Recurring concern
Failure to provide treating clinicians with relevant patient history and baseline information
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Request correctionFirst reported 19 Jan 2018•Latest report 30 Jul 2025
What this concern includes
Includes failures to gather, provide, display or make available relevant patient history, baseline status and underlying health information to the treating clinicians responsible for assessment or treatment, including information available through records, alerts, medic-alert information or clinical handover.
Not included
- Excludes generic clinical-record, communication or handover deficiencies where relevant patient history or baseline information is not the material unsafe object.
- Excludes failures to act on complete and accessible patient history or baseline information when the information-provision process itself was reliable.
- Excludes condition-specific information systems or pathways, such as allergy, VTE, mental-health or oxygen-information systems, when that named concern is the more specific supported boundary.
- Excludes information provided solely for administrative, legal or non-clinical purposes.
- Reports
- 7
- Individual concerns
- 7
- Date range
- 2018–2025
- Stated actions
- 15
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 identify and make visible patients’ relevant diagnoses to the treating team
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.3
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Action
Remind staff through the learning-on-a-postcard system to check electronic alerts and patients’ medic-alert bracelets.
Stated by York and Scarborough Teaching Hospitals NHS Foundation Trust -
Action
Implement the Nervecentre electronic patient record with improved visibility of clinical alerts.
Stated by York and Scarborough Teaching Hospitals NHS Foundation Trust -
Action
Include clinical alerts in the Emergency Department’s two-day departmental induction.
Stated by York and Scarborough Teaching Hospitals 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 hospital computer alert for antiphospholipid syndrome and steroid treatment was present and visible when the patient attended, but was not noted.
Stated by York and Scarborough Teaching Hospitals NHS Foundation Trust
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Concerns raised1
Unavailability of neurological status information to surgical and anaesthetic teams
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
Review current intensive care-to-theatre transfer and handover practice.
Stated by University Hospitals Plymouth NHS Trust -
Action
Create a pre-operative handover checklist for complex intensive care patients, covering airway, allergies, medications, clotting, blood products and other relevant care information.
Stated by University Hospitals Plymouth NHS Trust
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
No further pre-operative investigations were considered necessary because neurological assessment showed no change after intubation.
Stated by University Hospitals Plymouth NHS Trust
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Position
Existing pre-operative assessment, intensive-care access and theatre briefing arrangements address relevant information-sharing needs, alongside a narrower new checklist.
Stated by University Hospitals Plymouth NHS Trust
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Concerns raised1
Failure to communicate the iliac artery aneurysm diagnosis to treating clinicians
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
Implement and expand Sunrise digital clinical documentation, results access and patient-observation recording across the organisation.
Stated by East Kent Hospitals University NHS Foundation Trust -
Action
Continue improving Sunrise to support record-keeping quality and patient safety.
Stated by East Kent Hospitals University NHS Foundation Trust -
Action
Revisit clinician training so staff can access all parts of the clinical record.
Stated by East Kent Hospitals University NHS Foundation Trust
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Action
Ensure surgical clinicians understand their medical-record access responsibilities and include this requirement in new-staff induction.
Stated by East Kent Hospitals University NHS Foundation Trust
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Concerns raised1
Unavailability of community care records to clinicians on admission
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Reduced provision of information about events leading up to admission and baseline and underlying health issues to treating clinicians
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 ensure clinicians know patients' full medical history before treating and prescribing
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.
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
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Action
Enable all Derby and Derbyshire general practices to use GP2GP electronic record transfer.
Stated by NHS Derby and Derbyshire Integrated Care Board -
Action
Offer Ashbourne Medical Practice additional GP2GP and electronic record transfer training.
Stated by NHS Derby and Derbyshire Integrated Care Board -
Action
Offer Ashbourne Medical Practice additional note summarisation training.
Stated by NHS Derby and Derbyshire Integrated Care Board
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Concerns raised1
Failure to circulate important clinical risk information to treating clinicians
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.
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
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Action
Require formal discharge care plans, risk assessments and consultant oversight for high-risk discharges.
Stated by Greater Manchester Mental Health NHS Foundation Trust -
Action
Identify patients with significant forensic histories in AMIGOS special notes to inform care and discharge planning.
Stated by Greater Manchester Mental Health NHS Foundation Trust -
Action
Introduce the approved PARIS electronic clinical record system across Manchester services.
Stated by Greater Manchester Mental Health NHS Foundation Trust
Data last updated 7 September 2026