Ineffective Staff Deployment
Failure to effectively deploy staff to meet service users' needs, coupled with unclear or inadequate training and induction records.
28 items
1 source
10 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
69match
R69 - Needs-based staffing with acuity measures
Staffing should be based on service user needs rather than a fixed budget, using daily acuity measures designed specifically for units caring for people with learning disabilities. These should include enhanced supervision requirements, personal care support and therapeutic activities. Service managers should receive weekly reports of data of the staff hours needed per day per ward or facility....
Matched on
terms: staff
Inquiry recommendation
56match
R9 - Integrated workforce plans
Each facility or service should have an integrated workforce plan that includes all allied health professionals (AHPs) and all staff involved in patient care. This should be based upon the assessed needs of the service user and must include protected time for staff to consult with each other.
Matched on
terms: staff
Inquiry recommendation
53match
ETI-3 - Staffing Guidance
Guidance should address: circumstances for civil servant transfers within government; which positions may use agency staff; and whether temporary contracts suit positions unfillable by permanent staff.
Matched on
terms: staff
Inquiry recommendation
52match
RHI-24 - Staff Move Sequencing
Senior managers in the Civil Service must take responsibility for guiding and, where necessary, sequencing the timing of staff moves so that continuity of business is secured. This includes allowing sufficient time for transferring staff to hand over, and discuss in person, responsibilities with their successors. The Northern Ireland Civil Service should consider allowing those managers more flexibility...
Matched on
terms: staff
Inquiry recommendation
52match
5 - Promote effective multidisciplinary team-working
The University Hospitals of Morecambe Bay NHS Foundation Trust should identify and develop measures that will promote effective multidisciplinary team-working, in particular between paediatricians, obstetricians, midwives and neonatal staff. These measures should include, but not be limited to, joint training sessions, clinical, policy and management meetings and staff development activities. Attendance at designated events must be compulsory within...
Matched on
terms: staff
Inquiry recommendation
48match
FENN-96 - Allocate physically suitable staff to roles, ensuring station safety balance
London Underground shall only allocate staff to a role for which they are physically suitable. In the cause of safety, a proper balance must be ensured at each station.
Matched on
terms: staff
Inquiry recommendation
48match
FENN-92 - Appoint only qualified relief supervisory staff to stations
Relief supervisory staff shall only be appointed to a station for which they are qualified.
Matched on
terms: staff
Inquiry recommendation
48match
FENN-80 - Ensure adequate staffing by suitably trained personnel in station operations rooms
Station operations rooms shall always be adequately staffed by suitably trained personnel.
Matched on
terms: staff
Inquiry recommendation
48match
R31 - Staffing and skills mix review
Health Boards should ensure that the staffing and skills mix is appropriate for each ward, and that it is reviewed in response to increases in the level of activity/patient acuity.
Matched on
terms: staff
Inquiry recommendation
45match
MAI-93 - 24-hour qualified command structure rostering
The College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should ensure that each police service has in place a system that means appropriately qualified and experienced personnel are rostered 24 hours each day so that, in the event of a terrorist attack or any Major Incident, a prepared and effective command structure...
Matched on
classifier match
Inquiry recommendation
45match
MAI-82 - Allocate best-trained operators to Major Incident roles
North West Fire Control should review how it allocates the best-trained and most suitable Control Room Operators to roles during a Major Incident. It should consider whether it is beneficial to allocate a Control Room Operator to monitor communications on a multiagency control room talk group and another Control Room Operator as the specific point of contact for...
Matched on
classifier match
Inquiry recommendation
45match
MAI-76 - Review HART mobilisation policies
North West Ambulance Service should review its policies for mobilising the Hazardous Area Response Team resource, to ensure that this team is available as soon as possible for an emergency where its specialist skills are required.
Matched on
classifier match
Inquiry recommendation
45match
MAI-72 - Review NWAS Tactical Advisor rostering coverage
North West Ambulance Service should review how it rosters Tactical Advisors and National Interagency Liaison Officers so as to ensure that there is adequate geographical coverage enabling those on duty to arrive promptly at the scene of any Major Incident.
Matched on
classifier match
Inquiry recommendation
45match
MAI-6 - Ensure Airwave Tactical Advisors availability
All police services should ensure that they have made adequate provision for Airwave Tactical Advisors, in particular that an identified Airwave Tactical Advisor is either on duty or on call at all times.
Matched on
classifier match
Inquiry recommendation
44match
9 - Improve joint working between hospital sites
The University Hospitals of Morecambe Bay NHS Foundation Trust should identify an approach to developing better joint working between its main hospital sites, including the development and operation of common policies, systems and standards. Whilst we do not believe that the introduction of extensive split-site responsibilities for clinical staff will do much other than lead to time wasted...
Matched on
terms: staff
Inquiry recommendation
43match
14 - Review clinical leadership arrangements
The University Hospitals of Morecambe Bay NHS Foundation Trust should review arrangements for clinical leadership in obstetrics, paediatrics and midwifery, to ensure that the right people are in place with appropriate skills and support. The Trust has implemented change at executive level, but this needs to be carried through to the levels below. All staff with defined responsibilities...
Matched on
terms: staff
Inquiry recommendation
40match
MAI-10 - Resolve paramedic-driver shortage in mass casualties
A significant issue in a mass casualty situation is that all of those paramedics who have arrived in ambulances may be required for the treatment of casualties, so that no paramedic is available to drive patients to hospital. The Department of Health and Social Care and the National Ambulance Resilience Unit should consider how to resolve that problem....
Matched on
classifier match
Inquiry recommendation
32match
R13 - Clear nursing responsibility line
Health Boards should ensure that there is a clear and effective line of professional responsibility between the ward and the Board.
Matched on
classifier match
Inquiry recommendation
31match
BAHA-40 - Battlegroup Detention Officer
Each Battlegroup should have a 'Detention Officer' being a commissioned officer within Battlegroup Headquarters. The role should encompass coordination and management of CPErS; acting as a focus on CPErS matters during mission specific training; ensuring correct handling of CPErS; assisting the Commanding Officer during operations.
Matched on
classifier match
Inquiry recommendation
27match
FENN-91 - Appoint and train station 'landlords' with total management responsibility
A station 'landlord' shall be appointed and trained to have total management responsibility at each major station or group of smaller stations.
Matched on
classifier match
Inquiry recommendation
27match
FLIX-210 (i) - Exercise special care when making decisions during important post vacancies
That when an important post is vacant special care should be exercised when decisions have to be taken which would normally be taken by or on the advice of the holder of the vacant post. This, in the present instance, would have involved the reference by senior management to Mr Hughes of the problems created by the defect...
Matched on
classifier match
Inquiry recommendation
27match
R17 - Ward admission responsibility
Health Boards should ensure that where there is risk of cross infection, the nurse in charge of a ward has ultimate responsibility for admission of patients to the ward or bay.
Matched on
classifier match
Inquiry recommendation
27match
R8 - Reorganisation management structure
In any major structural reorganisation in the NHS in Scotland the Board or Boards responsible should ensure that an effective and stable management structure is in place.
Matched on
classifier match
Inquiry recommendation
27match
ETI-19 - Collaborative Delivery
At all stages of the project there should be a collaborative approach to delivering it, including co-location of representatives from each organisation relevant to the particular stage, enabling issues to be addressed and resolved at the earliest opportunity, minimising risk of dispute escalation with associated delays and expense.
Matched on
classifier match
Inquiry recommendation
27match
ETI-18 - Effective Communication and Reporting
There should be effective communication and reporting at all stages of the project, including accurate progress reports to councillors and stakeholders, with clear escalation procedures for issues that may affect cost, programme or scope.
Matched on
classifier match
Inquiry recommendation
27match
BAHA-41 - Detention Sergeant Role
On operations where CPErS may be taken there should be a Senior Non-Commissioned Officer (NCO) who acts as the 'Detention Sergeant' who has responsibility for the administrative aspects of CPErS handling. In most cases, it would be appropriate for the regimental Provost Sergeant to fulfil this role.
Matched on
classifier match
Inquiry recommendation
27match
JB-15.14 - Require trained CMP manager for covert monitoring posts
CMPs should not be established without the appointment of a properly trained CMP manager, whose responsibility it should be to appoint a team of CMOs, once satisfied from proper assessment as to their qualifications and ability.
Matched on
classifier match
Inquiry recommendation
27match
7 - Audit maternity and paediatric services
The University Hospitals of Morecambe Bay NHS Foundation Trust should audit the operation of maternity and paediatric services, to ensure that they follow risk assessment protocols on place of delivery, transfers and management of care, and that effective multidisciplinary care operates without inflexible demarcations between professional groups. This should be in place by September 2015.
Matched on
classifier match