Recurring concern
Unreliable escalation by care staff for required medical attention
Pin
Get email alerts
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.
-
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.
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.
-
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.
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
-
Action
Train senior staff on seeking assessment from another doctor or District Nurse and requesting an ambulance when necessary, with compliance monitoring.
Stated by MERIDIAN HEALTHCARE LIMITED
-
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.
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.
-
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.
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.
-
Concerns raised1
Failure to escalate changes in patient condition for timely medical assessment
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.
-
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.
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.
-
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.
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.6
-
Action
Provide all staff with first-aid and life-support training focused on the immediate care of unconscious residents.
Stated by Springbank Care Home Limited -
Action
Assess nurses’ competency in recognising consciousness levels, providing and documenting life support, conducting neurological observations, and following relevant guidance.
Stated by Springbank Care Home Limited -
Action
Instruct staff to summon emergency services promptly for unconscious residents, follow valid DNNAR instructions, and use a protocol available to all staff.
Stated by Springbank Care Home Limited
-
Action
Update residents’ risk assessments and care plans with specific information about causes of unconsciousness, including detailed epilepsy seizure types and recovery periods.
Stated by Springbank Care Home Limited -
Action
Provide the unconscious-person management protocol to occasional staff through agency induction materials.
Stated by Springbank Care Home Limited -
Action
Inform nurse agencies and provide their head offices with the unconscious-person management protocol.
Stated by Springbank Care Home Limited
-
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.
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
-
Action
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.
Stated by Leicestershire Partnership NHS Trust -
Action
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.
Stated by Leicestershire Partnership NHS Trust
Data last updated 7 September 2026