First reported 24 Nov 2014•Latest report 23 Jun 2025
Definition
What this concern includes
Includes inaccurate, omitted, or untimely recording of the identity of clinicians who assess, advise on, discharge, or otherwise provide clinical care, where the identity is needed for safe communication, accountability, or subsequent decision-making.
Not included
Excludes failures to identify patients or other non-clinician individuals.
Excludes inaccurate recording of clinical observations, assessments, deterioration, decisions, or advice where clinician identity is not the shared concern.
Excludes general poor record-keeping or information-sharing deficiencies without a specific failure to record the identity of an involved clinician.
Reports
11
Distinct published reports
Individual concerns
12
A report can raise multiple concerns
Date range
2014–2025
First to latest report issue date
Stated actions
15
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.
Atrumed Ltd1
Bedfordshire Hospitals NHS Foundation Trust1
Department of Health and Social Care1
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust1
Greater Manchester Mental Health NHS Foundation Trust1
Haughton Thornley Medical Centres1
HM Prison and Probation Service1
HM Prison Service1
Medway NHS Foundation Trust1
Mersey Care NHS Foundation Trust1
Mid Yorkshire Teaching NHS Trust1
NHS Greater Manchester Integrated Care Board1
North London NHS Foundation Trust1
North West Ambulance Service NHS Trust1
Parents of Kinga Cieciorska1
NHS trust10
Healthcare site2
Executive agency1
Integrated care board1
Ministerial department1
Private limited company1
Sub-organisation1
Type not available1
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.
Inner North London
Concerns raised1
Failure to ensure that staff make records using their own identification and accurately identify the author
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 concerns
Each 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
Streamline Smart Card access and require bank staff to hold cards and complete Rio training before booking shifts.
Stated by North London NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.
Action
Review ward staff access daily and reinforce requirements against sharing Smart Cards or misattributing electronic records.
Stated by North London NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.
West Yorkshire (Eastern)
Concerns raised1
Failure to identify clinicians involved in consent discussions
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 concerns
Each 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
Position
Time and resource constraints make listing all staff involved throughout a patient's consent process impracticable.
Stated by Mid Yorkshire Teaching NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Cornwall and Isles of Scilly
Concerns raised1
Failure to identify the prescribing doctor and record prescribing decision-making
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 concerns
Each 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
Position
The records identify the prescriber and document the rationale for suspending aspirin and prescribing dalteparin.
Stated by Royal Cornwall Hospitals NHS TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Mid Kent and Medway
Concerns raised1
Failure to maintain identification of the attending clinician
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Bedfordshire and Luton
Concerns raised1
Failure to record the identity of medical registrars providing advice
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 concerns
Each 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
Require practitioners to record the names and times of specialty clinicians consulted in patient records.
Stated by Atrumed LtdStated completedThe respondent said that this action was complete when they made their response on 26 April 2022.
Action
Audit patient records monthly for compliance with specialty-consultation recording requirements and discuss identified issues at joint clinical governance meetings.
Stated by Atrumed LtdStated completedThe respondent said that this action was complete when they made their response on 26 April 2022.
Manchester City
Concerns raised1
Failure to identify participating healthcare staff and verify completeness of System One records
This report raised 20 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each 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
Position
The healthcare provider is responsible for responding separately to concerns about clinical issues.
Stated by HM Prison and Probation ServiceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Nottinghamshire
Concerns raised1
Failure to accurately record the identity of the discharging clinician
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Black Country
Concerns raised1
Failure to record the identity of the specialist clinician giving advice
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Failure to accurately record the professional identity of the clinician who assessed the patient
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 concerns
Each 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
Action
Record clear findings, admission or transfer rationale, fall circumstances, and responsibility for complete clinical notes.
Stated by Haughton Thornley Medical CentresStated plannedThe respondent said that this action was planned when they made their response on 25 November 2015.
Action
Complete a medical record-keeping course for GPs and reflect on its learning.
Stated by Haughton Thornley Medical CentresStated completedThe respondent said that this action was complete when they made their response on 25 November 2015.
Action
Review medical records to ensure relevant information is recorded clearly.
Stated by Haughton Thornley Medical CentresStated plannedThe respondent said that this action was planned when they made their response on 25 November 2015.
Manchester West
Concerns raised2
Failure to record advice on medical treatment and care
Failure of Lakeside Unit clinical notes to identify actions, times and clinicians
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 concerns
Each 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
Direct clinicians to fully record specialist clinical advice, including colleagues’ names, grades and contact details.
Stated by North West Boroughs Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 28 September 2015.
Action
Review the clinical-record audit process and consider policy changes based on audit recommendations.
Stated by North West Boroughs Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 28 September 2015.
Action
Develop a standardised transfer proforma recording medical background, referral reasons and prior discussions for transfer between the Trusts.
Stated by Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 28 September 2015.
Action
Develop a standardised transfer proforma for inclusion in care records between the two trusts.
Stated by North West Boroughs Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 28 September 2015.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
Position
Documenting external referral discussions contemporaneously is difficult because calls occur during clinical duties and patients often lack accessible Trust records.
Stated by Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The health professional seeking advice is responsible for ensuring a full and accurate record of the clinical advice received.
Stated by Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Local providers are responsible for reviewing local systems concerning X-ray reporting, electronic viewing and patient-note recording.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Local-level services are responsible for implementing the recording of clinical information in patient notes.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
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Includes inaccurate, omitted, or untimely recording of the identity of clinicians who assess, advise on, discharge, or otherwise provide clinical care, where the identity is needed for safe communication, accountability, or subsequent decision-making.
