Healthcare support worker training
Lack of nationwide system and regulatory oversight for training standards of healthcare support workers.
79 items
11 sources
2 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
PFD report
89match
James Keen
Untrained support workers at supported accommodation conducted physical health checks without understanding results or their implications, leading to unreliable information and a lack of proper training oversight.
Matched on
terms: support, training, worker
PFD report
85match
Michael Waite
Support workers providing 24-hour solo care to vulnerable clients lack mandatory certificated First Aid and Basic Life Support training, posing a significant risk of future deaths.
Matched on
terms: support, training, worker
PFD report
73match
Pamela Pattison
Deficient nurse training on diabetes, doctors omitting critical insulin, and a lack of specialist support, consultant cover, and essential equipment were identified. This was compounded by patient transfer delays and under-resourcing for diabetes care.
Matched on
terms: support, training
PFD report
73match
Mark Pryor
Healthcare Professionals in police custody suites may lack sufficient and adequate training to practice effectively or safely, potentially compromising clinical assessment and treatment for detainees.
Matched on
terms: healthcare, training
PFD report
69match
Joan Robinson
Malnutrition screening training is insufficiently completed and not mandatory for all relevant staff, while the critical Nutrition and Hydration Committee suffers from inconsistent support and attendance.
Matched on
terms: support, training
PFD report
61match
Desiree Falvo
A&E departments lack sufficient clinicians skilled in emergency surgical tracheotomy, indicating inadequate training and cover for critical airway management procedures.
Matched on
terms: training
PFD report
61match
Albert Flynn
Care staff lacked adequate training to assess a deteriorating patient or administer prescribed medication, leading to a significant delay in treatment and neglect of critical medical history.
Matched on
terms: training
PFD report
61match
Margaret Rogerson
Care home staff lacked adequate training in safe patient feeding techniques and associated risks, with no refresher courses. Family members also lacked access to essential feeding training.
Matched on
terms: training
PFD report
61match
Roland Stannard
Care home staff lacked adequate training in operating specialist pressure sore equipment, resulting in its incorrect use. This highlights a broader concern regarding the appropriate assessment for nursing care needs.
Matched on
terms: training
PFD report
61match
Jos Tartese-Joy
A combination of poor communication regarding high-risk pregnancy, lack of clear national guidance for CTG monitoring, and inadequate support and escalation policies for student midwives contributed to critical care gaps.
Matched on
terms: support
PFD report
61match
Angela Carpos
Care home staff lacked adequate training and awareness to recognise aspiration pneumonia, and the company's training quality and policy knowledge were insufficient.
Matched on
terms: training
PPO recommendation
60match
The Head of Healthcare
The Head of Healthcare should ensure that all members of the healthcare team receive supplementary training on their roles and responsibilities with regards to physical health checks and paperwork that should be completed when deciding whether a prisoner is fit for admission to the segregation unit.
Matched on
terms: healthcare, training
PPO recommendation
60match
The Head of Healthcare at HMP Berwyn
The Head of Healthcare should ensure that: healthcare staff working at Berwyn have timely access to advice, support and guidance from on call healthcare managers;
Matched on
terms: healthcare, support
Inquiry recommendation
60match
COVID-M3.6 - Scale Up Hospital Capacity
The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should work with trusts and health boards to ensure that pandemic plans include practical steps to rapidly scale up hospital capacity to treat acutely unwell patients. This should include critical care services that can deliver multiple levels and types of organ support. It should also cover necessary...
Matched on
terms: support, training
PPO recommendation
60match
The HMPPS Executive Director for Wales and the Chief Executive of NHS Wales
The HMPPS Executive Director for Wales and the Chief Executive of NHS Wales should write to the Ombudsman setting out what they have done to satisfy themselves that the nurse-led healthcare service provided at Parc by G4S Medical Services is safe and fit for purpose, including that: • there is an appropriate staff mix so that registered general...
Matched on
terms: healthcare, support
PFD report
57match
Ronald Volante
Call handlers failed to use medical history to inform ambulance services and were not trained to report changes in patient presentation, indicating a need to revisit the training manual and methods.
Matched on
terms: training
PFD report
57match
Thomas Ratchford
Carers improperly used a hoist for pressure relief without expert advice, highlighting insufficient training in moving/handling and pressure relief for staff and management.
Matched on
terms: training
PFD report
57match
John Doyle
Inadequate and outdated training for occupational therapists on emergency Telecare equipment, including ordering processes and compatibility, poses a risk due to rapidly changing technology.
Matched on
terms: training
PFD report
57match
Eclipse Morrison
Policies for high-risk pregnancies were not followed, leading to a failure to consider elective Caesarean Section. There's inadequate training and assessment for junior and locum doctors on identifying serious risk factors.
Matched on
terms: training
PFD report
57match
Susan Pollitt
The absence of national regulation, clear training frameworks, and comprehensive competency assessments for Physician Associates creates significant patient safety risks and widespread role confusion.
Matched on
terms: training
PFD report
57match
Leslie Swindells
Critical failures included mental health assistant practitioners having limited training and supervision, inadequate call screening by agency staff, and reliance on telephone assessments, compromising patient risk assessment.
Matched on
terms: training
PFD report
57match
Jean Waldron
An agency team leader disregarded clear instructions by providing inappropriate wound care, suggesting inadequate training on care limits and adherence to specialist medical advice for carers.
Matched on
terms: training
Committee recommendation
55match
#16 - 6th Report - Palliative Care
We recommend that end of life care be included as a core skill for the generalist health and social care workforce, with a clear and defined set of competencies required to deliver high-quality and person-centred palliative and end of life care. This should be reflected in the forthcoming 10 Year Workforce Plan. In particular, the critical role that...
Matched on
terms: support, training
PFD report
53match
Alan Peet
A nurse untrained in tracheostomy management was allocated to a unit with high-needs patients, and an agency nurse lacked system login rights, leading to poor documentation and compromised care.
Matched on
classifier match
CQC action
51match
Haisthorpe House
The provider must ensure people who used services are cared for and supported by staff that are appropriately supported by the provider to enable them to deliver care and treatment safely to people because staff have received appropriate training, professional development and supervision.
Matched on
terms: support, training
LGO / SPSO decision
50match
202208120 - An NHS Board
C, a support and advocacy worker, complained on behalf of their client (A). A had undergone breast surgery to remove nodes and C complained that the board did not adequately assess and manage A's wound when it showed signs of infection. The wound deteriorated and A became critically unwell with sepsis. The board carried out a Significant Adverse...
Matched on
terms: support, worker
PFD report
49match
Simon Healey
NEWS policies at private hospitals should be reviewed, particularly regarding escalation of care for critically unwell patients, considering their limited critical care capacity. Nursing staff on general wards may lack experience in managing post-operative complications like leaks or sepsis.
Matched on
classifier match
PFD report
49match
Harrison Hassall
Midwives are potentially deployed to community roles too soon after qualifying, lacking adequate experience, which is a concern for patient safety across the nation.
Matched on
classifier match
PFD report
49match
Barrie Housby
Persistent and severe staffing shortages at the rehabilitation hospital compromised patient safety, making it impossible for staff to provide adequate care, particularly for vulnerable patients.
Matched on
classifier match
PFD report
49match
Tommy Gillman
Insufficient paediatric nursing staff, inadequate documentation and action planning during handovers, and a non-robust system for recognizing acutely ill babies in ED compromise patient safety.
Matched on
classifier match
PFD report
49match
Edward Funnell
Nursing staff demonstrated a lack of knowledge regarding podiatry referrals for pressure wounds and failed to follow a Tissue Viability Nurse's dressing recommendations, leading to unaddressed issues.
Matched on
classifier match
PPO recommendation
48match
The Governor and Head of Healthcare at HMP Durham
The Governor and Head of Healthcare at HMP Durham should ensure that all staff undertaking escort risk assessments understand the legal position on the use of restraints, that assessments fully take into account the current health, mobility and risk of a prisoner and that healthcare staff complete the medical sections accurately.
Matched on
terms: healthcare
PFD report
45match
Jill Sinson
The GP failed to adequately monitor the deceased, prescribed large quantities of unsupervised medication despite a self-harm history, and staff neglected to review critical records or consultant advice.
Matched on
classifier match
PFD report
45match
Rio Andrew
The regulation of private medical companies at events is inadequate, creating false security and leaving event medical provision, including "ambulance technicians," largely unregulated, with insufficient checks on mentor suitability for trainees.
Matched on
classifier match
PFD report
45match
Margaret Kinsey
Inadequate senior medical supervision for junior doctors in the Emergency Department, particularly at night, and inconsistent documentation of clinical discussions pose significant risks to patient care.
Matched on
classifier match
PFD report
45match
Tracey Farndon
An overwhelmed emergency department with insufficient staff, coupled with staff's failure to recognize sepsis symptoms and critical low blood pressure, compromised patient safety.
Matched on
classifier match
PFD report
45match
Meha Carneiro
Insufficient paediatric nurses, poor recognition of patient severity, inadequate PEWS escalation to senior doctors, and ineffective medical handover documentation compromised care in the Emergency Department.
Matched on
classifier match
Committee recommendation
44match
#4 - Consult on amending regulations to give students and retired staff roles in immunisation.
To ensure that nobody misses out on vital vaccine protection because of practical challenges such as convenient times or locations, a more flexible delivery model, that makes the most of the wide range of healthcare professionals, is needed. We recommend that the Government carries out a consultation on whether to amend the Human Medicines Regulations 2012 to give...
Matched on
terms: healthcare
PHSO casework decision
44match
P-001381 - Pennine Acute Hospitals NHS Trust
Mr U complains a Healthcare Assistant at Pennine Acute Hospitals NHS Trust aggravated his son's fractured femur and prompted the need for further surgery when they incorrectly moved him to change his bedsheets in June 2019.
Matched on
terms: healthcare
IMB recommendation
42match
Oakwood (2024)
The discharge lounge has previously provided good support to prisoners who are due for release and require specialist healthcare support, but it is not currently available due to staff sickness and vacancies. There is ongoing recruitment but has the Director any influence to expedite the process?
Matched on
terms: healthcare, support
Article 2 learning point
42match
Mr Everest — HMP Altcourse - LP 11
There needs to be consideration of the value of input from peer supporters in all cases when someone is on an ACCT or vulnerable to self-harm and this should be documented in the ACCT document and healthcare records.
Matched on
terms: healthcare, support
LGO / SPSO decision
39match
24-009-630 - Onecall24 Healthcare Limited
Summary: We will not investigate this complaint about the Care Provider. Mr Y’s care is commissioned by the Integrated Care Board. Therefore, issues with his care are not administrative functions of the Care Provider, and we do not have the legal power to investigate them. The complaint must be made to the Parliamentary and Health Services Ombudsman.
Matched on
terms: healthcare
Inquiry recommendation
39match
2 - Review clinical staff competencies
The University Hospitals of Morecambe Bay NHS Foundation Trust should review the skills, knowledge, competencies and professional duties of care of all obstetric, paediatric, midwifery and neonatal nursing staff, and other staff caring for critically ill patients in anaesthetics and intensive and high dependency care, against all relevant guidance from professional and regulatory bodies. This review should be...
Matched on
terms: training
NAO recommendation
39match
Introducing Integrated Care Systems: joining up local services to improve health outcomes
b) to assist ICSs with their workforce planning, as well as providing public accountability on an issue crucial to the future of the NHS, DHSC should publish, by December 2022, both the Health Education England-led assessment of the strategic drivers for the health and care workforce, and the long term NHSE plan for growing and retaining the NHS...
Matched on
terms: support
Committee recommendation
35match
#20 - Forty-Third Report - COVID-19: Planning for a vaccine Part 1
In September 2020, NHSE&I estimated that it could need up to 46,000 additional staff to deliver the COVID-19 vaccination programme, including 26,000 vaccinators and 20,000 administrative staff. It planned to fill these posts through a combination of existing primary care staff and targeted local recruitment campaigns.57 At the time of our evidence session, the Department had recruited 80,000...
Matched on
terms: support
LGO / SPSO decision
34match
202109772 - Grampian NHS Board
C complained about the nursing care that their parent (A) received. A had dementia and was admitted following a fall in their care home, remaining in hospital until their death some weeks later. C complained that during A’s admission, A was not treated with dignity, that they were left without food or water, and that they were allowed...
Matched on
terms: support
LGO / SPSO decision
31match
202301629 - Fife NHS Board
C complained about the nursing care provided to their late parent (A) in hospital. A had been transferred from another health board for rehabilitation having suffered a stroke. C said that there was infrequent care rounding and that the provision of and monitoring of A’s diet, nutrition and fluid intake was poor. C also complained about communication, catheter...
Matched on
classifier match
LGO / SPSO decision
31match
202301101 - Dumfries and Galloway NHS Board
C complained about the medical and nursing care and treatment provided to their late parent (A). A was admitted to hospital after repeated falls at home. A’s behaviour changed significantly during their admission which suggested that their mental state was deteriorating. C said that they were not directly informed of this, and that A was not referred to...
Matched on
classifier match
Detention investigation recommendation
30match
Review into the Welfare in Detention of Vulnerable Persons - Rec 52
As part of its response to future growth in the demand for healthcare, NHS England needs to ensure the filling of permanent healthcare vacancies in IRCs as a priority.
Matched on
terms: healthcare
LGO / SPSO decision
30match
202201215 - Fife NHS Board
C’s spouse (A) was admitted to hospital following a stroke. A remained in hospital for several weeks before transferring to another hospital. A later died. C complained to the board about A’s hospital stay and raised concerns about wound management, fall pain management and the identification of hip and shoulder injuries. The board’s response highlighted several areas for...
Matched on
terms: training