Recurring concern
Failure to integrate mental health services across care settings
Pin
Get email alerts
Request correctionFirst reported 17 Dec 2013•Latest report 14 Jan 2026
What this concern includes
Includes failures of the explicitly identified mental health service system to integrate its sections, teams or care settings, including fragmented inpatient-community arrangements, service silos, unclear cross-service ownership and absent mechanisms for coordinated care.
Not included
- Excludes generic communication, information-sharing or coordination failures unless they directly demonstrate fragmentation or failure to integrate mental health services across care settings.
- Excludes deficiencies within a single mental health service or clinical intervention where no cross-service integration problem is identified.
- Excludes integration failures involving non-mental-health services unless the assertion directly concerns the integration of mental health provision.
- Excludes generic staffing, training, documentation or facility deficiencies that are not specifically tied to integration of mental health services.
- Reports
- 33
- Individual concerns
- 39
- Date range
- 2013–2026
- Stated actions
- 53
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.
-
Concerns raised1
Failure of cross-county commissioning arrangements to ensure coordinated secondary psychiatric care
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
-
Action
Forward the county-boundary care concern to commissioners for consideration.
Stated by Midlands Partnership University NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
Position
Existing collaborative arrangements between providers ensure people living near county boundaries are not disadvantaged in accessing services.
Stated by Midlands Partnership University NHS Foundation Trust
-
Position
Commissioners are responsible for considering the cross-boundary care arrangements and any resulting action.
Stated by Midlands Partnership University NHS Foundation Trust
-
Concerns raised2
Failure to share complex and high-risk patients between units early in the inpatient stay
Risk of clinical silos between sections of mental health 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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Lack of provision of supervision and monitoring for patients falling between RAID and HBTT admission protocols
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.
-
Concerns raised1
Failure to allocate people moving between borough teams to a community psychiatrist
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.
-
Concerns raised1
Variation and limited transition provision in post-16 mental health services
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Lack of urgent mental health service provision for 16- and 17-year-olds
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.6
-
Action
Complete and approve the business case for the CAMHS Home Intensive Treatment Team.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation Trust -
Action
Reconfigure the existing Sheffield Treatment and Recovery Service into a CAMHS Home Intensive Treatment Team for young people up to age 18.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation Trust -
Action
Recruit nursing staff for the new CAMHS Home Intensive Treatment Team.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation Trust
-
Action
Establish a Mental Health Liaison Team supporting 0–18-year-olds attending designated emergency departments, with out-of-hours cover.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation Trust -
Action
Implement the temporary care pathway change agreed with Sheffield Health and Social Care NHS Foundation Trust.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation Trust -
Action
Implement jointly approved policy arrangements providing out-of-hours emergency home treatment to eligible 16- and 17-year-olds requiring crisis intervention.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation Trust
-
Concerns raised1
Inadequate interface between Addaction and community mental-health teams
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.1
-
Action
Develop and implement a robust multi-agency implementation plan for the dual diagnosis strategy.
Stated by Cornwall Council and Cornwall Partnership NHS Foundation Trust and NHS Cornwall and the Isles of Scilly Integrated Care Board
-
Concerns raised1
Failure of mental health services to accept responsibility for providing professional 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
-
Action
Review the Cornwall and Isles of Scilly Dual Diagnosis Strategy for Adults.
Stated by NHS Cornwall and the Isles of Scilly Integrated Care Board -
Action
Develop a robust multi-agency implementation plan for the Dual Diagnosis Strategy.
Stated by NHS Cornwall and the Isles of Scilly Integrated Care Board -
Action
Operate a monthly Multiagency Implementation Steering Group with rotating provider leadership to develop the implementation plan.
Stated by NHS Cornwall and the Isles of Scilly Integrated Care Board
-
Action
Review contract requirements for providers supporting people with dual diagnosis under the new contract commencing April 2019.
Stated by NHS Cornwall and the Isles of Scilly Integrated Care Board
-
Concerns raised3
Transfer of necessary mental health care placing responsibility for initiating contact on patients
Failure to follow up with receiving services and patients after mental health care transfers
Failure to notify the receiving mental health service about care transfers
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.
-
Concerns raised2
Failure to consult or work with drug and alcohol advisory services
Failure to transfer people between community mental health teams when they move
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
-
Action
Develop new posts to bridge dual-diagnosis service gaps and establish pathways and effective working practices between mental health and drug and alcohol services.
Stated by Pennine Care NHS Foundation Trust -
Action
Continue development meetings between drug and alcohol and Rochdale mental health operational managers to support and enhance the dual-diagnosis model.
Stated by Pennine Care NHS Foundation Trust
Data last updated 7 September 2026