Healthcare support worker training
Lack of nationwide system and regulatory oversight for training standards of healthcare support workers.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
95match
R71 - Specialist training for healthcare assistants
All healthcare assistants working with people with learning disabilities and autistic people should be provided with training, which should include specialist learning disability training as well as basic positive behaviour support (PBS). They should be required to complete successfully an examined course (with particular focus on behaviours that challenge) within six months of appointment, in addition to their...
Matched on
terms: healthcare, support, training
PFD report
81match
Michael Waite
Peabody support workers, providing 24-hour solo support in supported living accommodation, are not required to have certificated First Aid and Basic Life Support training. This absence of formal training for solo providers for vulnerable residents presents a risk of future deaths.
Matched on
terms: support, training, worker
PFD report
81match
James Keen
The coroner noted untrained support workers were conducting physical health checks with confusion about results and their interpretation, and there was no evidence of training or competency checks for this role.
Matched on
terms: support, training, worker
PFD report
73match
Thomas Ratchford
The coroner noted concerns that carers used a hoist for pressure relief, a practice not recommended by healthcare professionals or manufacturers, and that staff lacked sufficient training in moving and handling and pressure relief.
Matched on
terms: healthcare, training
PFD report
69match
Ronald Volante
The coroner raised concerns regarding the induction training for call handlers at Magenta Living Support Link, specifically on using a client's medical history and communicating changes in their presentation to emergency services. The report indicates a need to revisit the training manual and methods for call handlers.
Matched on
terms: support, training
PFD report
69match
Joan Robinson
The coroner identified concerns regarding the low completion rate of essential malnutrition screening training, noting it is not mandatory for all relevant staff. Additionally, the Trust's Nutrition and Hydration Committee is inconsistently supported and attended.
Matched on
terms: support, training
CQC action
68match
The Royal Oldham Hospital
The trust should consider reviewing the service’s healthcare support worker fill rates once the newly recruited staff are in post to determine if this has had a positive impact on the fill rates.
Matched on
terms: healthcare, support, worker
PFD report
65match
Rio Andrew
The report identifies a lack of regulation for private companies providing medical assistance at events, where medical knowledge was poor and CQC oversight was insufficient. It also highlights the unregulated status of 'ambulance technicians' and the absence of mentor suitability checks by private training providers.
Matched on
terms: training
GIRFT recommendation
64match
Neurology
Ensure that patients with chronic neurological disorders have access to specialist nurses or other advanced practitioners working as part of an integrated multidisciplinary team, with appropriate administrative support. Actions: a) Integrate specialist nursing and advanced practitioner resource within the neurology service to enhance and maintain specialist skills. Trusts will need to consider any resourcing issues, and are encouraged...
Matched on
terms: support, training
PFD report
61match
Albert Flynn
Care staff lacked sufficient training to assess Mr Flynn's condition, leading to a delay in administering food, fluid, and medication for 10 hours. The coroner also identified insufficient staff understanding of prescribed medication's importance and the significance of blood-thinning drugs.
Matched on
terms: training
PFD report
61match
Pamela Pattison
The coroner identified deficient nurse training and understanding of Type 1 Diabetes, alongside a lack of specialist outreach nurse advice and insufficient consultant cover. Concerns also included staff unawareness of available equipment and a significant delay in patient transfer.
Matched on
terms: training
PFD report
61match
Margaret Rogerson
The coroner noted a lack of staff training in patient feeding mechanisms, techniques, and associated risks, including no refresher training. Additionally, no training was available for family members on safe feeding practices.
Matched on
terms: training
PFD report
61match
Simon Healey
The coroner noted that private hospitals' NEWS policies for critically unwell patients may not align with emergency response guidance due to consultant availability. Also, general ward nursing staff may lack adequate training for complex post-operative care.
Matched on
terms: training
PFD report
61match
John Doyle
Insufficient training for occupational therapists on Telecare emergency equipment was identified, specifically regarding its availability, ordering process, and compatibility with home telephone systems. The coroner also noted a need for refresher training due to evolving technology.
Matched on
terms: training
PFD report
61match
Angela Carpos
Carers were unable to recognise aspiration pneumonia, and there was a lack of clarity regarding their training on this condition. The company witness could not confirm the trainers' qualifications or the contents of relevant policies.
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
Desiree Falvo
Concerns were raised regarding insufficient A&E department cover for emergency surgical tracheotomy and inadequate training for clinicians in this procedure, impacting their skills and confidence.
Matched on
terms: training
PFD report
57match
Roland Stannard
The coroner noted insufficient knowledge and training among care home staff regarding specialist equipment for pressure sore prevention and treatment, leading to incorrect use or non-use. A further concern was the point at which social care should transition to nursing care.
Matched on
terms: training
PFD report
57match
Eclipse Morrison
Concerns include the failure to identify risk factors in high-risk pregnancies, leading to insufficient consideration of elective Caesarean Sections. The coroner also noted gaps in training and escalation processes for junior doctors regarding appropriate mode and timing of birth decisions.
Matched on
terms: training
PFD report
57match
Mark Pryor
The coroner raised concerns that Health Care Professionals (HCPs) in police custody suites may not be receiving sufficient and adequate training to practice effectively or safely.
Matched on
terms: training
PFD report
57match
Tommy Gillman
Insufficient paediatric nursing staff in the Emergency Department does not meet RCPCH standards, especially during high-pressure periods. The coroner also noted a lack of routine handover documentation and an unrobust system for recognising ill babies in ED.
Matched on
classifier match
PFD report
57match
Susan Pollitt
The coroner identified gaps in the regulation of Physician Associates (PAs), noting the absence of a mandatory national framework for their training, supervision, and competency. The report also raises concerns about limited understanding of the PA role and a competency sign-off that omitted broader patient care aspects like consent.
Matched on
terms: training
PFD report
57match
Leslie Swindells
Concerns were raised regarding a mental health assistant practitioner's limited training, insufficient understanding of risk, and unclear supervision. The report also noted inadequate patient triage, challenges with telephone assessments, and poor documentation.
Matched on
terms: training
PFD report
57match
Alan Peet
Concerns were raised regarding a nurse untrained in tracheostomy management being on a unit with patients requiring such care, and insufficient management oversight of staffing decisions. Additionally, the quality of care notes was poor, and an agency nurse lacked essential system access.
Matched on
classifier match
PFD report
57match
Jean Waldron
The coroner notes that a care agency team leader provided wound care despite clear instructions not to, raising concerns about inadequate training for carers on the limits of their care and adherence to specialist medical advice.
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
Jos Tartese-Joy
Concerns were raised about the lack of a national system to flag high-risk pregnancies and poor communication regarding induction plans. There was also a lack of clear guidance for student midwives on escalation processes and for staff on when to use admission CTG monitoring.
Matched on
classifier match
Inquiry recommendation
53match
R73 - Band 4 associate practitioners
Consideration should be given to enhancing the post of healthcare assistant by creating Band 4 associate practitioners in both hospital and community settings in order to increase the skills of those providing the majority of direct care, and also to provide a career pathway that will retain these staff. Such posts must be in addition to, and not...
Matched on
terms: healthcare
Inquiry recommendation
53match
R70 - Mandatory monthly clinical supervision
Clinical supervision (where individuals’ practice with individual patients is discussed) should be mandatory for all ward staff, including healthcare assistants, and should occur monthly. Clinical supervisors should be trained in the conduct of sessions and the outcomes for continuing development should be recorded on personal files.
Matched on
terms: healthcare
GIRFT recommendation
53match
Ophthalmology
Implement the structured training curriculum which has been developed for non-medical ophthalmology health care professionals (HCPs) based on the Ophthalmology Common Clinical Competency Framework (OCCCF). Actions: a) GIRFT to work with HEE, RCOphth, CoOptom, BIOS, RCN and AHPO to ensure that training arrangements reflect OCCCF. b) Training providers to implement agreed programme locally. c) Providers to put in...
Matched on
terms: training
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
Jill Sinson
The coroner noted insufficient regular monitoring by the GP and a Staff Nurse's assessment that lacked appropriate referral and review of medical records. Unsupervised monthly prescriptions of significant medication were also issued without due consideration of the deceased's self-harm history.
Matched on
classifier match
PFD report
49match
Margaret Kinsey
The coroner identified challenges in the Emergency Department due to a lack of night-time consultant cover and insufficient supervision for junior doctors, especially those new to the department. The report also noted inconsistent documentation of supervisory discussions between clinicians.
Matched on
classifier match
PFD report
49match
Barrie Housby
The coroner raised concerns regarding persistent staffing shortages at Clifton Hospital, a rehabilitation facility, which results in staff not having enough time to carry out expected tasks and places elderly and vulnerable patients at risk.
Matched on
classifier match
PFD report
49match
Meha Carneiro
The coroner raised concerns regarding insufficient trained paediatric nurses, a general lack of recognition of the child's severe illness by Emergency Department staff, and ineffective medical handovers with inadequate documentation of key information and clinical plans.
Matched on
classifier match
PFD report
49match
Edward Funnell
The coroner noted insufficient follow-up on a recommended podiatrist referral and a lack of knowledge among nursing staff regarding the purpose of such referrals and the importance of adhering to Tissue Viability Nurse dressing recommendations.
Matched on
classifier match
Committee recommendation
48match
#19 - Eighteenth Report - NHS nursing workforce
The Department and HEE highlighted the important role that apprenticeships and nursing associates play in widening access to the nursing profession, by enabling people to earn money as they train. In the case of nursing associates, which is a separate role, people can also gain experience as an associate before deciding if they want to train to become...
Matched on
terms: support
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
Harrison Hassall
The coroner raised concerns that newly qualified midwives may be permitted to work in the community without sufficient experience, noting this issue is not exclusive to one trust.
Matched on
classifier match
PFD report
45match
Tracey Farndon
Concerns were raised regarding the emergency department being overwhelmed and understaffed, impacting patient safety. Staff did not adequately consider a diagnosis of sepsis, nor did they fully understand the implications of unrecordable blood pressure and the importance of continuous observations for seriously unwell patients.
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
HSSIB recommendation
44match
Wrong site surgery – wrong tooth extraction
Dental nurses (DNs) – who provide clinical and other support to the team, including dentists and dental therapists.
Matched on
terms: support
PHSO casework decision
44match
P-001381 - Pennine Acute Hospitals NHS Trust
Mr U alleged a Healthcare Assistant incorrectly moved his son, aggravating a fractured femur and causing the need for surgery, resulting in a shorter leg and scarring.
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