Recurring concern
Failure to ensure patients receive the correct prescribed medication at hospital discharge
- Reports that mention this concern
- 13
- Times this concern has been raised
- 13
- Stated actions linked to this concern
- 13
What this concern includes
Includes failures in the hospital discharge medication process that prevent the patient receiving the correct prescribed medication before or at discharge, including transfer, dispensing, availability, reconciliation and escalation failures dedicated to discharge medication safety.
What is not included
- Excludes failures to administer medication during an inpatient stay when they are not connected to discharge.
- Excludes prescribing, clinical selection or dose-assessment failures that do not concern supplying or transferring medication at discharge.
- Excludes generic discharge communication failures involving summaries, results or other information without a medication-supply failure.
- Excludes medication-access or dispensing risks outside hospital discharge.
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 13 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure to dispense prescribed dalteparin before discharge
This report raised 1 other concern. 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 prescribe or dispense medication before self-discharge against medical advice patients leave the Hospital
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Greater Manchester Mental Health 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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Greater Manchester Mental Health NHS Foundation Trust
Complete a Trust-wide review of self-discharge against medical advice policies and procedures.
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Greater Manchester Mental Health NHS Foundation Trust
Develop, ratify and implement a single Trust-wide self-discharge procedure with a checklist, senior clinical review, capacity and risk assessments, detention consideration, documentation and medication supply requirements.
-
Greater Manchester Mental Health NHS Foundation Trust
Disseminate the ratified procedure to Care Groups and staff through the intranet and junior-doctor induction.
-
Concerns raised1
Failure to provide discharge medications
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Leeds Teaching 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.2
-
Leeds Teaching Hospitals NHS Trust
Provide AMS CSU patients with discharge notes, booked follow-up appointments, wound-care plans, medication or supplies, and community-support instructions.
-
Leeds Teaching Hospitals NHS Trust
Amend the electronic discharge-note template to include required discharge information and advice.
-
Concerns raised1
Failure to transfer prescribed medication to the community hospital
This report raised 3 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 send prescribed anticipatory medication with the person at discharge
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Northern Care Alliance 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.1
-
Northern Care Alliance NHS Foundation Trust
Re-circulate the discharge Standard Operating Procedure to staff, including staff on the discharge ward.
-
Concerns raised1
Failure to provide prescribed antibiotics at discharge
This report raised 9 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 ensure an adequate supply of prescribed medication during hastily arranged discharges
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
Lack of a protocol for patients self-discharging from hospital without necessary medication
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Wrightington, Wigan and Leigh Teaching 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.1
-
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust
Continue communicating self-discharge policy requirements to clinical and nursing staff through bulletins, meetings, induction, briefings and read-and-sign materials.
-
Concerns raised1
Failure to ensure prescribed antibiotics are supplied to patients on discharge
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Manchester University 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
-
Manchester University NHS Foundation Trust
Complete a retrospective audit of emergency-department discharge prescriptions and evidence that medications were dispensed and communicated in line with policy.
-
Manchester University NHS Foundation Trust
Remind emergency-department and clinical-decisions-unit staff to supply prescribed medications, communicate instructions to patients and carers, and document this in clinical records.
-
Manchester University NHS Foundation Trust
Commence a regular emergency-department audit programme monitoring compliance with medication-supply and documentation policy.
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Concerns raised1
Failure to maintain syringe-driver medication delivery during hospital-to-hospice transfer
This report raised 1 other concern. 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.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026