Recurring concern
Failure to incorporate relevant clinical history and diagnoses into care decisions
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Request correctionFirst reported 25 Mar 2014•Latest report 27 May 2026
What this concern includes
Includes failures in clinical assessment or treatment-planning processes to obtain, consider, document or use relevant previous diagnoses, treatment, available records and information from prior care providers when making care decisions.
Not included
- Excludes failures limited to accessing or transferring clinical records when the material unsafe condition is unavailable records rather than failure to incorporate relevant information into the decision.
- Excludes generic documentation deficiencies where no failure to consider relevant clinical history or diagnoses is identified.
- Excludes failures to consider family, carer or advocate views unless they are part of a broader failure to incorporate relevant clinical information into the care decision.
- Excludes condition-specific assessment or treatment pathways where that named condition or system provides the more specific supported boundary.
- Reports
- 33
- Individual concerns
- 35
- Date range
- 2014–2026
- Stated actions
- 50
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 incorporate relevant previous restraint and trauma history into admission care
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 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 fully consider recent substance misuse history in unescorted-leave decisions
This report raised 13 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
Reissue section 17 guidance and use separate escorted/emergency and unescorted leave forms for each patient.
Stated by Alternative Futures Group Limited -
Action
Revise MDT documentation to include a current risk summary and the patient’s perspective, informed by review of patient documentation and interactions.
Stated by Alternative Futures Group Limited
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Concerns raised1
Failure to base prescribing decisions on complete and current clinical information
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.2
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Action
Implemented access to the NHS National Care Records Service to obtain contemporaneous clinical information for assessments and ongoing care.
Stated by Curaleaf Clinic -
Action
Reinforced documentation of available clinical information and review of incomplete external information through MDT and clinical governance processes.
Stated by Curaleaf Clinic
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 summary care record was less than a year old and contained information sufficient for the prescribing assessment.
Stated by Curaleaf Clinic
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Concerns raised1
Failure to obtain and consider relevant previous medical history
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
Ensure clinicians assess whether available clinical information is sufficient without delaying appropriate patient assessment.
Stated by Marine Lake Medical Practice
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Concerns raised1
Failure to document consideration of relevant diagnoses in treatment plans
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 gather and use comprehensive information in risk assessment
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.5
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Action
Provide clinical risk-assessment training and apply the clinical risk policy.
Stated by The Trust -
Action
Implement the Health Information Exchange to consolidate access to key information across electronic record systems.
Stated by The Trust -
Action
Use the new operating model to strengthen family and carer engagement throughout admission and discharge.
Stated by The Trust
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Action
Improve care plans so historical factors, experiences, and risks inform personalised care planning.
Stated by The Trust -
Action
Review each patient’s history and electronic-record information at ward multidisciplinary team meetings.
Stated by The Trust
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Concerns raised1
Failure to factor complex trauma and difficulty being in hospital into treatment planning
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.2
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Position
Concerns about care at Colchester General Hospital fall outside NHS England’s remit.
Stated by NHS England
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Position
East Suffolk & North Essex NHS Foundation Trust is responsible for responding to concerns about care at Colchester General Hospital.
Stated by NHS England
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Concerns raised1
Failure to include key current clinical information in care plans
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.
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 the International Fundamentals of Care Framework in urgent and inpatient care, including its principles in Newman’s care-planning form.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Use the Admission Checklist to support care planning, timely escalation and referrals, and reduce missed actions.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Failure of CRISIS team MDT meetings to use accurate patient medication information when agreeing treatment plans
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 raised1
Failure to adequately incorporate alcohol problems, reported assurances and recent history into risk assessment
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.
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
Review the risk-assessment approach to move from quantified risk scoring towards a narrative approach aligned with NICE guidance.
Stated by Cumbria, Northumberland, Tyne and Wear 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
The FACE risk assessment contained relevant risks, and its scoring was appropriate for the risks presented at discharge.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Data last updated 7 September 2026