Recurring concern
Unreliable escalation by care staff for required medical attention
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Request correctionFirst reported 5 Sep 2013•Latest report 30 Jan 2026
What this concern includes
Includes inadequate or unembedded escalation procedures and failures by care staff to obtain medical assessment or advice when deterioration, pain or a recognised condition requires it.
Not included
- Quality of treatment after medical input was obtained
- Routine healthcare access delays outside the care-staff escalation process
- Generic care staffing or training concerns that do not impair clinical escalation
- Reports
- 48
- Individual concerns
- 53
- Date range
- 2013–2026
- Stated actions
- 75
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 closely monitor medical conditions and follow escalation policies
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.5
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Action
Conduct daily management checks of notes for residents declining personal care or presenting clinical concerns.
Stated by Premiere Health Limited -
Action
Require registered nurses to act on escalated concerns and update care plans.
Stated by Premiere Health Limited -
Action
Implement a clinical escalation protocol requiring early medical review when symptoms do not improve.
Stated by Premiere Health Limited
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Action
Reinforce staff training in infection recognition, wound documentation, sepsis awareness and escalation.
Stated by Premiere Health Limited -
Action
Strengthen falls management and post-incident observation procedures for documenting falls, assessments and escalation reasoning.
Stated by Premiere Health Limited
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Concerns raised1
Failure to adhere to the falls policy for unwitnessed falls in residents on anticoagulation
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.2
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Action
Implement falls protocols requiring every fall to be reported, digitally recorded and followed by reassessment when needs may have changed.
Stated by The Lakes Care Centre -
Action
Retrain all Senior Carers on falls management, including seeking support and applying the falls protocol for unwitnessed falls involving anticoagulated residents.
Stated by The Lakes Care Centre
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Concerns raised1
Failure to obtain timely alternative clinical input when the registered GP is unavailable
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.
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
Supervise senior care assistants on obtaining clinical support, including contacting 111 or 999 when residents are unwell and a GP is unavailable.
Stated by Riversdale (Northwest) Limited -
Action
Arrange local GP registration within 24 hours for new out-of-district residents and obtain 111 advice if they become unwell before registration.
Stated by Riversdale (Northwest) Limited
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Concerns raised1
Failure to escalate medication uncertainty to appropriate clinical advisers
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.3
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Action
Introduce and disseminate a visual flow chart guiding staff through medication checks when residents return from hospital without discharge documentation.
Stated by Care UK -
Action
Train staff to escalate hospital-return medication queries, obtain same-day clarification and document communications, actions and handovers.
Stated by Care UK -
Action
Discuss imminent and new hospital discharges at daily and weekly clinical meetings so required information and follow-up actions are identified.
Stated by Care UK
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Concerns raised1
Failure to escalate deteriorating patients for medical assessment
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.
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
Strengthen verbal handovers during shift changes to support identification and escalation of safety concerns.
Stated by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust -
Action
Launch and embed Trust-wide Safety Huddles at BDGH for real-time identification and escalation of safety concerns.
Stated by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
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Concerns raised1
Delays in seeking medical advice following unwitnessed 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 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
Failure to refer residents identified as high nutritional risk to appropriate clinical services
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 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 measures described are considered sufficient to satisfy the concerns, so no further safety work is proposed.
Stated by Hill Care Group
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Concerns raised1
Failure to recognise post-fall deterioration and seek timely medical assessment
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.
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
Developed an action plan addressing unwitnessed falls, medical attention, record keeping, auditing and staff training.
Stated by Green Range Limited -
Action
Provided fall prevention and management training to staff.
Stated by Green Range Limited
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Concerns raised1
Failure to seek further medical care when prescribed antibiotics cannot be obtained
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 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
Update the medication policy to require medical advice when emergency medication is unavailable for three hours.
Stated by WCG Abbey Ltd
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Concerns raised1
Failure to obtain timely medical advice after a resident fall
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.
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
Apply the Group Falls Policy and supporting flowcharts covering falls protocols, referrals, care planning, risk assessment and post-fall actions.
Stated by Four Seasons Health Care Group
Data last updated 7 September 2026