2
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Action
Present the case learning to Tameside care home managers and deliver a further session on discharge and transfers between community and acute settings.
Stated by NHS Greater Manchester Integrated Care Board -
Action
Share learning through the Greater Manchester System Quality Group on robust information sharing when patients move across settings and localities.
Stated by NHS Greater Manchester Integrated Care Board
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Concerns raised1
Lack of requirements for counsellors to inform medical professionals or other appropriate support 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.
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
Training standards and practice requirements set by independent counselling organisations are outside Government oversight.
Stated by Department of Health and Social Care
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Position
Independent counselling organisations and their members are responsible for decisions about training standards and practice requirements.
Stated by Department of Health and Social Care
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Concerns raised1
Poor communication and information sharing between agencies
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.3
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Action
Introduce peer discussions so managers oversee individual social-care assessments and reviews and strengthen social-work practice.
Stated by One Stockport Health and Care Board -
Action
Hold a joint learning event involving agencies supporting people with learning disabilities to strengthen information sharing and practice.
Stated by One Stockport Health and Care Board -
Action
Agree a joint action plan following the learning event to improve information sharing and practice.
Stated by One Stockport Health and Care Board
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
Pennine Care NHS Foundation Trust cannot directly access patients’ full clinical histories through current systems.
Stated by One Stockport Health and Care Board
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Concerns raised1
Failure to communicate accurate clinically important information between clinicians and departments
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
Participate in a regular Inflammatory Bowel Disease multidisciplinary team meeting at Newcastle to improve communication and advice between the Trusts.
Stated by the Newcastle Upon Tyne Hospitals NHS Foundation Trust -
Action
Relaunch SBAR across the Trust, requiring documented email confirmation and record copies for telephone advice and escalation communications.
Stated by North Cumbria Integrated Care NHS Foundation Trust -
Action
Hold joint internal and cross-Trust IBD multidisciplinary meetings at established biweekly and triweekly frequencies.
Stated by North Cumbria Integrated Care 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
Timetabled multidisciplinary team meetings cannot determine acute or emergency care because those decisions cannot be delayed.
Stated by North Cumbria Integrated Care NHS Foundation Trust
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Concerns raised2
Failure of record-keeping systems to support direct transfer and sharing of clinical information
Inadequate communication between mental health care providers and relevant parties
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.2
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Action
Implement an out-of-area inpatient-care procedure requiring regular contact and documentation with patients, families, carers and treating clinicians.
Stated by Dorset Healthcare University NHS Foundation Trust -
Action
Implement a live Microsoft Teams handover channel linked to electronic records for documenting bed-flow updates, discussions and decisions.
Stated by Dorset Healthcare University NHS Foundation Trust
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Concerns raised2
Failure to provide handovers between care agencies about care needs and safety concerns
Failure to communicate concerns about continued unsafe sling use in writing to care agencies
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.4
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Action
Write to Herefordshire and Worcestershire CHC to seek clarification on handover protocols and establish best-practice standards for potential improvements.
Stated by Bluebird Care (Bromsgrove & Redditch) -
Action
Follow the enhanced handover process for all customers transitioning to or from Bluebird Care, not only CHC-funded customers.
Stated by Bluebird Care (Bromsgrove & Redditch) -
Action
Introduce a countywide communication-focused role supporting joint client visits, delegated tasks, and liaison between HASE and external care agencies.
Stated by Herefordshire and Worcestershire Health and Care NHS Trust
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Action
Implement and disseminate a step-by-step focus card for identifying unsafe equipment, documenting removal warnings, and educating occupational therapy staff on its use.
Stated by Herefordshire and Worcestershire Health and Care NHS 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
The existing CHC-mediated handover captured all relevant information, including sling concerns, so direct outgoing-to-incoming contact was not necessary in this case.
Stated by Bluebird Care (Bromsgrove & Redditch)
Data last updated 7 September 2026