First reported 20 Jul 2015•Latest report 1 Jun 2026
Definition
What this concern includes
Includes deficiencies in training or competence assurance for personnel whose assigned function is to conduct or document a formal assessment of safety hazards and determine the safeguards required.
Not included
Excludes general staff safety training, emergency-response knowledge and process competence when the source does not identify an assigned formal safety risk-assessment function.
Excludes clinical assessment, Mental Health Act assessment, mental-capacity assessment and diagnostic or scoring processes merely because they consider risk.
Excludes failure of the underlying risk assessment or safeguard when no training or competence deficiency among its responsible assessors is identified.
Reports
13
Distinct published reports
Individual concerns
15
A report can raise multiple concerns
Date range
2015–2026
First to latest report issue date
Stated actions
24
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.
Hampshire and Isle of Wight Healthcare NHS Foundation Trust2
Ministry of Defence2
Birmingham Community Healthcare NHS Foundation Trust1
Capital Care Group Limited1
Care Quality Commission1
Chief Fire and Rescue Adviser1
Clarendon Nursing Home1
Department of Health and Social Care1
Essex Partnership University NHS Foundation Trust1
Home Office1
London Borough of Croydon1
Mac Skip Hire Limited1
Maurice Mason Limited1
Merthyr Tydfil County Borough Council1
Surrey County Council1
Ministerial department4
NHS trust4
Private limited company3
English county council1
Health and social care service regulator1
Healthcare site1
London borough council1
Nursing home1
Sub-organisation1
Welsh county borough council1
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.
Essex
Concerns raised1
Failure to ensure staff understand Section 17 Leave requirements and conduct required risk assessments
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Hampshire, Portsmouth and Southampton
Concerns raised1
Inadequate training on risk assessments
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each 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
Action
Deliver bespoke risk-management training sessions to community mental health teams, including Andover.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 20 October 2025.
Action
Develop a standardised organisation-wide mental-health risk-management training programme.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 20 October 2025.
Action
Roll out the standardised risk-management training programme using a train-the-trainers approach followed by full staff delivery.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 20 October 2025.
Worcestershire
Concerns raised1
Lack of proper staff training in risk assessment and care planning
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 concerns
Each 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
Action
Train staff in PCS and mandatory care-documentation subjects, with refresher or repeat training where standards are not met.
Stated by Capital Care Group LimitedStated completedThe respondent said that this action was complete when they made their response on 4 August 2025.
Action
Complete organisation-wide audits of care documentation to establish baselines and identify lessons for training, tools, governance and further audit scheduling.
Stated by Capital Care Group LimitedStated in progressThe respondent said that this action was in progress when they made their response on 4 August 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing electronic systems, training, audits and governance are considered sufficient to support robust risk assessments and care documentation.
Stated by Capital Care Group LimitedExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Hampshire, Portsmouth and Southampton
Concerns raised1
Lack of risk-assessment training for agency staff
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 concerns
Each 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
Action
Develop and roll out a standardised risk-management training programme across mental-health services, including access for long-term community agency staff.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 28 July 2025.
Action
Deliver bespoke risk-management training to community mental-health teams, open to substantive and agency staff.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 28 July 2025.
Action
Agree risk-management training materials with contracted agencies and require signposting before long-term community placements.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 28 July 2025.
Action
Consider additional pre-course risk-management material and pass any identified material to contracted agencies.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 28 July 2025.
Action
Ask agencies to ensure transient agency staff have maintained risk-management competence.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 28 July 2025.
Action
Consider ways to better support agency staff to develop risk-management skills.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 28 July 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Providing the full Trust training programme to all agency staff is not feasible because of logistical constraints, transience and additional cost.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Agencies are responsible for ensuring agency nurses receive appropriate training, while registrants must maintain their own continuing professional development.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
South Wales Central
Concerns raised1
Lack of effective staff training in falls-risk identification, documentation and mitigation
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 concerns
Each 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
Action
Develop and deliver additional training on the falls guidance, multifactorial assessment and post-fall summary documents.
Stated by Merthyr Tydfil County Borough CouncilStated plannedThe respondent said that this action was planned when they made their response on 30 June 2025.
Birmingham and Solihull
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 concerns
Each 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
Action
Create an action plan covering falls assessment, enhanced supervision training and falls-risk-assessment auditing.
Stated by Birmingham Community Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 June 2023.
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 TrustStated plannedThe respondent said that this action was planned when they made their response on 2 June 2023.
Action
Update temporary-staff ward induction checklists to include essential falls-risk-assessment and falls-prevention content.
Stated by Birmingham Community Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 June 2023.
Action
Audit temporary-staff induction checklists through Matrons and discuss findings at inpatient quality review meetings.
Stated by Birmingham Community Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 June 2023.
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 TrustStated plannedThe respondent said that this action was planned when they made their response on 2 June 2023.
Surrey
Concerns raised1
Failure of inspector guidance and training to prevent overly mechanistic road-defect assessments
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each 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
Action
Update the pictorial defect guide and matrix to reflect new contract arrangements and reinforce their use within dynamic risk assessments.
Stated by Surrey County CouncilStatus at responseThe respondent said that this action was partly complete when they made their response on 14 October 2022.
Action
Provide regular refresher training emphasising situational and wider characteristics in dynamic defect risk assessments.
Stated by Surrey County CouncilStated in progressThe respondent said that this action was in progress when they made their response on 14 October 2022.
Action
Operate dedicated internal audits and continuous performance monitoring of defect assessment and repair quality.
Stated by Surrey County CouncilStated in progressThe respondent said that this action was in progress when they made their response on 14 October 2022.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The pictorial guide and matrix remain suitable supplementary tools within inspectors’ broader dynamic risk assessments, training and audit arrangements.
Stated by Surrey County CouncilExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Birmingham and Solihull
Concerns raised2
Failure to train personnel required to produce activity risk assessments
Failure to train commanding officers in risk assessment completion
This report raised 20 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each 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
Action
Roll out risk-assessment training through trained instructors, mass training and a continuing programme across the Army.
Stated by Ministry of DefenceStated in progressThe respondent said that this action was in progress when they made their response on 2 January 2020.
South London
Concerns raised1
Lack of training for care home staff in carrying out risk assessments
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 concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Rutland and North Leicestershire
Concerns raised1
Lack of proper training for people responsible for risk assessment, health and safety documentation, and staff training
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
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Includes deficiencies in training or competence assurance for personnel whose assigned function is to conduct or document a formal assessment of safety hazards and determine the safeguards required.
