Recurring concern
Unreliable escalation by care staff for required medical attention
- Reports that mention this concern
- 48
- Times this concern has been raised
- 53
- Stated actions linked to this concern
- 75
What this concern includes
Includes inadequate or unembedded escalation procedures and failures by care staff to obtain medical assessment or advice when deterioration, pain or a recognised condition requires it.
What is not included
- Quality of treatment after medical input was obtained
- Routine healthcare access delays outside the care-staff escalation process
- Generic care staffing or training concerns that do not impair clinical escalation
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 48 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure to closely monitor medical conditions and follow escalation policies
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Premiere Health Limited
Stated actions 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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Premiere Health Limited
Conduct daily management checks of notes for residents declining personal care or presenting clinical concerns.
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Premiere Health Limited
Require registered nurses to act on escalated concerns and update care plans.
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Premiere Health Limited
Implement a clinical escalation protocol requiring early medical review when symptoms do not improve.
-
Premiere Health Limited
Reinforce staff training in infection recognition, wound documentation, sepsis awareness and escalation.
-
Premiere Health Limited
Strengthen falls management and post-incident observation procedures for documenting falls, assessments and escalation reasoning.
-
Concerns raised1
Failure to adhere to the falls policy for unwitnessed falls in residents on anticoagulation
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- The Lakes Care Centre
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
The Lakes Care Centre
Implement falls protocols requiring every fall to be reported, digitally recorded and followed by reassessment when needs may have changed.
-
The Lakes Care Centre
Retrain all Senior Carers on falls management, including seeking support and applying the falls protocol for unwitnessed falls involving anticoagulated residents.
-
Concerns raised1
Failure to obtain timely alternative clinical input when the registered GP is unavailable
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Riversdale (Northwest) Limited
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Riversdale (Northwest) Limited
Supervise senior care assistants on obtaining clinical support, including contacting 111 or 999 when residents are unwell and a GP is unavailable.
-
Riversdale (Northwest) Limited
Arrange local GP registration within 24 hours for new out-of-district residents and obtain 111 advice if they become unwell before registration.
-
Concerns raised1
Failure to escalate medication uncertainty to appropriate clinical advisers
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Care UK
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
-
Care UK
Introduce and disseminate a visual flow chart guiding staff through medication checks when residents return from hospital without discharge documentation.
-
Care UK
Train staff to escalate hospital-return medication queries, obtain same-day clarification and document communications, actions and handovers.
-
Care UK
Discuss imminent and new hospital discharges at daily and weekly clinical meetings so required information and follow-up actions are identified.
-
Concerns raised1
Failure to escalate deteriorating patients for medical assessment
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Doncaster and Bassetlaw Teaching 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.2
-
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Strengthen verbal handovers during shift changes to support identification and escalation of safety concerns.
-
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Launch and embed Trust-wide Safety Huddles at BDGH for real-time identification and escalation of safety concerns.
-
Concerns raised1
Delays in seeking medical advice following unwitnessed falls
This report raised 2 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
Failure to refer residents identified as high nutritional risk to appropriate clinical services
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Hill Care Group
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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Hill Care Group
The measures described are considered sufficient to satisfy the concerns, so no further safety work is proposed.
-
Concerns raised1
Failure to recognise post-fall deterioration and seek timely medical assessment
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Green Range Limited
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Green Range Limited
Developed an action plan addressing unwitnessed falls, medical attention, record keeping, auditing and staff training.
-
Green Range Limited
Provided fall prevention and management training to staff.
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Concerns raised1
Failure to seek further medical care when prescribed antibiotics cannot be obtained
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- WCG Abbey Ltd
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
-
WCG Abbey Ltd
Update the medication policy to require medical advice when emergency medication is unavailable for three hours.
-
Concerns raised1
Failure to obtain timely medical advice after a resident fall
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Four Seasons Health Care Group
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
-
Four Seasons Health Care Group
Apply the Group Falls Policy and supporting flowcharts covering falls protocols, referrals, care planning, risk assessment and post-fall actions.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026