Recurring concern
Unclear roles and pathways for community mental-health services
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Request correctionFirst reported 12 Sep 2013•Latest report 8 Aug 2025
What this concern includes
Includes failures within community mental-health services and their referring or receiving teams to define, communicate and maintain a shared understanding of service scope, limitations, referral routes and appropriate use, including understanding what Home Treatment Teams and other community services can provide on discharge.
Not included
- Excludes generic staff-training or communication deficiencies where community mental-health service roles or pathways are not the material unsafe condition.
- Excludes failures of community mental-health service capacity, appointment access, treatment quality or discharge execution when staff understanding of service roles and pathways is not itself deficient.
- Excludes referral failures caused solely by missing information, staffing shortages or patient disengagement where the scope and pathway requirements were clearly understood.
- Excludes non-mental-health community services and generic multi-agency coordination concerns without a specific community mental-health service-role or pathway component.
- Reports
- 8
- Individual concerns
- 9
- Date range
- 2013–2025
- Stated actions
- 10
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 of crisis text services to use Greater Manchester mental health pathways for early referral
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
Implement a phased, locally delivered crisis-text service integrated with the Greater Manchester 111 mental-health crisis line.
Stated by NHS Greater Manchester Integrated Care Board
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
The non-NHS charity’s service delivery and clinical governance arrangements fall outside the respondent’s ability to comment on.
Stated by NHS England
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Position
Independent charitable organisations providing crisis text services are outside Government and NHS control.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to account for mental health crisis team inability to enter locked premises when directing callers to mental health services
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.3
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Action
Monitor and work with partners on powers of entry so agencies understand legal parameters and available options.
Stated by College of Policing -
Action
Collate concerns raised, review them against the toolkit and guidance, and amend the toolkit where necessary.
Stated by College of Policing -
Action
Continue reviewing toolkit content and provide forces with tools, training and support to implement and deliver Right Care, Right Person.
Stated by College of Policing
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
A review found no significant failings in the use or implementation of the Right Care Right Person policy.
Stated by Police and Crime Commissioner for Durham
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Position
Operational decisions and responses under Right Care, Right Person are the responsibility of individual police forces, including Durham Constabulary.
Stated by College of Policing -
Position
Police cannot enter a person’s home for a welfare check where assessed risk does not reach the threshold of risk to life and limb.
Stated by College of Policing
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Concerns raised1
Lack of understanding of NHS community discharge services
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
Raise the case during quality assurance visits to providers, highlighting NHS referral access for privately funded patients and robust discharge planning.
Stated by NHS Greater Manchester Integrated Care Board -
Action
Share guidance with consultant psychiatrists explaining the importance and professional requirement of maintaining current knowledge of local NHS community mental health services.
Stated by Priory Group -
Action
Create local NHS mental health services directories at all hospitals and update and disseminate them through induction and annual professional communications.
Stated by Priory Group
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Concerns raised1
Lack of understanding of local mental health care pathways by coordinating teams
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
Unclear mental health care pathways for professionals after discharge
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised2
Lack of shared understanding between referrers and crisis teams about crisis team capabilities and limitations
Lack of specific training and education for general practitioners about crisis team services and limitations
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
Meet with Crisis Team managers to discuss service provision.
Stated by Killick Street Health Centre -
Action
Establish regular meetings between practice GPs and the Crisis Team to discuss service provision and individual clients.
Stated by Killick Street Health Centre
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Concerns raised1
Failure to define and communicate mental health teams' roles and responsibilities for onward care
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
Lack of shared understanding of team referral roles and interfaces
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
Base a Crisis Resolution and Home Treatment team member within the Access and Assessment Team to support prompt joint working and care transitions.
Stated by Norfolk and Suffolk NHS Foundation Trust
Data last updated 7 September 2026