Recurring concern
Unsafe moving and handling of patients
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Request correctionFirst reported 4 Dec 2013•Latest report 11 Jun 2025
What this concern includes
Includes failures of the dedicated patient moving and handling process, including moving and handling risk assessments, appropriate equipment, safe positioning or securing, and correct repositioning or transfer practices.
Not included
- Excludes generic staffing, training, documentation or record-keeping failures unless they are explicitly tied to the patient moving and handling process.
- Excludes pressure-ulcer prevention and general personal-care failures that are not specifically about moving, handling, positioning or repositioning patients.
- Excludes unrelated clinical risk assessments, including VTE, falls or malnutrition assessments, unless the assertion concerns moving and handling itself.
- Reports
- 20
- Individual concerns
- 23
- Date range
- 2013–2025
- Stated actions
- 14
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 regularly document repositioning
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
Failure to secure patients safely in wheelchairs
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.3
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Action
Strengthen wheelchair-safety training with dedicated guidance and complete one-to-one supervision sessions for all staff.
Stated by Care UK Community Partnerships Ltd -
Action
Disseminate wheelchair-safety guidance through laminated copies at nurses’ stations and copies in relevant resident care-plan folders.
Stated by Care UK Community Partnerships Ltd -
Action
Provide full-group refresher training on wheelchair safety, appropriate dressing, oral-fluid encouragement and updated welfare-check documentation after restrictions are lifted.
Stated by Care UK Community Partnerships Ltd
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 incident occurred on arrival at Muriel Street, not during hospital readmission, and the resident was neither in public nor unresponsive.
Stated by Care UK Community Partnerships Ltd
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Concerns raised1
Failure to use safety straps during patient transfer
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.
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
Safety for Mangar Elk use is considered adequately managed by attending ambulance staff, despite the equipment lacking safety straps.
Stated by East of England Ambulance Service NHS Trust
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Concerns raised1
Lack of sufficient training in moving and handling and pressure relief
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 provide appropriate positioning and personal care
This report raised 17 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 complete turning charts
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 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 use safe post-fall handling for patients with possible head or cervical spine injury
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.
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
Retrain all care-delivering staff in moving and handling through e-learning and competency-based workbooks.
Stated by Rch Care Homes Limited -
Action
Instruct all staff not to move a person after a fall until a suitably trained person completes a full assessment.
Stated by Rch Care Homes Limited
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Concerns raised3
Failure to use the required trolley for patient transfer
Failure to complete handling assessments
Incomplete and poor repositioning records
This report raised 22 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
Monitor documentation more closely and provide nurses with real-time feedback.
Stated by University Hospitals Sussex NHS Foundation Trust -
Action
Review and condense Acute Medical Unit documentation into multidisciplinary paperwork that directs care and reduces duplication.
Stated by University Hospitals Sussex NHS Foundation Trust
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Concerns raised1
Failure to complete turning and repositioning charts
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 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
Conflicting falls-risk and manual-handling assessments for resident mobilisation
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.
Data last updated 7 September 2026