Recurring concern
Unreliable investigation and escalation of safety-related professional misconduct
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Request correctionFirst reported 6 Mar 2015•Latest report 28 Jun 2023
What this concern includes
Includes failures to identify or investigate alleged professional misconduct, progress internal disciplinary action, apply interim restrictions, reach accountable resolutions or refer likely or substantiated concerns to professional regulators.
Not included
- Ordinary clinical errors with no misconduct or competence-governance concern
- Safety-incident or complaint investigations where staff misconduct is not the asserted process
- External regulatory investigation quality after an appropriate referral has been made
- Reports
- 6
- Individual concerns
- 9
- Date range
- 2015–2023
- Stated actions
- 4
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 report concerns about clinicians’ competence to regulatory bodies
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.
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
Referral of the RMO to the GMC was considered unnecessary because the RCA findings and known practice did not meet the referral threshold.
Stated by Spire Healthcare Limited
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Position
The RMO’s agency was considered best placed to assess whether the incident was isolated or required wider performance action or GMC escalation.
Stated by Spire Healthcare Limited
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Concerns raised1
Failure to refer concerns about an agency midwife to the Nursing and Midwifery Council
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.
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
Strengthen the policy requiring concerns about temporary agency staff to be reported when they no longer work at the Trust.
Stated by Royal Berkshire Hospital
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
A national solution for agency staff standards is a matter for the regulator and wider regional and national organisations.
Stated by Royal Berkshire Hospital
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Concerns raised1
Failure to make timely referrals of concerns about individual professional capabilities and practice to relevant professional bodies
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 raised4
Failure to prevent nursing staff from working at Pirton Grange again when appropriate after investigation
Failure to identify and investigate possible misconduct by nursing staff
Failure to impose interim suspension of nursing staff where needed to protect residents
Failure to report likely nursing staff misconduct to the NMC
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
Establish independent solicitor oversight for staff misconduct investigations, disciplinary matters and professional-body referrals.
Stated by Pirton Grange Specialist Services -
Action
Engage retained solicitors at the outset of issues that may involve staff misconduct.
Stated by Pirton Grange Specialist Services
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
Existing procedures, policies, oversight and training are considered sufficient to address the concerns and identify failures posing risks to service-user safety.
Stated by Pirton Grange Specialist Services
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Concerns raised1
Failure to mandate prompt reporting of nurses’ professional misconduct to the Nursing and Midwifery Council
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.
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
The employer is responsible for deciding whether to refer registered nurses or midwives to the NMC, subject to mandatory referral circumstances.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to discipline clinicians or limit their practice after adoption of an inappropriate delivery technique
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.
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
Implement the comprehensive junior-doctor obstetrics and gynaecology induction programme, including orientation, competency assessments, guidance access, support contacts, follow-up and supernumerary work.
Stated by United Lincolnshire Teaching Hospitals NHS Trust
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 Trust did not consider it appropriate to single out or blame an individual, preferring wider analysis of working systems and processes.
Stated by United Lincolnshire Teaching Hospitals NHS Trust
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Position
The Trust could not discuss disciplinary proceedings because they were confidential matters between employee and employer.
Stated by United Lincolnshire Teaching Hospitals NHS Trust
Data last updated 7 September 2026