Recurring concern
Failure to ensure clinical investigation results are reliably available, interpreted and acted upon
- Reports that mention this concern
- 108
- Times this concern has been raised
- 138
- Stated actions linked to this concern
- 168
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.
What is 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.
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 108 reports
See individual reports that have raised this concern, and the actions taken in response
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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.
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
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.
Linked response
- Medica
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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Medica
Update the Medica Alerts policy to require urgent notification of referrers for potential new TB diagnoses and advise that treatment changes may be needed.
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Medica
Circulate the updated Medica Alerts policy to all reporters.
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Medica
Work with clients to enact the 2022 Academy of Royal Colleges and RCR Alerts guidelines within local processes.
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Medica
Raise Urgent Findings for relevant cases until clients adjust their internal alert processes.
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Concerns raised1
Failure to obtain qFIT test results
Linked response
- Ritchie Street Group Practice
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Ritchie Street Group Practice
No further action could be added because the patient had to collect and provide the sample required for qFIT testing.
-
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
Linked response
- The Phoenix Partnership (Leeds) Ltd
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
-
The Phoenix Partnership (Leeds) Ltd
Reset the results-view scroll bar to the top when selecting another result and release the change to all users.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
The Phoenix Partnership (Leeds) Ltd
The system displays scrollbars when information cannot fit on screen, and the table layout used to review results has no issue.
-
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.
Linked response
- University Hospitals of North Midlands 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.1
-
University Hospitals of North Midlands NHS Trust
Redefine the Major Trauma Service so the Major Trauma Consultant leads whole-patient review and liaises with specialty teams.
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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.
Linked response
- Gloucestershire 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.3
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Gloucestershire Hospitals NHS Foundation Trust
Train radiographers to vet scans under predefined radiologist protocols.
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Gloucestershire Hospitals NHS Foundation Trust
Produce frequently asked questions for radiography staff to reduce interruptions to radiology sessions.
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Gloucestershire Hospitals NHS Foundation Trust
Investigate an artificial intelligence tool to improve triage between urgent and less urgent scans.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Gloucestershire Hospitals NHS Foundation Trust
Not all scans require reporting within one hour; national standards set different timescales according to clinical urgency.
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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.
Linked response
- NHS Greater Manchester 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 Greater Manchester Integrated Care Board
Deliver and disseminate primary-care education resources on cancer and anaemia, including a webinar, video and infographic.
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NHS Greater Manchester Integrated Care Board
Develop clinical decision-support tools in GP systems to prompt consideration of cancer, prioritising an iron-deficiency anaemia tool.
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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.
Linked response
- Nottingham University 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.1
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Nottingham University Hospitals NHS Trust
Implement daily review and documentation of requested blood tests, incorporating the process into ward rounds with contingencies for delays.
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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.
Linked response
- University Hospitals Sussex 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.2
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University Hospitals Sussex NHS Foundation Trust
Implement a virtual environment for tracking outstanding patient investigations, including blood test results.
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University Hospitals Sussex NHS Foundation Trust
Establish a Gastroenterology hot clinic to ensure jaundice patients are referred after initial assessment and ultrasound, with Registrar and Consultant support.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026