Recurring concern
Failure to ensure clinical investigation results are reliably available, interpreted and acted upon
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Request correctionFirst reported 11 Sep 2013•Latest report 25 Jun 2026
What this concern includes
Includes failures in the end-to-end process for managing clinical investigation results when the result is not reliably made available to, brought to the attention of, correctly checked or interpreted by, and acted upon by the responsible clinical team.
Not included
- Excludes failures concerning treatment monitoring or prescribing unless the assertion specifically concerns management of the resulting investigation result.
- Excludes generic documentation, staffing, training or communication deficiencies that are not explicitly tied to the management of an investigation result.
- Excludes administrative or test-ordering failures where no result-management deficiency is identified.
- Excludes failures involving non-clinical items, equipment or processes unrelated to clinical investigation results.
- Reports
- 108
- Individual concerns
- 138
- Date range
- 2013–2026
- Stated actions
- 168
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
Delays in reviewing available blood test results
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Delays in obtaining blood results needed to confirm suspected infection
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.
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Concerns raised1
Failure to highlight significant, unexpected, and important radiological findings to the referring clinician
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.
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
Update the Medica Alerts policy to require urgent notification of referrers for potential new TB diagnoses and advise that treatment changes may be needed.
Stated by Medica -
Action
Circulate the updated Medica Alerts policy to all reporters.
Stated by Medica -
Action
Work with clients to enact the 2022 Academy of Royal Colleges and RCR Alerts guidelines within local processes.
Stated by Medica
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Action
Raise Urgent Findings for relevant cases until clients adjust their internal alert processes.
Stated by Medica
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Concerns raised1
Failure to obtain qFIT test results
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
No further action could be added because the patient had to collect and provide the sample required for qFIT testing.
Stated by Ritchie Street Group Practice
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Concerns raised2
Failure of the laboratory-results display to show all results in minimised mode
Failure to make abnormal laboratory results prominent in the display
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
Reset the results-view scroll bar to the top when selecting another result and release the change to all users.
Stated by The Phoenix Partnership (Leeds) Ltd
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 system displays scrollbars when information cannot fit on screen, and the table layout used to review results has no issue.
Stated by The Phoenix Partnership (Leeds) Ltd
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Concerns raised1
Failure to follow up on radiological signs of possible bowel injury
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.1
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Action
Redefine the Major Trauma Service so the Major Trauma Consultant leads whole-patient review and liaises with specialty teams.
Stated by University Hospitals of North Midlands NHS Trust
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Concerns raised1
Expectation for reporting all scans within an hour
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.3
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Action
Train radiographers to vet scans under predefined radiologist protocols.
Stated by Gloucestershire Hospitals NHS Foundation Trust -
Action
Produce frequently asked questions for radiography staff to reduce interruptions to radiology sessions.
Stated by Gloucestershire Hospitals NHS Foundation Trust -
Action
Investigate an artificial intelligence tool to improve triage between urgent and less urgent scans.
Stated by Gloucestershire Hospitals 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
Not all scans require reporting within one hour; national standards set different timescales according to clinical urgency.
Stated by Gloucestershire Hospitals NHS Foundation Trust
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Concerns raised1
Difficulty identifying concerning cases from high volumes of haemoglobin results
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.
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
Deliver and disseminate primary-care education resources on cancer and anaemia, including a webinar, video and infographic.
Stated by NHS Greater Manchester Integrated Care Board -
Action
Develop clinical decision-support tools in GP systems to prompt consideration of cancer, prioritising an iron-deficiency anaemia tool.
Stated by NHS Greater Manchester Integrated Care Board
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Concerns raised1
Failure to review most blood test results in a timely manner
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.1
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Action
Implement daily review and documentation of requested blood tests, incorporating the process into ward rounds with contingencies for delays.
Stated by Nottingham University Hospitals NHS Trust
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Concerns raised1
Delays in review and follow-up of crucial blood test results
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.
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 a virtual environment for tracking outstanding patient investigations, including blood test results.
Stated by University Hospitals Sussex NHS Foundation Trust -
Action
Establish a Gastroenterology hot clinic to ensure jaundice patients are referred after initial assessment and ultrasound, with Registrar and Consultant support.
Stated by University Hospitals Sussex NHS Foundation Trust
Data last updated 7 September 2026