Recurring concern
Inadequate staff competence to provide first aid
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Request correctionFirst reported 30 Oct 2013•Latest report 15 Jun 2026
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
- Individual concerns
- 111
- Date range
- 2013–2026
- Stated actions
- 176
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 maintain current first-aid training for prison staff working alone at night
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
Provide first aid training to all Custodial Managers undertaking orderly officer duties.
Stated by HM Prison and Probation Service -
Action
Provide first aid training to Operational Support Grade staff.
Stated by HM Prison and Probation Service
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
Twenty-four-hour healthcare cover is sufficient to meet identified first-aid training needs at HMP Liverpool.
Stated by HM Prison and Probation Service
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Concerns raised1
Lack of current training for assessing medical issues
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.1
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Action
Introduce mandatory first-aid training before Responder attendance and require certificates to remain current.
Stated by Peaks & Plains Housing Trust
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Concerns raised1
Lack of basic first aid training for prison officers and staff with direct access to prisoners
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.1
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Action
Train all Custodial Managers in first aid to ensure trained staff are always available.
Stated by HM Prison and Probation Service and NHS England
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Concerns raised1
Insufficient first-aid training level among health support workers
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.1
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Action
Provide and renew First Aid at Work and Fundamental First Aid training through a continuing professional-development programme.
Stated by Leeds City Council
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 existing first-aid training regime adequately addresses concerns about staff first-aid competence, so additional training is unnecessary.
Stated by Leeds City Council
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Position
There is no need to engage health support workers because customers generally do not have complex or additional medical needs.
Stated by Leeds City Council
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Concerns raised1
Failure to ensure staff in caring roles have current basic life support training
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
Train all residential-unit staff in Basic Life Support.
Stated by Hywel Dda University LHB -
Action
Evaluate training options for healthcare support staff focused on recognising and responding to life-threatening conditions.
Stated by Hywel Dda University LHB -
Action
Use a risk-based approach to determine which healthcare support staff require life-threatening-conditions training, including those working unsupervised.
Stated by Hywel Dda University LHB
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Concerns raised1
Failure to maintain effective and current first aid training and competence
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.5
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Action
Review and strengthen the staff training system using a skills matrix and training plan.
Stated by Barons Park Nursing Home Ltd -
Action
Allocate staff to scheduled training sessions rather than relying on open attendance.
Stated by Barons Park Nursing Home Ltd -
Action
Require employees to keep training current through an employment-contract clause.
Stated by Barons Park Nursing Home Ltd
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Action
Provide key-area training to all nursing and care staff.
Stated by Barons Park Nursing Home Ltd -
Action
Review training effectiveness through staff feedback and course-participant evaluation.
Stated by Barons Park Nursing Home Ltd
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Concerns raised1
Lack of up-to-date first aid certification and choking-response knowledge among staff
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 raised1
Lack of basic first aid training for personnel responding to unwell passengers
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
Review passenger illness assistance and share TOC approaches to first-aid training and briefing through the Safety Forum and Operations Council.
Stated by ATOC Limited -
Action
Send members an electronic notification about the death, recovery position, and consideration of changes to station first-aid arrangements.
Stated by ATOC Limited
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
Individual train operating companies decide and implement proportionate responses to passenger illness risks based on their own risk assessments.
Stated by ATOC Limited
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Position
Individual companies’ ongoing review of existing first-aid arrangements is considered a sufficient national response, rather than requiring prescriptive uniform measures.
Stated by ATOC Limited
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Concerns raised2
Failure to provide Emergency Care Assistants and Emergency Medical Technicians with attendance at Immediate Life Support courses
Failure to assess Emergency Care Assistants and Emergency Medical Technicians at intervals for compliance with life-support standards and scope of practice
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 of nursing staff to apply basic life-support training
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
Revise and regularly run lifelike-manikin resuscitation assessments and practical sessions across Forensic Service and Trust wards.
Stated by North London NHS Foundation Trust -
Action
Conduct unannounced resuscitation scenarios across Forensic wards to strengthen emergency response.
Stated by North London NHS Foundation Trust
Data last updated 7 September 2026