Recurring concern
Inadequate physical nursing care for vulnerable patients
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Request correctionFirst reported 13 Jan 2014•Latest report 24 Apr 2026
What this concern includes
Includes failures in the delivery and safety controls of physical nursing care for vulnerable patients, including clinical observation and NEWS recording or response, oxygen administration, recognition of physical illness, nursing treatment, escalation and related competence or supervision where these directly impair physical care.
Not included
- Excludes generic communication, record-keeping, staffing or training deficiencies unless they directly result in inadequate physical nursing care for vulnerable patients.
- Excludes failures belonging to a separately named clinical condition or safety system, such as VTE prevention, pressure-ulcer care or NEWS-system operation, where that named concern provides the more specific supported boundary.
- Excludes general personal care, hygiene, comfort or welfare omissions that do not involve physical nursing care or clinical treatment.
- Excludes poor clinical or risk assessment where no deficiency in physical nursing care is identified.
- Reports
- 12
- Individual concerns
- 12
- Date range
- 2014–2026
- Stated actions
- 14
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
Sporadic and insufficient physical observations
This report raised 12 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.3
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Action
Introduce enhanced physical-health monitoring, including daily morning observations for every patient by a trained nurse.
Stated by Partnerships in Care Group Limited -
Action
Introduce a company-wide electronic dashboard to support completion of regular physical-health screening.
Stated by Partnerships in Care Group Limited -
Action
Review, revise and reissue the observation policy, brief relevant staff, obtain responsibility acknowledgements, and audit implementation with spot checks.
Stated by Partnerships in Care Group 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
Blood-pressure observations were neither sporadic nor few, and the available evidence indicates they continued during the final two days.
Stated by Partnerships in Care Group Limited
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Position
Any enhanced physical observations or ECG testing was expected to be ordered by the visiting GP or responsible Consultant Psychiatrist.
Stated by Partnerships in Care Group Limited
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Concerns raised1
Failure to carry out required clinical and nursing observations
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.
Data last updated 7 September 2026