Recurring concern
Failure to communicate clinically important information reliably between care services
- Reports that mention this concern
- 144
- Times this concern has been raised
- 157
- Stated actions linked to this concern
- 271
What this concern includes
Includes failures of the cross-service clinical information communication process, including stale or unsupported guidance for emergency clinicians, omitted care decisions, inaccurate handovers and information not reaching involved services.
What is not included
- Excludes failures confined to a single clinician's knowledge or competence where no cross-service information communication issue is identified.
- Excludes generic training, staffing, documentation or information-system deficiencies that are not specifically tied to communicating clinically important information between care services.
- Excludes delays or failures in treatment, referral or emergency access where the material communication failure is not part of the concern.
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.
Reports and published responses 144 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure to clearly record treatment plans between transferring and receiving clinical staff
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- Cornwall Partnership NHS Foundation Trust
- Royal Cornwall Hospitals NHS 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.2
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Cornwall Partnership NHS Foundation Trust and Royal Cornwall Hospitals NHS Trust
Review the inter-hospital transfer form to document escalation plans, ensure consistent handover records, and prompt sharing of relevant medical-management details.
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Cornwall Partnership NHS Foundation Trust and Royal Cornwall Hospitals NHS Trust
Establish a task-and-finish group to review inter-hospital transfer-form design and take forward resulting developments.
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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Cornwall Partnership NHS Foundation Trust and Royal Cornwall Hospitals NHS Trust
The existing Treatment Escalation Plan adequately specified escalation to acute hospital if deterioration occurred, despite omission from the handover form.
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Concerns raised1
Failure of acute, alcohol and drug treatment, and mental health teams to share crucial risk information appropriately
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Tees, Esk and Wear Valleys 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
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Tees, Esk and Wear Valleys NHS Foundation Trust
Test and roll out CDDFT electronic patient-record access on TEWV clinicians’ laptops for joined-up assessments and information sharing.
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Tees, Esk and Wear Valleys NHS Foundation Trust
Continue team discussions and daily MDT reminders about documenting and verbally handing over homelessness and other risk information.
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Tees, Esk and Wear Valleys NHS Foundation Trust
Audit and deep-dive liaison documentation to verify that verbal handovers to other Trusts and services are recorded, addressing issues through supervision and team meetings.
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Tees, Esk and Wear Valleys NHS Foundation Trust
Reissue an open letter to all staff supporting appropriate information sharing while balancing patient confidentiality and safety.
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Concerns raised1
Lack of consultation with receiving-prison healthcare teams about care capability
This report raised 16 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- 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.1
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Department of Health and Social Care
Other report recipients are responsible for addressing prison healthcare guidance, ACCT operations and family engagement because these concern day-to-day prison operations.
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Concerns raised1
Lack of access by café71 staff to mental health team information about patients’ backgrounds and risk factors
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Cheshire and Wirral Partnership 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
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Cheshire and Wirral Partnership NHS Foundation Trust
Audit referrals sent to Café 71 every six months and report findings through Acute Care and First Response governance meetings.
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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Cheshire and Wirral Partnership NHS Foundation Trust
Café 71 does not operate in isolation; staff can obtain relevant mental-health information from Trust crisis-line staff with the individual’s consent.
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Concerns raised1
Failure to notify support services of vulnerable patients' discharge
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- North Cumbria Integrated Care 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
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North Cumbria Integrated Care NHS Foundation Trust
Update Symphony’s discharge screen to record discharge discussions and identify notifications or vulnerable-adult support needed before patients go home.
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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North Cumbria Integrated Care NHS Foundation Trust
The Emergency Department was not informed of any request or requirement to notify the Housing Officer about discharge.
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Concerns raised1
Failure to prepare discharge summaries only when patients are ready for discharge
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Blackpool Teaching Hospitals 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
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Blackpool Teaching Hospitals NHS Foundation Trust
Issue a safety instruction directing staff to take care when pre-populating discharge summaries and avoid prejudging investigation results.
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Concerns raised1
Lack of communication between services for wound management
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- the Rotherham 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
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the Rotherham NHS Foundation Trust
Communicate Tissue Viability Nurse referral criteria and raise awareness of the service across the Trust through collaborative Quality Governance work.
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Concerns raised1
Failure of NHS111 health advisers to access GP electronic summaries and background diagnoses
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- 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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NHS England
GP electronic summaries cannot be presented to non-clinical NHS 111 advisers because they lack the training and mandate to interpret clinical information.
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Concerns raised1
Failure to provide community ultrasound reports and images to treating clinicians
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- NHS Kent and Medway Integrated Care Board
Stated actions 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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NHS Kent and Medway Integrated Care Board
Continue transitioning providers from individual PACS systems to a central PACS system, including integration of acute provider trusts.
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NHS Kent and Medway Integrated Care Board
Review the incident and diagnostic workflow, audit data-sharing systems, and produce and assess an options appraisal for process and IT integration improvements.
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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NHS Kent and Medway Integrated Care Board
The first ultrasound report was inaccurate and should not have been sent to the patient’s GP.
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NHS Kent and Medway Integrated Care Board
GPs receive community diagnostic reports, assess them clinically, and decide whether referral to secondary care is required.
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Concerns raised1
Ineffective communication between community teams
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo 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.
Data last updated 7 September 2026