Recurring concern
Temporary clinical staff may lack required safety policies and procedures
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Request correctionFirst reported 17 Feb 2015•Latest report 16 Oct 2024
What this concern includes
Includes failures of arrangements specifically intended to provide agency, locum or other temporary clinical staff with timely access to, communication of and understanding of current safety-critical policies, procedures, reminders or updates relevant to their assigned clinical work.
Not included
- Excludes generic dissemination or training failures affecting permanent staff where temporary clinical staff access is not the shared unsafe condition.
- Excludes failures concerning the substantive adequacy or implementation of a named clinical pathway, such as sepsis management, unless the reported deficiency is specifically the temporary-staff policy-access control.
- Excludes ordinary induction or competence deficiencies that do not concern access to current safety-critical policies and procedures.
- Excludes generic communication, IT or staffing deficiencies without a direct effect on temporary clinical staff receiving required safety policies and procedures.
- Reports
- 4
- Individual concerns
- 4
- Date range
- 2015–2024
- Stated actions
- 6
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
Failure to provide agency staff with home-specific policies and procedures
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.2
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Action
Inform the agency provider about the policy breach and provide the company’s falls policies, procedures and protocols.
Stated by Hermes Care Ltd -
Action
Update agency-worker induction with falls protocols, the I STUMBLE tool and post-fall decision-making tool.
Stated by Hermes Care Ltd
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Concerns raised1
Failure to make new, locum and agency staff aware of sepsis protocols and policies
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.
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
Provide NHS Professionals, locum and agency staff with induction or local orientation covering HIVE, sepsis policies, procedures and relevant mandatory training before or during shifts.
Stated by Manchester University NHS Foundation 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
One-off shift staff cannot complete all relevant mandatory training before shifts, so they receive induction and orientation instead.
Stated by Manchester University NHS Foundation Trust
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Concerns raised1
Failure to ensure locum staff awareness of analgesia guidance for patients with Chronic Kidney Disease
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.
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 medication error was not caused or contributed to by inadequate knowledge, education, or locum staff selection and induction.
Stated by University Hospitals Sussex NHS Foundation Trust
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Concerns raised1
Failure of agency staff to understand medication administration and medication refusal policies and procedures
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 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
Send monthly SMS reminders to all staff about documentation, escalation, medication administration and compassion.
Stated by Mayday Healthcare plc -
Action
Send quarterly formal letters to staff reinforcing documentation, escalation, medication administration and compassion.
Stated by Mayday Healthcare plc -
Action
Update the yearly training programme on documentation, escalation, medication administration and compassion beyond mandatory training requirements.
Stated by Mayday Healthcare plc
Data last updated 7 September 2026