First reported 3 Dec 2013•Latest report 2 Feb 2026
Definition
What this concern includes
Includes failures to ensure that staff assigned care work are appropriately qualified for the required duties, including inadequate qualification assurance and assignment of unqualified staff where qualified staff are required.
Not included
Excludes staffing shortages or numerical under-resourcing where inadequate qualifications are not material.
Excludes training, supervision, documentation or allocation failures unless they directly concern whether staff are suitably qualified for the care work assigned.
Excludes failures involving non-care roles or hazards unrelated to staff qualification for assigned care duties.
Reports
17
Distinct published reports
Individual concerns
19
A report can raise multiple concerns
Date range
2013–2026
First to latest report issue date
Stated actions
21
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.
NHS England3
Department of Health and Social Care2
Avon and Wiltshire Mental Health Partnership NHS Trust1
Care Quality Commission1
Central and North West London NHS Foundation Trust1
Circle Health Group Limited1
Croydon Health Services NHS Trust1
General Medical Council1
Greater Manchester1
Greater Manchester Mental Health NHS Foundation Trust1
Hc-One Limited1
HCRG Care Ltd1
Kent and Medway Mental Health NHS Trust1
Leeds Teaching Hospitals NHS Trust1
Ministry of Defence1
NHS trust8
Executive non-departmental public body3
Healthcare site3
Ministerial department3
Private limited company3
Type not available3
Integrated care board2
Domiciliary care provider1
Health and care professional regulator1
Health and social care service regulator1
Health professional body1
Social-care provider1
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.
Cornwall and Isles of Scilly
Concerns raised1
Maternity Helpline triage by unregistered, inadequately trained and unqualified staff
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 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.
Surrey
Concerns raised1
Insufficient nursing competence in resuscitation and chest drain management
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.3
Action
Run regular unannounced resuscitation scenarios for staff and RMOs, identifying learning requirements for follow-up.
Stated by Circle Health Group LimitedStated completedThe respondent said that this action was complete when they made their response on 16 May 2016.
Action
Train nursing staff and healthcare assistants in acute illness management and assess competencies for caring for deteriorating patients.
Stated by Circle Health Group LimitedStated completedThe respondent said that this action was complete when they made their response on 16 May 2016.
Action
Review and incorporate chest-drain insertion training and competencies for radiology and nursing staff into Acute Care Competencies.
Stated by Circle Health Group LimitedStated in progressThe respondent said that this action was in progress 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
Nursing staff had required resuscitation training, with senior nurses generally holding advanced life-support certification.
Stated by Circle Health Group LimitedDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
South London
Concerns raised1
Insufficient qualification for assessment of urgent care patients
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.8
Action
Implement the current streaming model and joint standard operating policy to direct patients to UCC or ED according to presenting complaints.
Stated by NHS South West London Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 8 December 2015.
Action
Use healthcare assistant observations scored with the VIEWS early warning system to identify patients requiring ED transfer or specialist referral after UCC streaming.
Stated by NHS South West London Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 8 December 2015.
Action
Introduce clinical streaming at the front end of A&E following the changed layout and redevelopment of the ED department.
Stated by NHS South West London Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 8 December 2015.
Action
Deliver UCC streaming through senior emergency department nurses.
Stated by Croydon Health Services NHS TrustStated completedThe respondent said that this action was complete when they made their response on 8 December 2015.
Action
Hold fortnightly governance meetings between the UCC and emergency department to review and refine governance, streaming, and handover processes.
Stated by Croydon Health Services NHS TrustStated completedThe respondent said that this action was complete when they made their response on 8 December 2015.
Action
Use interim clinical streaming by an ED nurse to assess patients entering the department while the UCC and ED redevelopment proceeds.
Stated by Virgin Care Wandle LLPStated in progressThe respondent said that this action was in progress when they made their response on 8 December 2015.
Action
Train receptionists to apply the streaming process and escalate uncertain or concerning patient presentations to a clinician.
Stated by Virgin Care Wandle LLPStated completedThe respondent said that this action was complete when they made their response on 8 December 2015.
Action
Strengthen the triage process by assigning General Practitioners rather than nurses to carry out Manchester Triage System assessments.
Stated by Virgin Care Wandle LLPStated completedThe respondent said that this action was complete when they made their response on 8 December 2015.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Responsibility for the urgent-care streaming model and related actions rests with Virgin Care Wandle LLP, not the Trust.
Stated by Croydon Health Services NHS TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester West
Concerns raised1
Lack of care-staff training and competence in PEG feeding, including resident mobility, handling and feed controls
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.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Inner West London
Concerns raised2
Use of staff without appropriate qualifications to provide expert psychiatric referral advice
Failure to ensure that psychiatric second-opinion referrals are assessed by appropriately qualified psychiatrists
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.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Insufficient staff training and qualification for assessment and treatment decisions
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.3
Action
Re-emphasise the need to seek qualified advice during induction training for new staff.
Stated by Hc-One LimitedStated plannedThe respondent said that this action was planned when they made their response on 2 July 2014.
Action
Re-emphasise earlier help-seeking and intervention to the care staff involved through supervision.
Stated by Hc-One LimitedStated completedThe respondent said that this action was complete when they made their response on 2 July 2014.
Action
Use the case as a reminder to all company care staff to alert senior staff about unexpected or extraordinary resident conditions.
Stated by Hc-One LimitedStated plannedThe respondent said that this action was planned when they made their response on 2 July 2014.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Qualified nursing input for residential clients would normally be provided by the district nursing service, rather than residential care staff.
Stated by Hc-One LimitedRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Inner North London
Concerns raised1
Failure to ensure staff competence in managing patients after falls
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.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
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Includes failures to ensure that staff assigned care work are appropriately qualified for the required duties, including inadequate qualification assurance and assignment of unqualified staff where qualified staff are required.
