Recurring concern
Unreliable escalation policy for care concerns
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Request correctionFirst reported 1 Aug 2013•Latest report 31 Mar 2026
What this concern includes
Includes failures in the named or directly corresponding escalation-policy process, including policy clarity, dissemination, staff understanding, embedding, use when triggers arise and assurance that escalations are made through the required route.
Not included
- Excludes generic escalation failures where no escalation policy or equivalent bounded policy process is identified.
- Excludes generic staff training, communication or staffing deficiencies unless they directly impair understanding or use of the escalation policy.
- Excludes failures in the substantive response after an escalation has been correctly made.
- Excludes escalation processes belonging to a separately named system or pathway when that system provides the more specific supported boundary.
- Reports
- 35
- Individual concerns
- 35
- Date range
- 2013–2026
- Stated actions
- 59
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.
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Concerns raised1
Policy of delaying escalation to the falls team until three falls
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.
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Concerns raised1
Failure to understand or implement staff-shortage escalation 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 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.
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Concerns raised1
Uncertainty about staff knowledge of escalation procedures
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 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.3
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Action
Disseminate the revised Escalation Policy electronically to all midwifery and medical staff in the Clinical Management Group.
Stated by University Hospitals of Leicester NHS Trust -
Action
Include the Escalation Policy in induction for new midwifery and medical staff and reinforce it through annual training.
Stated by University Hospitals of Leicester NHS Trust -
Action
Place laminated escalation flowcharts in both delivery suites and publish key transfer actions in the quarterly Quality and Safety Newsletter.
Stated by University Hospitals of Leicester NHS Trust
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Concerns raised1
Lack of specific time targets for escalation action
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 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
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Action
Review escalation arrangements and establish specific time targets for action in the failed-visit flowchart.
Stated by Leicestershire Partnership NHS Trust
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Concerns raised1
Failure of training protocols and Care Plans to ensure emergency-service calls and ambulance attendance despite client wishes
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.
Data last updated 7 September 2026