First reported 30 Oct 2013•Latest report 15 Jun 2026
Definition
What this concern includes
Includes deficiencies in first-aid or basic-life-support training, currency, refresher provision, competence assessment, practical skill, emergency recognition or ability to provide CPR and other appropriate first aid where these concern staff expected or likely to respond to emergencies.
Not included
Excludes failures concerning unrelated professional, clinical or record-keeping competence where first aid is not the safety issue.
Excludes missing or inadequate first-aid equipment, facilities or emergency procedures unless the assertion also directly concerns staff competence to use them.
Excludes delays or failures by emergency services or other responders that are not attributed to staff first-aid competence.
Excludes generic workforce training deficiencies without a direct first-aid or basic-life-support component.
Reports
95
Distinct published reports
Individual concerns
111
A report can raise multiple concerns
Date range
2013–2026
First to latest report issue date
Stated actions
176
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.
HM Prison and Probation Service18
Department of Health and Social Care10
Care Quality Commission9
Ministry of Justice9
NHS England7
Pentonville Prison6
Department for Education5
Practice Plus Group4
Care UK3
Department for Transport3
London Ambulance Service NHS Trust3
College of Policing2
Health and Safety Executive2
Metropolitan Police Service2
North West Ambulance Service NHS Trust2
Ministerial department22
NHS trust19
Executive agency18
Prison or young offender institution12
Executive non-departmental public body9
Health and social care service regulator9
Private limited company8
Police force6
Registered charity6
Type not available6
Nursing home5
Company4
Independent healthcare provider4
Multi-service care provider4
Residential care home4
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.
Inner North London
Concerns raised1
Lack of first aid and CPR training for prison officers
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Birmingham and Solihull
Concerns raised1
Failure to train care staff in CPR and choking procedures
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 concerns
Each 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
Action
Implement an additional action plan and timetable responding to the inquest findings.
Stated by Avery Healthcare GroupStated completedThe respondent said that this action was complete when they made their response on 26 February 2017.
Action
Continue embedding all organisational policies and procedures at Aran Court.
Stated by Avery Healthcare GroupStated in progressThe respondent said that this action was in progress when they made their response on 26 February 2017.
Action
Inspect care homes’ emergency response, staff training, induction, and transfer-risk arrangements, including follow-up checks against the reported concerns.
Stated by Care Quality CommissionStated completedThe respondent said that this action was complete when they made their response on 26 February 2017.
Action
Maintain the Care Certificate as an induction and development standard covering safe, effective care for health and social care workers.
Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 26 February 2017.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
Position
Emergency first aid and basic life-support training is considered an appropriate level of training for staff responding to choking and CPR situations.
Stated by Avery Healthcare GroupExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Existing emergency first-aid training, shift reminders and staff competence checks were considered sufficient to address emergency response concerns.
Stated by Care Quality CommissionExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Care Certificate induction standards and workplace competence assessment were considered sufficient to ensure HCAs had necessary knowledge and skills.
Stated by Care Quality CommissionExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Care homes are responsible for providing and maintaining staff training, including emergency telephone, CPR and choking procedures.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Surrey
Concerns raised2
Lack of requirements for contracted pupil-transport bus companies to ensure driver Basic Life Support training
Lack of a Basic Life Support qualification requirement for pupil-transport drivers
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 concerns
Each 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
Action
Consult on a revised version of the guidance on school transport.
Stated by Department for EducationStated plannedThe respondent said that this action was planned when they made their response on 25 May 2016.
Action
Consider clarifying training expectations for school bus drivers and escorts, including basic life support and emergency healthcare protocols.
Stated by Department for EducationStated plannedThe respondent said that this action was planned when they made their response on 25 May 2016.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Mandatory basic life-support training for bus drivers is not proposed because existing guidance and flexible Driver CPC arrangements are considered sufficient.
Stated by Department for TransportExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Responsibility for requiring bus companies to provide drivers with basic life support training rests with the Department for Transport.
Stated by Department for EducationRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Inner North London
Concerns raised1
Lack of current mandatory basic life support and first aid training for all prison officers
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 concerns
Each 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
Action
Ensure sufficient suitably trained first aiders are available through establishment first-aid risk assessments and current competency certification.
Stated by Pentonville PrisonStated in progressThe respondent said that this action was in progress when they made their response on 19 May 2016.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing risk-assessed first-aid staffing and 24-hour healthcare cover were considered sufficient, so CPR training was not mandatory for all prison staff.
Stated by Pentonville PrisonExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Surrey
Concerns raised1
Lack of Acute or Basic Life Support training for the radiologist
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 concerns
Each 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
Action
Require annual consultant reporting of completed mandatory training through the updated BMI practising privileges policy.
Stated by Circle Health Group LimitedStated completedThe respondent said that this action was complete when they made their response on 16 May 2016.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Consultants were required to maintain basic life-support training through practising-privileges and annual appraisal arrangements.
Stated by Circle Health Group LimitedExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Shropshire, Telford and Wrekin
Concerns raised1
Insufficient first-aid training among first-attending prison officers
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Nottinghamshire
Concerns raised2
Inadequate First Aid training for prison staff
Selective emergency First Aid training among prison staff
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 concerns
Each 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
Action
Review the bands, grades and numbers of staff requiring first-aid training.
Stated by HM Prison and Probation Service and Ministry of Justice and Ranby PrisonStated in progressThe respondent said that this action was in progress when they made their response on 16 March 2016.
Action
Ensure first-aid training is delivered by competent, approved or currently certificated instructors.
Stated by HM Prison and Probation Service and Ministry of Justice and Ranby PrisonStated in progressThe respondent said that this action was in progress when they made their response on 16 March 2016.
Action
Provide staff information on defibrillator locations and use.
Stated by HM Prison and Probation Service and Ministry of Justice and Ranby PrisonStated completedThe respondent said that this action was complete when they made their response on 16 March 2016.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Healthcare concerns are assigned to NHS England and Nottinghamshire Healthcare NHS Foundation Trust, which addressed them separately.
Stated by HM Prison and Probation Service and Ministry of Justice and Ranby PrisonRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The remaining seven concerns were matters for HM Prison Service and other parties, so the Trust could not respond to them.
Stated by Nottinghamshire Healthcare NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Bedfordshire and Luton
Concerns raised1
Lack of basic life support training for Police Officers expected to act as first responders
Responses linked to these concerns
Each 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
Action
Provide the two officers with training on when and how to administer CPR.
Stated by Bedfordshire PoliceStated plannedThe respondent said that this action was planned when they made their response on 9 February 2016.
Action
Remind all officers during annual refresher training when it is necessary and appropriate to commence CPR.
Stated by Bedfordshire PoliceStated plannedThe respondent said that this action was planned when they made their response on 9 February 2016.
Cornwall
Concerns raised1
Lack of appropriate care-home resuscitation policies and staff preparation to preserve life
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
West Yorkshire Eastern
Concerns raised1
Failure of First Aid provision to maintain effective resuscitation capability
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 concerns
Each 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
Action
Refresh all first aiders’ first-aid training regularly in line with HSE guidance.
Stated by W.E.Rawson LimitedStated plannedThe respondent said that this action was planned when they made their response on 14 December 2015.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
It is difficult to prepare non-medical first aiders to avoid freezing from shock during incidents as severe as this one.
Stated by W.E.Rawson LimitedUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Pin
Get email alerts
Request correction
Includes deficiencies in first-aid or basic-life-support training, currency, refresher provision, competence assessment, practical skill, emergency recognition or ability to provide CPR and other appropriate first aid where these concern staff expected or likely to respond to emergencies.
