Recurring concern
Failure to provide adequate and accessible staff induction
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Request correctionFirst reported 30 Jan 2014•Latest report 19 Oct 2025
What this concern includes
Includes failures of the general staff-induction process, including absent or inadequate induction content and failure to provide an accessible alternative induction route for new joiners unable to attend in person.
Not included
- Excludes ongoing, refresher or specialist training after induction unless the report explicitly identifies the general induction process as deficient.
- Excludes role-specific competence, qualification or supervision failures where staff induction is not the shared unsafe condition.
- Excludes generic training, documentation or staffing deficiencies that do not directly concern provision or adequacy of staff induction.
- Excludes induction for patients, service users or non-staff participants.
- Reports
- 16
- Individual concerns
- 19
- Date range
- 2014–2025
- Stated actions
- 19
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
Lack of induction training for transferees from other forces on COMPACT case importing
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.
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
Develop updated COMPACT transfer training packages for relevant ranks, including Cadre, control-room and detective inspectors.
Stated by Northamptonshire Police -
Action
Provide COMPACT transfer training to future transferee inspectors and refresher training to existing staff.
Stated by Northamptonshire Police
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Concerns raised1
Failure to ensure agency staff receive and have verified induction
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 concernsEach statement is shown once, even when linked to more than one concern.
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
The measures described are considered sufficient to satisfy the concerns, so no further safety work is proposed.
Stated by Hill Care Group
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Concerns raised1
Lack of proper induction for locum clinicians undertaking extended service cover
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.
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
Add catheter-lab pack and preparation content to junior doctor and locum induction programmes.
Stated by Royal Cornwall Hospitals NHS Trust
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Concerns raised1
Failure to implement induction training on responding to suspected prisoner unconsciousness
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised2
Unavailability of online induction training for new joiners unable to attend in-person induction training
Lack of a requirement for out-of-hours GPs to complete induction training before starting work
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.
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
Require completion of induction before assigning GP trainees work, using quarterly sessions and attendance records to control shift allocation.
Stated by Totally
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
The identified training and system concerns did not affect Mrs Leeming’s outcome, which was attributed to natural causes.
Stated by Totally
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Position
Physical induction is required before work, so more frequent sessions and access controls remove the need for online induction before commencement.
Stated by Totally
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Concerns raised1
Failure to assure agency nurses’ competence, induction and handover
This report raised 14 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
Share and discuss RCA findings with the nursing agency and implement a competency checklist signed by agency staff and the supplier.
Stated by Spire Healthcare Limited -
Action
Provide deteriorating-patient training to agency staff through the supplier competency process.
Stated by Spire Healthcare Limited
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Concerns raised1
Inadequate falls risk assessment training during staff induction
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.
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.5
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Action
Create an action plan covering falls assessment, enhanced supervision training and falls-risk-assessment auditing.
Stated by Birmingham Community Healthcare NHS Foundation Trust -
Action
Deliver an Essential to Role training week for new starters within two months of commencing, including falls and enhanced supervision training.
Stated by Birmingham Community Healthcare NHS Foundation Trust -
Action
Update temporary-staff ward induction checklists to include essential falls-risk-assessment and falls-prevention content.
Stated by Birmingham Community Healthcare NHS Foundation Trust
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Action
Audit temporary-staff induction checklists through Matrons and discuss findings at inpatient quality review meetings.
Stated by Birmingham Community Healthcare NHS Foundation Trust -
Action
Use the launched Essential Care Framework to support clinical-team self-assessment and incorporate falls-training improvements into it.
Stated by Birmingham Community Healthcare NHS Foundation Trust
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Concerns raised2
Failure to require nursing agencies to supply staff who have undergone appropriate ED induction
Failure to provide a suitable induction system for bank and agency staff to become familiar with the crash call system
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.
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
Check for new temporary staff at every shift start and complete a signed first-shift induction covering emergency and resuscitation procedures, equipment locations and reporting processes.
Stated by Leeds Teaching Hospitals NHS Trust
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
Existing qualification, training, induction, audit and spot-check arrangements are considered sufficient to ensure temporary ED staff understand emergency procedures.
Stated by Leeds Teaching Hospitals NHS Trust
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Concerns raised1
Deficiencies in engagement and induction of locum staff
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.
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
Strengthen locum processes through a checklist, paid completion time, and technical-skills self-assessment during recruitment vetting.
Stated by Mid and South Essex NHS Foundation Trust
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Concerns raised1
Lack of induction training and office procedures on local drug-testing practices
This report raised 14 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
Update the National Induction Pack to require local-practice induction for new and transferring staff.
Stated by HM Prison and Probation Service and Ministry of Justice and Probation Service
Data last updated 7 September 2026