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
-
Concerns raised1
Delays in confirming podiatry referral messages
This report raised 9 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
Failure to seek assessment from an available visiting GP
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- MERIDIAN HEALTHCARE 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.1
-
MERIDIAN HEALTHCARE LIMITED
Train senior staff on seeking assessment from another doctor or District Nurse and requesting an ambulance when necessary, with compliance monitoring.
-
Concerns raised1
Lack of a clear directive for care staff to seek medical advice without delay for residents presenting with pain
This report raised 8 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 raised3
Failure to proactively seek medical practitioners' care advice for residents with recognised medical conditions
Delays in seeking medical advice after apparent impact injury bruising
Delays in seeking medical advice after significant resident weight loss
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.
-
Concerns raised1
Failure to escalate changes in patient condition for timely medical assessment
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Failure of nursing home staff to recognise acutely unwell residents
This report raised 8 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
Failure to seek medical opinion for prolonged unconsciousness
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Springbank Care Home 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.6
-
Springbank Care Home Limited
Provide all staff with first-aid and life-support training focused on the immediate care of unconscious residents.
-
Springbank Care Home Limited
Assess nurses’ competency in recognising consciousness levels, providing and documenting life support, conducting neurological observations, and following relevant guidance.
-
Springbank Care Home Limited
Instruct staff to summon emergency services promptly for unconscious residents, follow valid DNNAR instructions, and use a protocol available to all staff.
-
Springbank Care Home Limited
Update residents’ risk assessments and care plans with specific information about causes of unconsciousness, including detailed epilepsy seizure types and recovery periods.
-
Springbank Care Home Limited
Provide the unconscious-person management protocol to occasional staff through agency induction materials.
-
Springbank Care Home Limited
Inform nurse agencies and provide their head offices with the unconscious-person management protocol.
-
Concerns raised1
Failure to seek medical advice before administering anticoagulants despite known bleeding
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Leicestershire Partnership 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.2
-
Leicestershire Partnership NHS Trust
Re-inform CHS healthcare professionals about medicines-management standards, communication responsibilities, relevant case learning, and the community medicines SOP through email cascades, briefings, meetings, and SOP reissue.
-
Leicestershire Partnership NHS Trust
Provide medicines-management and emotional-resilience training, monthly clinical supervision for six months, and reflective-practice assessment to strengthen the nurse’s clinical decision-making.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026