Includes failures of controls dedicated to safe catheterisation, including standards, competence and training, access to relevant prior catheterisation information, recognition of difficulty, escalation, specialist involvement and performance of catheterisation where these deficiencies create unsafe practice.
What is not included
Excludes generic clinical training, documentation or information-sharing deficiencies that are not specifically tied to catheterisation safety.
Excludes failures involving urinary monitoring, fluid balance or the decision to catheterise when catheterisation practice itself is not deficient.
Excludes unrelated procedures, including other invasive interventions, unless the assertion explicitly concerns catheterisation.
Excludes the underlying patient condition or outcome without an identified failure of a catheterisation safety control.
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.
Department of Health and Social Care2
Swansea Bay University Local Health Board1
Torbay Hospital1
Ty Nant Nursing Home1
Ministerial department2
Healthcare site1
Local health board1
Nursing home1
Reports and published responses 3 reports
See individual reports that have raised this concern, and the actions taken in response
South Wales Central
Concerns raised1
Lack of training in male catheterisation
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
Swansea Bay University Local Health Board
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
Swansea Bay University Local Health Board
Maintain a central electronic booking and attendance diary for community catheterisation training.
Swansea Bay University Local Health Board
Assign community catheterisation training to the Community Continence Service and secondary-care training to secondary care.
Swansea Bay University Local Health Board
Share catheterisation training dates with the Long Term Care Team to monitor attendance by care home and identify non-participating homes for closer monitoring.
Sunderland
Concerns raised3
Lack of a consolidated catheterisation record
Failure to recognise previous catheterisation challenges and promote Urologist involvement
Lack of national standards for safe and effective catheterisation skills
Linked response
Department of Health and Social Care
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Department of Health and Social Care
Hospital Trusts are responsible for locally ensuring staff know the guidance and when to seek specialist help during difficult catheterisation.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Department of Health and Social Care
BAUS considers decisions about seeking senior help after repeated failed catheterisation attempts best addressed through local rather than national guidance.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Department of Health and Social Care
Existing national catheterisation guidance is considered sufficient, so additional national guidance is not currently required.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Plymouth, Torbay and South Devon
Concerns raised1
Failure to limit catheterisation frequency
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No 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.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.