Recurring concern
Inadequate integrated care for people with co-occurring physical and mental health needs
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Request correctionFirst reported 3 Mar 2014•Latest report 15 Jun 2026
What this concern includes
Includes deficiencies in facilities, care pathways, coordination or delivery that are specifically intended to provide integrated physical and mental healthcare for the same patient group.
Not included
- Excludes generic shortages of mental health facilities or placements where co-occurring physical and mental health needs are not identified.
- Excludes failures concerning substance misuse or other complex needs unless they are explicitly tied to integrated physical and mental healthcare.
- Excludes generic staffing, training, documentation or communication deficiencies that are not specifically dedicated to this integrated care concern.
- Reports
- 11
- Individual concerns
- 12
- Date range
- 2014–2026
- Stated actions
- 7
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
Failure to coordinate alerts and subsequent treatment or long-term intervention
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.2
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Action
Continue rolling out Neighbourhood Mental Health Centres across England to provide more joined-up care and oversight.
Stated by NHS England -
Action
Provide the National Record Locator service to help care professionals locate and retrieve patient information and identify organisations involved in care.
Stated by NHS England
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Concerns raised1
Lack of policy, protocols and guidance for safeguarding mental health patients with accompanying physical health issues
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Lack of integrated healthcare system for diabetes and eating disorders
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.4
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Action
Work with regional partners to learn from national pilots and trial integrated T1DE pathways locally.
Stated by NHS Hertfordshire and West Essex Integrated Care Board -
Action
Lead a multi-partner implementation group to improve eating-disorder services and physical-health checks.
Stated by NHS Hertfordshire and West Essex Integrated Care Board -
Action
Reinforce ICB case-discussion support and establish a clearer provider escalation process, with access details due by November 2024.
Stated by NHS Hertfordshire and West Essex Integrated Care Board
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Action
Develop an integrated diabetic-care model covering complex cases, multidisciplinary case management and mental-health support.
Stated by NHS Hertfordshire and West Essex Integrated Care Board
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Concerns raised1
Lack of establishments suitably designed for dual physical and mental health needs
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 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
Local authorities and the CQC are responsible for the quality, delivery and availability of suitable care providers.
Stated by Department of Health and Social Care
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Concerns raised1
Inability to care for mentally unwell patients with physical health problems who are refusing to eat
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 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.2
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Position
The Queen Elizabeth Hospital should respond to the concerns outside the second part of the first concern.
Stated by Norfolk and Suffolk NHS Foundation Trust
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Position
Mental Health Liaison Teams do not provide direct hands-on physical interventions, including dietary advice or nutritional support.
Stated by Norfolk and Suffolk NHS Foundation Trust
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Concerns raised1
Failure to provide adequately trained and equipped staff for people with coexisting mental and physical ill-health
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
Work with clinical teams to provide sufficient staffing and equipment for consistent, balanced work allocation.
Stated by Norfolk and Suffolk 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
Providing accommodation supporting individuals with complex and fluctuating needs is outside the Trust’s direct control.
Stated by Norfolk and Suffolk NHS Foundation Trust
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Concerns raised1
Lack of active input from outside consultants into mental health unit patient care
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 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
Difficulties in transferring patients with serious mental and physical health problems
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Lack of consultant physician input into management of in-patients with physical health problems
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.
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Concerns raised2
Failure to provide seamless physical and mental healthcare including DVT prophylaxis within a single unit
Failure of psychiatric units to deliver required physical healthcare
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026