First reported 8 Jan 2015•Latest report 19 Feb 2026
Definition
What this concern includes
Includes induction, role-specific training, qualification checks and competence assurance for temporary or agency staff assigned clinical or care duties.
Not included
Permanent staff training systems
Agency staffing shortages with no competence deficiency
Individual misconduct after adequate competence assurance
Reports
27
Distinct published reports
Individual concerns
35
A report can raise multiple concerns
Date range
2015–2026
First to latest report issue date
Stated actions
69
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.
Department of Health and Social Care3
Ministry of Justice2
NHS England2
Bamford Grange Care Home1
Barchester Healthcare Limited1
Birmingham Community Healthcare NHS Foundation Trust1
Cardiff & Vale University LHB1
Cygnet Behavioural Health Limited1
Darnall Grange Nursing Home1
Essex Partnership University NHS Foundation Trust1
Frimley Health NHS Foundation Trust1
Frimley Park Hospital1
Gloucestershire Health and Care NHS Foundation Trust1
Hampshire and Isle of Wight Healthcare NHS Foundation Trust1
Hc-One Limited1
NHS trust11
Ministerial department6
Private limited company6
Care-home operator2
Executive non-departmental public body2
Local health board2
Multi-service care provider2
Prison or young offender institution2
Type not available2
Healthcare site1
National policing body1
Nursing home1
Residential care home1
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.
Inner West London
Concerns raised1
Lack of mandatory procedures ensuring ACCT training equivalence for agency healthcare staff before deployment
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 concerns
Each 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
Conducted a quality assurance visit verifying ACCT training arrangements and temporary staff completion at HMP Wandsworth.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 February 2026.
Action
Requested regional commissioning teams to confirm timely access to required joint training, including ACCT, for prison healthcare staff.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 February 2026.
Action
Obtained assurance from London prison healthcare providers that temporary staff had access to ACCT training arrangements.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 February 2026.
Action
Obtained further assurance from London prison health providers that systems ensure all staff access required training, including ACCT.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 February 2026.
Action
Require temporary healthcare staff to complete ACCT training before deployment and record attendance.
Stated by Oxleas NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 February 2026.
Action
Extend ACCT process coaching and refresher training to non-operational colleagues, including healthcare staff.
Stated by HM Prison and Probation ServiceStated plannedThe respondent said that this action was planned when they made their response on 23 February 2026.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Existing processes are considered sufficient to ensure temporary prison healthcare staff access required ACCT training.
Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Oxleas is responsible for commenting on ACCT training offered to staff during induction.
Stated by HM Prison and Probation ServiceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Essex
Concerns raised1
Inexperienced ward staffing for detained children
This report raised 30 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each 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.4
Action
Implement staffing controls requiring appropriately skilled and inducted bank and agency staff, supported by rota review and competency oversight.
Stated by Essex Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 13 February 2026.
Action
Implement enhanced escalation and local induction processes when CAMHS roster requirements or staff competencies are insufficient.
Stated by Essex Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 13 February 2026.
Action
Increase CAMHS staffing capacity and strengthen leadership through additional shift staff, retention premiums, new management and preceptor-support roles, and activity coordinators.
Stated by Essex Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 13 February 2026.
Action
Continue developing CAMHS preceptorship and workforce planning, and use the Mental Health Optimal Staffing Tool across the Trust.
Stated by Essex Partnership University NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 13 February 2026.
Northamptonshire
Concerns raised1
Failure of care homes to ensure agency carers' suitability, experience and training
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 concerns
Each 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
Action
Revise and expand the Care Workforce Pathway to provide a national structure for adult social care knowledge, skills, values, behaviours and progression.
Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 1 December 2025.
Action
Launch the Adult Social Care Learning and Development Support Scheme to fund eligible care staff courses and qualifications, including the Level 2 Adult Social Care Certificate.
Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 1 December 2025.
Action
Launch the Quality Assured Care Learning Service to help individuals and employers identify trusted sector learning and development opportunities.
Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 1 December 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Regulated care providers, rather than employment agencies, are responsible for ensuring agency staff are suitably experienced, competent and recruited safely.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Existing CQC registration requirements, staffing duties, training, supervision and regulatory action provide safeguards for agency staff suitability and competence.
Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Gateshead and South Tyneside
Concerns raised1
Lack of evidenced training requirements for agency nurses
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 concerns
Each 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
Reduce reliance on agency nursing staff through workforce measures.
Stated by Malhotra Care Homes LtdStated completedThe respondent said that this action was complete when they made their response on 14 October 2025.
Action
Require agencies to provide evidence of mandatory training compliance before nurses work at the Home.
Stated by Malhotra Care Homes LtdStated completedThe respondent said that this action was complete when they made their response on 14 October 2025.
Northumberland
Concerns raised1
Failure to ensure agency staff receive and have verified induction
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 concerns
Each 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
Position
The measures described are considered sufficient to satisfy the concerns, so no further safety work is proposed.
Stated by Hill Care GroupNo action considered necessaryThe respondent said that no further action was needed.
Hampshire, Portsmouth and Southampton
Concerns raised1
Lack of risk-assessment training for agency staff
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 concerns
Each 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
Develop and roll out a standardised risk-management training programme across mental-health services, including access for long-term community agency staff.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 28 July 2025.
Action
Deliver bespoke risk-management training to community mental-health teams, open to substantive and agency staff.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 28 July 2025.
Action
Agree risk-management training materials with contracted agencies and require signposting before long-term community placements.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 28 July 2025.
Action
Consider additional pre-course risk-management material and pass any identified material to contracted agencies.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 28 July 2025.
Action
Ask agencies to ensure transient agency staff have maintained risk-management competence.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 28 July 2025.
Action
Consider ways to better support agency staff to develop risk-management skills.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 28 July 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Providing the full Trust training programme to all agency staff is not feasible because of logistical constraints, transience and additional cost.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Agencies are responsible for ensuring agency nurses receive appropriate training, while registrants must maintain their own continuing professional development.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester South
Concerns raised1
Failure to verify agency staff competence to deliver CPR and First Aid
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 concerns
Each 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
Bring Approved Premises night shifts in house when the external Double Waking Night Cover contract ends in March 2026.
Stated by Ministry of JusticeStated plannedThe respondent said that this action was planned when they made their response on 22 January 2025.
Action
Monitor external agency compliance with contractual requirements for HMPPS-standard training, including First Aid, CPR and defibrillator use.
Stated by Ministry of JusticeStated in progressThe respondent said that this action was in progress when they made their response on 22 January 2025.
Worcestershire
Concerns raised1
Insufficient induction for agency nurses on completing important documentation
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
South Yorkshire (Western)
Concerns raised1
Lack of home-specific training for agency staff
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 concerns
Each 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
Update agency-worker induction with falls protocols, the I STUMBLE tool and post-fall decision-making tool.
Stated by Hermes Care LtdStated completedThe respondent said that this action was complete when they made their response on 16 October 2024.
Action
Support new agency staff before shifts and complete existing agency staff attendance at the company’s training sessions.
Stated by Hermes Care LtdStated in progressThe respondent said that this action was in progress when they made their response on 16 October 2024.
Cornwall and Isles of Scilly
Concerns raised1
Lack of proper induction for locum clinicians undertaking extended service cover
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 concerns
Each 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
Add catheter-lab pack and preparation content to junior doctor and locum induction programmes.
Stated by Royal Cornwall Hospitals NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 10 October 2024.
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Includes induction, role-specific training, qualification checks and competence assurance for temporary or agency staff assigned clinical or care duties.
