First reported 17 Jan 2014•Latest report 26 Mar 2026
Definition
What this concern includes
Includes failures to provide, maintain or act on sufficiently active GP involvement in a patient's care, including minimal involvement, failure to conduct requested GP reviews and failure to provide necessary GP oversight of changing or abnormal clinical circumstances.
Not included
Excludes generic communication, referral, staffing or documentation deficiencies unless they directly result in insufficient GP involvement in the patient's care.
Excludes failures of specialist, hospital, mental-health or nursing involvement where GP involvement is not the shared unsafe condition.
Excludes isolated failures to act on a specific test, prescription or referral when sufficient GP involvement was otherwise provided and the issue belongs to a narrower clinical process.
Excludes routine care in which GP involvement was not clinically indicated or requested.
Reports
17
Distinct published reports
Individual concerns
17
A report can raise multiple concerns
Date range
2014–2026
First to latest report issue date
Stated actions
17
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.
Recipient name withheld2
A & B Healthcare Limited1
Beech Dene Residential Care Home1
Brighton and Hove City Council1
Care First Homes1
Care Quality Commission1
Churchgate Surgery1
City & Hackney Integrated Primary Care C.I.C.1
Cornerstone Family Practice1
Department of Health and Social Care1
Droylsden Road Family Practice1
East Riding of Yorkshire Council1
Greater Manchester Health and Social Care Partnership1
Greater Manchester Mental Health NHS Foundation Trust1
Greater Manchester Police1
Healthcare site7
NHS trust7
Private limited company3
Type not available3
English unitary authority2
Social-care provider2
Care-home operator1
Community interest company1
English metropolitan district council1
Executive non-departmental public body1
Health and social care service regulator1
Health-system partnership1
Integrated care board1
Ministerial department1
Multi-service care provider1
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.
Suffolk
Concerns raised1
Lack of GP practice follow-up for patients describing suicidal ideation or suicidal thoughts
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 concerns
Each 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
Action
Complete a system-based Patient Safety Incident Investigation into the incident and its contributing vulnerabilities.
Stated by Unity HealthcareStated completedThe respondent said that this action was complete when they made their response on 7 April 2026.
Action
Introduce formal practice and mental-health-team caseload reviews covering care plans and safety-netting actions.
Stated by Unity HealthcareStated in progressThe respondent said that this action was in progress when they made their response on 7 April 2026.
Action
Define and reinforce clear ownership for prescribing actions and follow-up.
Stated by Unity HealthcareStated in progressThe respondent said that this action was in progress when they made their response on 7 April 2026.
Action
Introduce a formal escalation standard operating procedure for incomplete actions.
Stated by Unity HealthcareStated in progressThe respondent said that this action was in progress when they made their response on 7 April 2026.
Black Country
Concerns raised1
Failure to conduct medication reviews after overdose disclosures and related concerns
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 concerns
Each 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
Action
Amend the self-harm follow-up policy to require medication review and consideration of reducing prescription quantities where ongoing risk exists.
Stated by Your Health Partnership PCNStated plannedThe respondent said that this action was planned when they made their response on 29 October 2025.
Action
Amend the self-harm risk-assessment template to record medication review discussions, stockpiling, medication safety, prescription quantity, and medication supervision options.
Stated by Your Health Partnership PCNStated plannedThe respondent said that this action was planned when they made their response on 29 October 2025.
Action
Expand the annual proactive self-harm follow-up audit to record medication reviews and discussions about prescribed medication quantities.
Stated by Your Health Partnership PCNStated plannedThe respondent said that this action was planned when they made their response on 29 October 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
NICE Quality Standard 34 does not specifically require medication review following self-harm.
Stated by Your Health Partnership PCNDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
East Riding and Hull
Concerns raised1
Failure to follow up on intended GP support
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 concerns
Each 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
Action
Undertake an unannounced assessment covering visit duration, nutrition and hydration, health monitoring, escalation, record keeping, governance, safeguarding and decision-making.
Stated by Care Quality CommissionStated plannedThe respondent said that this action was planned when they made their response on 5 November 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Neither inspection raised concerns about staff failing to escalate health concerns, and the earlier inspection found appropriate healthcare referrals.
Stated by Care Quality CommissionDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
The January 2020 inspection found no concerns about staff supporting people to access healthcare services and support.
Stated by Care Quality CommissionDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Manchester South
Concerns raised1
Failure to provide face-to-face GP assessment when deterioration may be present
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 concerns
Each 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
Action
Review systems for recording and prioritising consultation and home-visit requests.
Stated by North Trafford Group PracticeStated completedThe respondent said that this action was complete when they made their response on 29 April 2022.
Action
Remind reception staff to record every home-visit request in the clinical system for clinician assessment.
Stated by North Trafford Group PracticeStated completedThe respondent said that this action was complete when they made their response on 29 April 2022.
Action
Reinforce home-visit request recording requirements through reception staff orientation and training.
Stated by North Trafford Group PracticeStated plannedThe respondent said that this action was planned when they made their response on 29 April 2022.
Action
Progress the Greater Manchester access action plan to increase general-practice capacity and appointments, expand face-to-face GP access, reduce avoidable demand, and improve healthcare inequalities.
Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 29 April 2022.
Action
Review the balance between remote and face-to-face consultations across Greater Manchester general practices.
Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 29 April 2022.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Existing digital systems provide clinician-triaged access to telephone, video, face-to-face consultations or home visits, with alternatives for patients unable to use them.
Stated by NHS Greater Manchester Integrated Care BoardExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
CQC and NHS England will make required improvements across practices that do not meet patients’ reasonable needs.
Stated by NHS Greater Manchester Integrated Care BoardRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester City
Concerns raised1
Lack of planned CMHT/HBTT involvement with the GP in overall management and treatment
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each 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
Action
Audit CMHT care plans and CPA reviews to verify GP contact and contribution to reviews, sharing findings and any action plan with divisional leadership.
Stated by Greater Manchester Mental Health NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 21 October 2021.
Stoke-on-Trent and North Staffordshire
Concerns raised1
Insufficient GP involvement
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 concerns
Each 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
Action
Raise multidisciplinary-team awareness of involving GPs in ongoing patient care.
Stated by Midlands Partnership University NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 26 November 2020.
Exeter and Greater Devon
Concerns raised1
Failure to ensure that the GP is informed
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 concerns
Each 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
Position
The provider could not share consultation details with the patient’s GP because there was no legal justification to breach confidentiality.
Stated by NHS EnglandUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Manchester South
Concerns raised1
Failure to conduct requested GP reviews
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Lack of GP involvement in inter-agency case handling
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Stoke-on-Trent and North Staffordshire
Concerns raised1
Minimal GP involvement
This report raised 15 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
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Includes failures to provide, maintain or act on sufficiently active GP involvement in a patient's care, including minimal involvement, failure to conduct requested GP reviews and failure to provide necessary GP oversight of changing or abnormal clinical circumstances.
