Recurring concern
Failure to escalate deteriorating patients for ICU involvement
- Reports that mention this concern
- 3
- Times this concern has been raised
- 3
- Stated actions linked to this concern
- 2
What this concern includes
Includes only assertions that directly instantiate the manually reviewed condition ‘Failure to escalate deteriorating patients for ICU involvement’ and satisfy this evidence boundary: Two distinct reports support missing doctor-to-doctor discussion of potentially beneficial ICU involvement and failure to pursue alternative escalation when ICU outreach is unavailable. Excludes the assertion about escalation within ICU, which concerns care after ICU involvement has already begun. Keep memberships distinct from the outreach-service parent at position 398.
What is not included
- Excludes generic clinical deterioration or escalation failures where intensive care involvement or support is not materially identified.
- Excludes general ICU staffing or capacity deficiencies unless they directly impair escalation to, within or from intensive care support.
- Excludes failures in ICU treatment after appropriate escalation and senior review have already occurred.
- Excludes generic doctor-to-doctor communication or multidisciplinary-working failures that are not specifically connected to intensive care escalation or support.
- Excludes manifestations outside the manually reviewed boundary: Two distinct reports support missing doctor-to-doctor discussion of potentially beneficial ICU involvement and failure to pursue alternative escalation when ICU outreach is unavailable. Excludes the assertion about escalation within ICU, which concerns care after ICU involvement has already begun. Keep memberships distinct from the outreach-service parent at position 398.
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.
Reports and published responses 3 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure to conduct effective doctor-to-doctor discussion of potential ICU involvement
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- NHS England
- Tameside and Glossop Integrated Care NHS Foundation Trust
Stated actions 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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Tameside and Glossop Integrated Care NHS Foundation Trust
Maintain a critical-care referral policy defining consultant-to-consultant and urgent medical-registrar referral pathways.
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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NHS England
The concerns fall under the Trust’s remit rather than NHS England’s functions.
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NHS England
The Trust is the appropriate organisation to respond, with the Greater Manchester Integrated Care Board responsible for commissioning.
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Concerns raised1
Failure to explore alternative escalation routes when ICU outreach is unavailable
This report raised 12 other concerns. They are not shown here because they do not form part of this recurring 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
Lack of an available and understood fallback escalation pathway when Critical Care Outreach cannot assess a patient
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Great Western Hospitals NHS Foundation Trust
Stated actions 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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Great Western Hospitals NHS Foundation Trust
Operate a 24-hour continuity plan that routes critical-care support to ITU nursing or ICU medical staff when outreach is unavailable.
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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Great Western Hospitals NHS Foundation Trust
Existing continuity and escalation arrangements ensure staff are always available to support escalation when critical care outreach is unavailable.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026