Recurring concern
Unreliable Care Programme Approach care coordination
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Request correctionFirst reported 24 Jun 2015•Latest report 12 Jan 2026
What this concern includes
Includes failures of the named Care Programme Approach and its dedicated care-coordination controls, including allocation of a care coordinator, structured reviews, medication review, care planning, role definition, risk management, inter-professional coordination and required follow-up.
Not included
- Excludes medication-review failures that are not part of the Care Programme Approach.
- Excludes generic care coordination, communication or governance deficiencies where the Care Programme Approach is not explicitly involved.
- Excludes failures of unrelated discharge, treatment or referral processes unless they are specifically identified as CPA controls.
- Excludes final membership conclusions; the cited assertions support consideration of this parent only.
- Reports
- 21
- Individual concerns
- 25
- Date range
- 2015–2026
- Stated actions
- 27
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 CMHT and Care Coordinator performance under the Care Programme Approach
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.3
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Action
Standardise sample-based community mental health caseload audits across localities.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Introduce a care-coordination competency framework for new starters as part of probation.
Stated by Essex Partnership University NHS Foundation Trust -
Action
Provide targeted complexity-and-escalation training, reflective supervision, and monthly CPD review for Care Coordinators.
Stated by Essex Partnership University NHS Foundation Trust
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
The concerns reflect professional practice failures rather than a systemic organisational failure of care-planning systems or governance.
Stated by Essex Partnership University NHS Foundation Trust
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Position
Existing supervision, MDT escalation, governance, and proportionate sample-based audits are considered sufficient; exhaustive case-by-case auditing is not required.
Stated by Essex Partnership University NHS Foundation Trust -
Position
Proactive detailed review of every case is operationally infeasible because community caseloads are large and existing resources are limited.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Failure to allocate a Care Coordinator under the Care Programme Approach
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 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
Strengthen care-coordinator referral and allocation through shared referral-inbox access, weekly monitoring and a weekly Flow and Capacity Meeting.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised1
Failure to allocate a CMHT Care Coordinator during prolonged inpatient admission
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.1
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Action
Improve CMHT allocation and discharge coordination through increased staffing, reduced waiting lists, weekly ward attendance and duty-worker participation in relevant ward rounds.
Stated by Pennine Care NHS Foundation Trust
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Concerns raised1
Failure to raise offensive-weapon disclosures at Care Programme Meetings
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 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 follow the Care Programme Approach during discharge
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.1
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Action
Update CPA and Acute Care Services policies to require a pre-discharge CPA meeting for every homeless inpatient.
Stated by Surrey and Borders Partnership 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
District and Borough Housing Departments are responsible for finding settled accommodation following the Trust’s statutory referral of homeless patients.
Stated by Surrey and Borders Partnership NHS Foundation Trust
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Concerns raised1
Failure to resolve the interagency Care Programme Approach process
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 raised1
Failure to follow Care Programme Approach guidance
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 raised2
Lack of an adequate Care Programme Approach
Failure to appoint a care coordinator to monitor care under an appropriate care plan
This report raised 12 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
Strengthen dual-diagnosis policies and protocols to provide an enhanced Care Programme Approach with joint substance-misuse working.
Stated by Lincolnshire Partnership NHS Foundation Trust -
Action
Review the Care Programme Approach to ensure appropriate care-coordinator allocation, including for all patients with dual diagnosis.
Stated by Lincolnshire Partnership 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
Care coordination and assertive outreach concerns relate to services commissioned by the CCG and provided by Lincolnshire Partnership NHS Trust.
Stated by Lincolnshire County Council
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Concerns raised1
Lack of a structured medication review within the overall Care Plan Approach
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 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 continue the Care Program Approach after transfer to the Prison Service
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 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.1
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Position
Healthcare providers or prison mental health services determine whether an individual requires continuation of the Care Programme Approach.
Stated by HM Prison and Probation Service
Data last updated 7 September 2026