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.
Manchester South
Concerns raised1
Failure to ensure that clinical staff are up to date with required Life Support training before undertaking shifts
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.
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.6
Action
Increase the Trust-wide ILS compliance target to 85% and monitor compliance through mandatory-training dashboards and governance reporting.
Stated by Pennine Care NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 14 October 2025.
Action
Provide additional ILS training sessions and adjust timetables to increase capacity, improve ward-staff access and reduce booking delays.
Stated by Pennine Care NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 14 October 2025.
Action
Escalate non-attendance at booked ILS courses to Ward Managers and Network Quality Leads to address attendance barriers and improve compliance.
Stated by Pennine Care NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 October 2025.
Action
Incorporate ILS compliance into ward rota planning to release staff for refresher training while maintaining appropriate staffing.
Stated by Pennine Care NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 October 2025.
Action
Extend ILS training to Bank staff and trainee doctors to increase the number of trained staff available on ward shifts.
Stated by Pennine Care NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 October 2025.
Action
Require and daily-monitor at least one ILS-trained nursing staff member on every inpatient ward shift, escalating staffing gaps.
Stated by Pennine Care NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 14 October 2025.
Inner North London
Concerns raised2
Lack of CPR and first-aid training among duty managers
Failure of first-aid training to produce basic first-aid competence
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 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
Require first-aid evidence before licence-linked training and require courses to cover responses to life-threatening bleeding.
Stated by Security Industry AuthorityStated completedThe respondent said that this action was complete when they made their response on 5 September 2025.
Action
Follow up with the awarding organisation about potential validity or efficacy issues concerning the security operative’s training qualification.
Stated by Security Industry AuthorityStated completedThe respondent said that this action was complete when they made their response on 5 September 2025.
Action
Investigate Total Security Services Limited and assess whether the enquiries require regulatory follow-up under the Approved Contractor Scheme.
Stated by Security Industry AuthorityStated in progressThe respondent said that this action was in progress when they made their response on 5 September 2025.
Action
Conduct monthly audits verifying that employees continue to hold valid, non-expired and non-revoked SIA licences.
Stated by T.S.S (Total Security Services) Limited (T.S.SStated in progressThe respondent said that this action was in progress when they made their response on 5 September 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Training all store colleagues in first aid is not necessary; Tesco will instead train store management colleagues as Appointed Persons.
Stated by Tesco Stores LimitedNo action considered necessaryThe respondent said that no further action was needed.
Position
Further changes to licence-linked qualification specifications are considered unnecessary because existing emergency first-aid training provides the appropriate skills for emergencies.
Stated by Security Industry AuthorityExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
SIA-endorsed third-party providers control officers’ training arrangements, which the respondent cannot determine or manage.
Stated by T.S.S (Total Security Services) Limited (T.S.SOutside remitThe respondent said that this matter was outside its role or authority.
Northumberland
Concerns raised1
Failure to ensure staff have current Basic Life Support and First Aid at Work training
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 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.6
Action
Operate an electronic training platform with expiry alerts and scheduled weekly compliance reports for home managers.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Action
Require Regional Managers to check compliance with mandatory and refresher training through governance systems.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Action
Verify agency workers’ training credentials before shifts and reiterate mandatory training requirements to the agency supplier.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Action
Reissue Basic Life Support and IDDSI/Dysphagia training electronically with defined completion timeframes.
Stated by Hill Care GroupStated in progressThe respondent said that this action was in progress when they made their response on 30 July 2025.
Action
Deliver face-to-face emergency first aid training to all staff by 14 October 2025.
Stated by Hill Care GroupStated in progressThe respondent said that this action was in progress when they made their response on 30 July 2025.
Action
Use revised agency induction forms to verify first aid, mandatory training, modified-diet awareness and daily nutritional-report awareness.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The measures described are considered sufficient to satisfy the concerns, so no further safety work is proposed.
Stated by Hill Care GroupNo action considered necessaryThe respondent said that no further action was needed.
Kent and Medway
Concerns raised1
Failure to maintain prison officers’ first aid and basic life support competence during physical restraint
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 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
Re-issue the national first aid refresher framework defining emergency first aid, workplace first aid and establishment cover requirements.
Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Action
Create bespoke first-on-scene care videos for prison officers and frontline staff covering potential emergency scenarios.
Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Inner West London
Concerns raised1
Out-of-date First Aid refresher training for healthcare staff
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 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
Provide role-appropriate Basic Life Support or Immediate Life Support training to all healthcare staff.
Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 23 July 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing mandatory training arrangements and staff completion of basic or immediate life support training address first-aid refresher concerns.
Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Inner North London
Concerns raised1
Lack of healthcare assistant and nursing staff training and clinical skills or knowledge for emergency care
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 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
Continue providing nursing and care staff with up-to-date CPR and emergency-situation training.
Stated by Acorn Lodge Care CentreStated in progressThe respondent said that this action was in progress when they made their response on 17 April 2025.
Action
Purchase Lifevac devices and train relevant staff in their use, alongside providing choking-response sessions.
Stated by Acorn Lodge Care CentreStated completedThe respondent said that this action was complete when they made their response on 17 April 2025.
Somerset
Concerns raised1
Lack of first-aid training for venue staff
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 concerns
Each 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.4
Position
Responsibility for concerns about a racetrack bike crash lies with DCMS rather than the Department for Transport.
Stated by Department for TransportRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Individual motor sport event organisers are responsible for protecting participants’ safety and wellbeing.
Stated by Department for Digital, Culture, Media and SportRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Event and venue operators have workplace health and safety duties under HSWA and associated regulations.
Stated by Department for Digital, Culture, Media and SportRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Current health and safety law does not require trained first-aid staff for participants and spectators, although guidance recommends considering them.
Stated by Department for Digital, Culture, Media and SportDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Manchester South
Concerns raised1
Failure to verify agency staff competence to deliver CPR and First Aid
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.2
Action
Bring Approved Premises night shifts in house when the external Double Waking Night Cover contract ends in March 2026.
Stated by Ministry of JusticeStated plannedThe respondent said that this action was planned when they made their response on 22 January 2025.
Action
Monitor external agency compliance with contractual requirements for HMPPS-standard training, including First Aid, CPR and defibrillator use.
Stated by Ministry of JusticeStated in progressThe respondent said that this action was in progress when they made their response on 22 January 2025.
Buckinghamshire
Concerns raised2
Failure to provide and embed effective life-support training for emergency response
Failure to maintain emergency-response training through drills and expiry awareness
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 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.5
Action
Deliver emergency-response training through eLearning, recorded face-to-face sessions, expiry reminders, a maintained training matrix and weekly compliance review.
Stated by Chiltern Care ServicesStated completedThe respondent said that this action was complete when they made their response on 13 January 2025.
Action
Engage four additional trainers to maintain consistency and capacity in face-to-face training.
Stated by Chiltern Care ServicesStated completedThe respondent said that this action was complete when they made their response on 13 January 2025.
Action
Finalise the process document governing emergency CPR drills.
Stated by Chiltern Care ServicesStated completedThe respondent said that this action was complete when they made their response on 13 January 2025.
Action
Assess the competency of staff who will deliver emergency CPR training within one month.
Stated by Chiltern Care ServicesStated plannedThe respondent said that this action was planned when they made their response on 13 January 2025.
Action
Obtain a PractiMan adult/child CPR training manikin for the home.
Stated by Chiltern Care ServicesStated in progressThe respondent said that this action was in progress when they made their response on 13 January 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Emergency CPR drills have not started because trainer competency assessment is pending; drills are expected to begin within one month.
Stated by Chiltern Care ServicesUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Inner North London
Concerns raised1
Lack of first aid training for night concierges
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
Continue quarterly review of first-aid training compliance and assess interventions where compliance requires improvement.
Stated by St Mungo’s Community Housing AssociationStated in progressThe respondent said that this action was in progress when they made their response on 18 December 2024.
Action
Update the First Aid Procedure to clarify qualification criteria and acceptance of externally obtained certificates.
Stated by St Mungo’s Community Housing AssociationStated plannedThe respondent said that this action was planned when they made their response on 18 December 2024.
Action
Relaunch Solid Foundations with First Aid and Responding to Emergencies training tracked for compliance visibility and reporting.
Stated by St Mungo’s Community Housing AssociationStated completedThe respondent said that this action was complete when they made their response on 18 December 2024.
Action
Review training completion for Endell Street staff, ensure Responding to Emergencies e-learning is completed, and provide annual CPR refreshers.
Stated by St Mungo’s Community Housing AssociationStated plannedThe respondent said that this action was planned when they made their response on 18 December 2024.
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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.
