Recurring concern
Failure to ensure mandatory safety training is completed before safety-critical work
First reported 25 Feb 2014•Latest report 17 Nov 2025
What this concern includes
Includes failures of mandatory safety-training compliance controls, including timely completion, current-status monitoring, verification, escalation and preventing non-compliant personnel from undertaking safety-critical duties.
Not included
- Excludes voluntary, developmental or general training where completion is not mandatory for the relevant safety-critical role or duty.
- Excludes deficiencies in the content or quality of training where the training-compliance process itself is not deficient.
- Excludes generic staffing, competence, supervision or workforce-capacity concerns that do not involve mandatory training compliance.
- Excludes training failures confined to a separately named safety system or hazard where that named system provides the more specific supported parent boundary.
- Reports
- 10
- Individual concerns
- 10
- Date range
- 2014–2025
- Stated actions
- 15
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
Non-mandatory medicines-administration refresher training for nurses
This report raised 18 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 the training framework, including whether management training should become mandatory and whether refresher training should be tracked and monitored.
Stated by the Princess Alexandra Hospital NHS Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Education and training alone would not sufficiently mitigate recurrence; systems improvements and mechanisms are also required.
Stated by NHS England
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Position
The hospital trust is responsible for providing the response and addressing the reported concerns through its governance arrangements and actions.
Stated by NHS England
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Concerns raised1
Failure to ensure that clinical staff are up to date with required Life Support training before undertaking shifts
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 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
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Action
Increase the Trust-wide ILS compliance target to 85% and monitor compliance through mandatory-training dashboards and governance reporting.
Stated by Pennine Care NHS Foundation Trust -
Action
Provide additional ILS training sessions and adjust timetables to increase capacity, improve ward-staff access and reduce booking delays.
Stated by Pennine Care NHS Foundation Trust -
Action
Escalate non-attendance at booked ILS courses to Ward Managers and Network Quality Leads to address attendance barriers and improve compliance.
Stated by Pennine Care NHS Foundation Trust
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Action
Incorporate ILS compliance into ward rota planning to release staff for refresher training while maintaining appropriate staffing.
Stated by Pennine Care NHS Foundation Trust -
Action
Extend ILS training to Bank staff and trainee doctors to increase the number of trained staff available on ward shifts.
Stated by Pennine Care NHS Foundation Trust -
Action
Require and daily-monitor at least one ILS-trained nursing staff member on every inpatient ward shift, escalating staffing gaps.
Stated by Pennine Care NHS Foundation Trust
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Concerns raised1
Failure to prevent staff non-compliant with mandatory training from working on inpatient wards
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
Manage mandatory-training compliance using ward training trackers, monthly reviews, expiry alerts, booking support and escalation of non-compliant temporary staff.
Stated by Essex Partnership University NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
A complete bar on staff lacking mandatory training is not implemented because it risks insufficient staffing levels on wards.
Stated by Essex Partnership University NHS Foundation Trust
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Position
Operational concerns are assigned to HMPPS, whose Interim Director General of Operations has responsibility for responding to them.
Stated by Ministry of Justice
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Concerns raised1
Failure to ensure midwives complete current mandatory training
This report raised 19 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
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Action
Map critical clinical training requirements across the Trust and ensure staff compliance.
Stated by University Hospitals of Morecambe Bay NHS Foundation Trust -
Action
Seek monthly assurance on mandatory maternity-training compliance, including reasons for non-compliance and actions taken to protect patient safety.
Stated by NHS Lancashire and South Cumbria Integrated Care Board
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
University Hospitals Morecambe Bay NHS Foundation Trust and Lancashire and South Cumbria ICB will address specific changes arising from the report.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to ensure transport staffing complies with the CPR training requirement
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
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Action
Provide basic life-support and CPR training to all patient-conveying staff, including drivers, completing internal training as external certificates expire.
Stated by Premier Rescue Ambulance Service Ltd -
Action
Establish an authorised internal training capacity by qualifying a staff member to train others within the company.
Stated by Premier Rescue Ambulance Service Ltd
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Concerns raised1
Absence of mandatory comprehensive training for Firearms Enquiry Officers
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Inadequate systems for supervisors to monitor mandatory training attendance
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.
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
Progress an external-system change to produce and circulate monthly training-compliance reports to senior managers.
Stated by Metropolitan Police Service -
Action
Reintroduce paper training cards recording officers’ latest approved Officer Safety or Emergency Life Support training attendance.
Stated by Metropolitan Police Service -
Action
Issue local training data packs enabling commanders to identify officers requiring up-to-date training.
Stated by Metropolitan Police Service
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Concerns raised1
Lack of mandatory spin recovery training before flying specific types of light aircraft and carrying out aerobatics
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.
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 completion of physical intervention training by licensed door supervisors
This report raised 10 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 ensure and verify guide training in acute mountain sickness
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026