Recurring concern
Inadequate staff training for managing complex care needs
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Request correctionFirst reported 12 May 2014•Latest report 25 Apr 2024
What this concern includes
Includes failures of training, preparation or competence assurance specifically intended to equip staff to manage people with complex care, health, mental-health, capacity or safeguarding needs.
Not included
- Excludes generic staff-training deficiencies where complex care needs are not the identified safety concern.
- Excludes training for a separately named safety system, hazard or operational process when that named concern provides the more specific boundary.
- Excludes staffing shortages, supervision failures and poor care delivery where no deficiency in preparation for managing complex care needs is identified.
- Excludes specialist training concerns limited to a single clinical procedure, diagnosis or professional function unless they are explicitly part of preparation for managing complex care needs.
- Reports
- 10
- Individual concerns
- 10
- Date range
- 2014–2024
- Stated actions
- 6
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
Delayed completion of required staff training
This report raised 11 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
Mandatory safeguarding training was completed within the first month, with additional elective training taking up to six months.
Stated by United Children's Services (United Health
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Concerns raised1
Lack of adequate mental health training for Custodial Nurse Practitioners seeing high-risk and complex patients in police custody
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
Work with NHS England and other stakeholders to deliver a fit-for-purpose police custody healthcare service specification.
Stated by National Police Chiefs’ Council -
Action
Provide the latest draft National Healthcare Specification, including requirements for governance, qualifications, competency assessment and clinical supervision.
Stated by National Police Chiefs’ Council
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
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Position
Responsibility for custodial nurse practitioners in police custody settings lies with the Police Chiefs’ Council, not NHS England.
Stated by NHS England
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Position
The NPCC response addresses the remaining content of the first matter of concern.
Stated by Home Office -
Position
The national healthcare specification adequately addresses custody healthcare qualifications, competency, supervision and training for doctors, nurses and paramedics.
Stated by National Police Chiefs’ Council
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Concerns raised1
Insufficient staff training for dealing with complex hoarder cases
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
Deliver mandatory hoarding training to all Housing Management officers by the end of November 2023.
Stated by London Borough of Hillingdon
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Concerns raised1
Inadequate training among supported accommodation providers
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Inconsistent and minimal training for care staff in managing complex patient needs
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.
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
Follow up Oak House’s planned staff-training improvements at the next scheduled inspection.
Stated by Care Quality Commission
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
Regulations do not prescribe specific staff training content or format, limiting the ability to require a particular training approach.
Stated by Care Quality Commission
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Concerns raised1
Insufficient training for therapy-led teams handling complex cases
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Inadequate staff training on responsibility for patient contact
This report raised 5 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
Training case studies failing to cover relevant ectopic pregnancy and transient capacity issues
This report raised 14 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
Deliver the mandatory Core Skills refresher case-study training on ectopic pregnancy, hypovolaemia and fluctuating capacity to remaining operational staff.
Stated by London Ambulance Service NHS Trust -
Action
Publish a clinical case study and expert commentary on potential ruptured ectopic pregnancy in the August 2015 newsletter.
Stated by College of Paramedics
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Concerns raised1
Insufficient staff understanding of vulnerable young persons’ complex needs and their causes
This report raised 11 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
Insufficient training of psychiatric staff to assess patients’ capacity to decline contact with next of kin
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