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.
Manchester West
Concerns raised4
Medication administration by agency nurses unfamiliar with the unit
Reliance on nursing qualifications and agencies to establish agency nurses' ability, suitability and training
Use of agency nurses as senior staff in charge of shifts
Lack of formal induction and orientation for agency nurses
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.6
Action
Block-book agency staff where possible to improve familiarity with home standards and residents’ needs.
Stated by Hc-One LimitedStated completedThe respondent said that this action was complete when they made their response on 13 September 2019.
Action
Complete and distribute a strengthened agency-staff orientation booklet across the company.
Stated by Hc-One LimitedStated plannedThe respondent said that this action was planned when they made their response on 13 September 2019.
Action
Orient agency nurses to risk assessments, care plans, diabetes resources, hypoglycaemia materials, medicines, and relevant policies through senior home staff.
Stated by Hc-One LimitedStated plannedThe respondent said that this action was planned when they made their response on 13 September 2019.
Action
Require agency nurses to submit insulin-training records, audit qualifications annually, and suspend non-compliant agencies.
Stated by Hc-One LimitedStated completedThe respondent said that this action was complete when they made their response on 13 September 2019.
Action
Revise the implemented agency procedure to strengthen checks on agency suppliers.
Stated by Hc-One LimitedStated in progressThe respondent said that this action was in progress when they made their response on 13 September 2019.
Action
Store agency profiles with completed orientation booklets in Cornerstone and allow agency workers to retain booklet copies.
Stated by Hc-One LimitedStated completedThe respondent said that this action was complete when they made their response on 13 September 2019.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
HC-One does not rely solely on nursing qualifications; it verifies agency nurses’ training, skills and qualifications for safe insulin administration.
Stated by Hc-One LimitedDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Inner South London
Concerns raised1
Failure to ensure agency nurses are familiar with the ward before starting duties
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 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
Review induction processes to cover record keeping, observation and emergency response, including orientation tours for unfamiliar staff.
Stated by Cambian Adult ServicesStated completedThe respondent said that this action was complete when they made their response on 24 March 2017.
Action
Implement an agency-nurse induction protocol requiring short-notice staff to attend early and receive policy and environmental orientation.
Stated by Cambian Adult ServicesStated completedThe respondent said that this action was complete when they made their response on 24 March 2017.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The former operator no longer controls future hospital safety steps, which fall to the successor operator.
Stated by Cambian Group plcRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Mid Kent and Medway
Concerns raised1
Insufficient testing and monitoring of agency staff training, knowledge and understanding
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.
Brighton and Hove
Concerns raised1
Lack of assurance that bank staff are trained to Trust standards
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.
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
Inform bank staff about observation policy and documentation requirements for one-to-one care.
Stated by University Hospitals Sussex NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 10 May 2016.
Manchester West
Concerns raised1
Lack of Agency staff training in documentation, record keeping and risk assessment procedures
This report raised 6 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.
Mid Kent and Medway
Concerns raised2
Failure of agency staff to understand the Drug Prescription Chart
Failure of agency staff to understand medication administration and medication refusal policies and procedures
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 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
Send monthly SMS reminders to all staff about documentation, escalation, medication administration and compassion.
Stated by Mayday Healthcare plcStated completedThe respondent said that this action was complete when they made their response on 17 February 2015.
Action
Send quarterly formal letters to staff reinforcing documentation, escalation, medication administration and compassion.
Stated by Mayday Healthcare plcStated completedThe respondent said that this action was complete when they made their response on 17 February 2015.
Action
Update the yearly training programme on documentation, escalation, medication administration and compassion beyond mandatory training requirements.
Stated by Mayday Healthcare plcStated completedThe respondent said that this action was complete when they made their response on 17 February 2015.
Manchester South
Concerns raised1
Failure to adequately induct and familiarise agency staff with residents and identification methods
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.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
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Includes induction, role-specific training, qualification checks and competence assurance for temporary or agency staff assigned clinical or care duties.
