Recurring concern
Unreliable escalation by care staff for required medical attention
- Reports that mention this concern
- 48
- Times this concern has been raised
- 53
- Stated actions linked to this concern
- 75
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.
What is 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
Trends
Reports over time
Reports mentioning this concern, 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.
Reports and published responses 48 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure to re-refer residents to SALT when indicated
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Hc-One Limited
Stated actions 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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Hc-One Limited
Refer residents meeting the threshold to Speech and Language Therapy and schedule required follow-up reviews.
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Hc-One Limited
Assign the Care Manager oversight of communication and escalation between Speech and Language Therapy and home staff.
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Concerns raised3
Failure to seek medical assistance when insulin is refused over an extended period
Failure to seek urgent GP attention during attendance at the home
Failure to recognise and seek help for a deteriorating condition
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Adbolton Hall Limited
Stated actions 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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Adbolton Hall Limited
Prioritise diabetes care planning, including instructions for seeking medical assistance when insulin or medication is refused.
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Adbolton Hall Limited
Meet with the visiting GP to provide oversight of improvements and establish direct notification of future concerns.
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Adbolton Hall Limited
Deliver Nutrition and Diabetes Management Training to nursing home staff.
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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Adbolton Hall Limited
Diabetes care is considered adequately assessed and provided because relevant authorities were satisfied the home’s complex-needs admissions were safe.
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Concerns raised2
Failure to seek medical assistance following seizures
Failure to seek and communicate appropriate medical follow-up for deteriorating residents
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Southwinds Limited
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Southwinds Limited
Medical advice was sought appropriately, and no urgent referral was recommended or documented by the out-of-hours doctor.
-
Concerns raised1
Failure to escalate the urgency of requirements for medical assistance
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- North West Ambulance Service NHS Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
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North West Ambulance Service NHS Trust
Revise the call-termination guidance and circulate it to all EOC supervisors.
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North West Ambulance Service NHS Trust
Brief all call takers individually on the revised guidance and obtain signed confirmation that they understand it.
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North West Ambulance Service NHS Trust
Establish a reminder system to prompt periodic recirculation of call-termination guidance to call takers.
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North West Ambulance Service NHS Trust
Produce an incident-based case study and use it in scheduled training and workshops for new and existing call takers.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
North West Ambulance Service NHS Trust
The emergency call was processed correctly and received the correct response code based on the information provided.
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Concerns raised1
Failure to seek medical direction on future management after a peri-arrest
This report raised 13 other concerns. They are not shown here because they do not form part of this recurring 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 of care home staff to identify when medical concerns require escalation and medical review
Linked response
- Care UK Community Partnerships Ltd
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
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Care UK Community Partnerships Ltd
Train the home manager, deputy manager and unit leaders in early recognition of sick and deteriorating residents.
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Care UK Community Partnerships Ltd
Book all shift leaders onto forthcoming Care Home Support training in recognising sick and deteriorating residents.
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Care UK Community Partnerships Ltd
Cascade deterioration-recognition training to shift leaders and remaining care-home staff, reinforcing the principles through individual supervision.
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Care UK Community Partnerships Ltd
Audit staff responses to unwell residents through management discussions, walkarounds and out-of-hours escalation oversight.
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Concerns raised1
Failure to seek doctors' input when presentation or level of risk changes
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Inconsistent policies governing NEWS observation escalation
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- University Hospitals Sussex NHS Foundation Trust
Stated actions 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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University Hospitals Sussex NHS Foundation Trust
Introduce a revised NEWS policy allowing contact with the staff member best placed to provide timely assistance.
-
Concerns raised1
Lack of clear procedures for Care Assistants escalating health concerns
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked responses
- Belong
- Care Quality Commission
Stated actions 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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Care Quality Commission
Undertake a comprehensive ratings inspection of Belong Wigan Care Village, including review of the provider’s response to the report findings.
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Belong
Remind Support Workers how to escalate health concerns and seek external professional advice through staff training, induction, supervision, reviews and audits.
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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Care Quality Commission
The provider’s response and inspection consideration were sufficient, so no written confirmation or further action evidence was requested.
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Care Quality Commission
Following inspection and document review, no further investigation into the death or regulated activities was considered necessary.
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Concerns raised1
Failure of nursing staff to recognise and implement recommended NEWS escalation measures
This report raised 10 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026