Recurring concern
Unclear accountability for allergy services and provision
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Request correctionFirst reported 27 Jan 2020•Latest report 6 Apr 2023
What this concern includes
Includes failures to assign, document or maintain clear accountability for allergy services and provision at national or system level, including the absence of named responsibility within NHS England or the Department of Health.
Not included
- Excludes generic governance, leadership or accountability deficiencies that are not specifically tied to allergy services and provision.
- Excludes failures in allergy diagnosis, treatment, referral, communication or clinical guidance where accountability for allergy services is not the unsafe condition.
- Excludes local accountability for an individual patient's allergy care unless the assertion explicitly concerns the same system-level accountability for allergy services and provision.
- Excludes neutral descriptions of allergy services or organisational structure without an identified absence or unreliability of accountable ownership.
- Reports
- 2
- Individual concerns
- 3
- Date range
- 2020–2023
- Stated actions
- 1
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 raised2
Lack of named accountability for allergy services and provision
Lack of national leadership for anaphylaxis work
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.1
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Action
Establish and jointly chair an Expert Advisory Group for Allergy to identify priority policy areas and advise on improving outcomes.
Stated by Department of Health and Social Care
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
NHS England is responsible for national clinical policy and strategy for allergy services in England, rather than the Department.
Stated by Department of Health and Social Care
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Position
Existing NHS England allergy advisory structures and its process for reviewing National Clinical Director posts address national leadership without requiring an allergy director now.
Stated by Department of Health and Social Care
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Concerns raised1
Lack of named accountability for allergy services and provision
This report raised 20 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.3
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Position
Matters of concern 1–14 and 20 do not concern NHS Pathways and fall outside its remit.
Stated by NHS England
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Position
Commissioning and management of general allergy services is a local responsibility rather than a national departmental responsibility.
Stated by Department of Health and Social Care -
Position
NHSEI is responsible for clinical policy and strategy for allergies in the NHS in England, including specialised allergy services.
Stated by Department of Health and Social Care
Data last updated 7 September 2026