Ineffective Staff Deployment
Failure to effectively deploy staff to meet service users' needs, coupled with unclear or inadequate training and induction records.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
CQC enforcement action
89match
Warning Notice: South East Coast Ambulance Service NHS Foundation Trust
The Care Quality Commission issued a Warning Notice to South East Coast Ambulance Service NHS Foundation Trust, requiring significant improvements in the quality of its services. This action followed a comprehensive inspection in May, which identified six main areas of concern. These included ineffective systems for staff deployment, untimely responses to NHS 111 calls, inadequate equipment maintenance, and...
Matched on
terms: deployment, ineffective, staff
Committee recommendation
87match
#15 - Officer maintenance grant incentivises inefficient deployment of police officers in staff roles.
A number of stakeholders identified that the officer maintenance grant has led to police forces increasingly using officers in staff roles (that do not require a warranted police officer) – an expensive and inefficient practice.34 In written evidence, Leapwise estimated that this practice is costing policing at least £55 million a year.35 We were concerned that this approach...
Matched on
terms: deployment, staff
HSSIB recommendation
78match
Workforce and patient safety: temporary staff - integration into healthcare providers — HSSIB
How do you ensure that the skills and experience of temporary workers are taken into account when redeployments are being considered?
Matched on
terms: deployment, staff
Committee recommendation
74match
#9 - Work coaches are ineffectively deployed with insufficient time for personalised claimant support.
Work coaches are an incredible resource but they are currently being ineffectively deployed. Work coaches often do not have enough time with claimants to have an impact, with many appointments no more than 10 minutes long: not nearly enough to address the needs of many claimants who are further from employment. What time they do have is frequently...
Matched on
terms: ineffective
Committee recommendation
74match
#6 - Set out plan for effective deployment of skilled professionals in inclusive mainstream education.
As part of delivering a fully inclusive mainstream, the Government must set out how it will deliver, over time, a system in which highly skilled professionals, including educational psychologists and speech and language therapists, are less tied up in undertaking assessments and writing reports and more effectively deployed in delivering the support children need. It should be clear...
Matched on
terms: deployment
PFD report
73match
James Francis
Ineffective shift handovers meant staff were unaware of a patient's recent fall and the need for increased observations, a gap compounded by insufficient management checks. There were significant delays in seeking medical advice for a deteriorating patient, and vital information was not adequately provided to the GP or paramedics.
Matched on
terms: ineffective, staff
CQC action
73match
Arrowe Park Hospital
The service should ensure the staffing model and deployment used in triage does not delay access to assessment and treatment.
Matched on
terms: deployment, staff
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
68match
75 - Mental health awareness training evaluation
The responses of those members of staff who have attended the mental health awareness training course should be analysed to determine whether the course can be improved. The number of front line staff attending the course should be increased, resources and staff deployment permitting.
Matched on
terms: deployment, staff
Committee recommendation
68match
#67 - Develop joint SEND workforce plan to address shortages and re-deploy professionals therapeutically
The DfE and DHSC should urgently develop a joint SEND workforce plan to address shortages and build capacity across education, health, and care services. This should include explicit measures to deliver a shift in the deployment of educational psychologists, speech and language therapists and other allied health professionals away from undertaking assessments and writing reports and towards greater...
Matched on
terms: deployment, staff
Committee recommendation
66match
#21 - Departmental sector team staffing levels lack correlation with industry importance or spending
Following its formation in February 2023, the Department consolidated teams from the former BEIS and DIT into 25 sector-facing teams within its Business Group. These sector teams vary by size and grade distribution. The Department’s Business Group also has teams that work across sectors, such as the Business Intelligence Unit. There are 820 full time equivalent (FTE) staff...
Matched on
terms: staff
Committee recommendation
66match
#11 - Redeployment of work coaches for health conditions reduces support for other Universal Credit claimants.
In March 2025, the government published a green paper, Pathways to Work, which set out proposals to reform health and disability benefits and employment support, with the aim of providing tailored employment, health and skills support for claimants with a work-limiting health condition or disability.21 The Department plans to redeploy 1,000 existing work coaches in 2025–26 to provide...
Matched on
terms: deployment
GIRFT recommendation
65match
Gastroenterology
Review contractual arrangements for gastroenterology staff to create efficiencies and address long waiting times for outpatient services. a) Review consultant job plans to allow for more effective use of Direct Clinical Care (DCC) time, including by considering annualised job plans, timetable flexibility and backfill to allow for additional cover. b) Review consultant job plans to ensure there is...
Matched on
terms: staff
GIRFT recommendation
65match
Dermatology
Optimise the training and function of the whole dermatology multidisciplinary team to deliver better care across settings and reduce locum costs. Develop a clinic structure to support this. a Train dermatology nurses as specialist nurses and as nurse consultants to expand the workforce in a safe, efficient and cost-effective way to meet the challenges of increasing skin cancer...
Matched on
terms: staff
CQC action
65match
Castle Hill Hospital
The service must ensure sufficient numbers of suitably qualified, competent, skilled and experienced medical staff are deployed to meet regulatory requirements, particularly in evenings and weekends.
Matched on
terms: staff
CQC action
65match
UHBW Bristol Campus
The service must ensure that 'red flag' midwifery staffing incidents are monitored effectively, including delays to induction of labour, in line with national guidance.
Matched on
terms: staff
CQC action
65match
St Thomas' Hospital
The service must ensure staff trigger staffing concerns promptly to ensure they are re-deployed to the area most in need, to keep women and babies safe.
Matched on
terms: staff
CQC action
65match
Clifton Hospital
The trust must ensure they deploy sufficient numbers of suitably qualified, competent, skilled and experienced staff to make sure they can meet people’s care and treatment needs.
Matched on
terms: staff
CQC enforcement action
65match
Warning Notice: Northern Care Alliance NHS Foundation Trust
Following the September inspection, CQC issued a warning notice to the trust to highlight the areas where rapid and significant improvements were needed. The service didn’t have effective systems and processes in place to ensure the wards had enough suitably qualified staff to safely meet the needs of everyone using the service. The inspection identified 11 regulatory breaches...
Matched on
terms: staff
GIRFT recommendation
64match
Anaesthesia and Perioperative Medicine
Ensure that the workforce reflects the needs of a rapidly developing anaesthesia and perioperative service. a Continue to examine the future staffing requirements for anaesthesia and perioperative care teams. b Ensure that all work undertaken by anaesthetists, whether or not it is within the theatre environment, is accurately recorded. c Ensure that anaesthetists' job plans reflect the entire...
Matched on
terms: staff
Committee recommendation
62match
#22 - HMRC attributes decreased compliance productivity to onboarding new, less experienced staff.
As its compliance productivity had fallen, we asked HMRC whether it could reassure us that it was delivering value for money. It said when it brings in new compliance resource it expects to see a dip in productivity before recovering. HMRC told us this was because new staff are not as productive as experienced staff; it has to...
Matched on
terms: staff
Committee recommendation
62match
#21 - HMRC’s compliance productivity has fallen despite increased staffing investments.
HMRC’s main measure of the performance of its compliance work is through tracking compliance yield arising from its interventions.38 In December 2022, the NAO reported that HMRC’s compliance work offers good value for money.39 In the five years prior to the COVID–19 pandemic (2015–16 to 2019–20), CCG’s average yield per compliance worker was £1.48 million (in 2023–24 prices),...
Matched on
terms: staff
HSSIB recommendation
62match
Temporary staff – involvement in patient safety investigations
HSSIB recommends that NHS England updates the agency worker framework agreement criteria to explicitly require framework agreements to adhere to the staff support principles of the NHS England Patient Safety Incident Response Framework. This will improve patient safety as there is a recognised link between staff having wellbeing concerns and the delivery of patient care.
Matched on
terms: staff
PFD report
61match
Olive Nugent
The coroner noted that the prioritisation of falls activator device responses was subjective, leading to delays for individuals unable to respond verbally, and that staffing levels were insufficient to meet demand.
Matched on
terms: staff
PFD report
61match
Jasmine Lapsley
The coroner identified a lack of reliable air support in North West Wales during night hours and an ineffective rota, communication, and recruitment process for Community First Responders. Concerns were also raised about the Welsh Ambulance Service Trust not increasing resources for seasonal population increases.
Matched on
terms: ineffective
PFD report
61match
Faye Allen
The interpretation of national ambulance service guidance for event staffing allowed first aiders in non-medical areas to be counted, potentially leading to actual medical staff in designated areas being significantly below recommended levels.
Matched on
terms: staff
Committee recommendation
61match
#26 - 2nd Report - Growing pains: clarity and culture change required - An examination of the secondary...
The FCA and PRA must review how their supervisory staff are deployed to ensure greater consistency in the staffing of supervisory teams and to address reports of frequent rotation amongst supervisors.
Matched on
terms: staff
GIRFT recommendation
61match
Mental Health – Adult Crisis and Acute Care
Trusts need to ensure that existing staff capacity is efficiently utilised and clinician time used to best effect; trusts also need to look at staff wellbeing and support. a Trusts to consider implementation of voice dictation software for data entry. b Trusts to improve the IT infrastructure and functionality of systems for timely input and retrieval of information....
Matched on
terms: staff
CQC action
61match
Rochdale Infirmary
The service must deploy sufficient numbers of suitably qualified nursing and support staff to keep patients safe.
Matched on
terms: staff
CQC action
61match
John Radcliffe Hospital
The trust should ensure that the staffing skill mix and agency/bank usage meets the requirements as set out in The Faculty of Intensive Care Medicine ‘Guidelines for the Provision of Intensive Care Services’.
Matched on
terms: staff
CQC action
61match
Fairfield General Hospital
The service must deploy sufficient numbers of suitably qualified nursing and support staff to keep patients safe.
Matched on
terms: staff
CQC action
61match
Wexham Park Hospital
The service should consider the addition of a supernumerary co-ordinator to oversee staff and acuity across the whole maternity unit effectively.
Matched on
terms: staff
CQC action
61match
Frimley Park Hospital
The service should consider the addition of a supernumerary co-ordinator to oversee staff and acuity across the whole maternity unit effectively.
Matched on
terms: staff
CQC action
61match
Bridlington Hospital
The service must ensure that sufficient numbers of suitably qualified, competent, skilled and experienced registered nursing staff are deployed across the medicine wards on the Scarborough Hospital site to promote safe care and treatment of patients.
Matched on
terms: staff
HSSIB recommendation
60match
Recognition of the acutely ill infant
It may be beneficial if there is system-wide assessment of the capacity of the medical and non-medical workforce to support safe and sustainable staffing in emergency departments caring for children in England. The intention of the following safety observation is to identify all clinical staff working in the ambulance service that have accessed ‘Spotting the sick child’ or...
Matched on
terms: staff
GIRFT recommendation
60match
Respiratory Medicine
Address variations in service delivery and meet the needs of the local population by staffing respiratory departments with the appropriate numbers and skill mix of doctors, specialist nurses, physiologists and allied health professionals. a) Review the trainee numbers for respiratory medicine to ensure the specialty evolves in line with ambitions set out for respiratory care in the NHS...
Matched on
terms: staff
ICIBI recommendation
59match
Inspection report of Birmingham Airport, February 2013
Partially Accepted - As the report notes, examination of customs resources was out of the scope of this inspection and ICIBI’s finding was based on a short onsite observation at Birmingham Airport. Nevertheless, the Home Office recognises the importance of ensuring that resources are correctly allocated to functions according to identified risks. Resourcing the border is a complex...
Matched on
terms: deployment, staff
PFD report
57match
Blaise Farry
The coroner noted insufficient staffing levels at HMP Wormwood Scrubs prevented the implementation of a nominated Officer scheme, despite previous recommendations from the Prisons Ombudsman.
Matched on
terms: staff
PFD report
57match
Ethan Johnson
The coroner identified a lack of effective leadership and support for junior staff on the labour ward, particularly in escalating concerns about an abnormal CTG trace and ensuring a consultant's prompt attendance. This contributed to a lack of understanding regarding labour ward management.
Matched on
terms: staff
PFD report
57match
Errol Mann
The coroner noted persistent significant staffing shortages in the Intensive Care Unit, particularly for Clinical Fellows, which affected consultants' ability to fully dedicate time to clinical care and impacted patient care. Concerns were raised about ongoing gaps in the rota, especially during summer months.
Matched on
terms: staff
PFD report
57match
Sharon Grierson
The coroner noted a lack of understanding of capnography readings during CPR, insufficient coordination and situational awareness, and limited experience among senior staff in managing crisis situations.
Matched on
terms: staff
PFD report
57match
Lesley Mawby
The coroner noted residual staffing shortages in the dietetic team, resulting in delayed weekday assessments and an inability to provide weekend cover.
Matched on
terms: staff
PFD report
57match
Henry Holcombe
The coroner noted staff non-compliance with the Trust's therapeutic engagement and observation policy, specifically regarding night-time observations of patients believed to be sleeping. This issue has recurred over time despite previous incident reports.
Matched on
terms: staff
PFD report
57match
Rebecca Pykett
The coroner identified a lack of a system to ensure that patients under the care of the CMHT were allocated an active Care Co-Ordinator. The allocation often appeared to be a "box ticking" exercise, with assigned individuals not fulfilling the required tasks such as seeing the patient or completing a care plan.
Matched on
terms: staff
PFD report
57match
Jack Taylor
Mill View Hospital's reliance on police to return absconding patients is noted, due to insufficient staff and underutilised Mental Health Act powers. There are also gaps in the joint absent without leave policy regarding risk assessment grading and communication with police.
Matched on
terms: staff
PFD report
57match
Charlotte Comer
The coroner noted the Trust's inability to understand how inconsistent care coordinator provision resulted from staff instability and high workloads. Additionally, there was no robust system to prevent senior clinicians from unilaterally overriding Multi-Disciplinary Team decisions.
Matched on
terms: staff
PFD report
57match
Roy Walklet
The coroner noted delays in urgent gastroscopies for A&E patients with gastric bleeds pending hospital bed allocation. Additionally, an allocated consultant did not review a patient on their ward list as the patient remained physically in A&E.
Matched on
terms: staff
Committee recommendation
57match
#32 - Evaluate fully remote working's impact on CCRC efficiency, casework quality, and staff wellbeing.
Fundamentally, we question whether fully remote working is right for the Commission and urge the interim chair to evaluate its impact on the Commission’s efficiency, the quality of casework and on staff wellbeing and morale. (Recommendation, Paragraph 94)
Matched on
terms: staff
Committee recommendation
57match
#31 - CCRC's fully remote working model poses concerns for complex investigative casework and staff interaction.
We were shocked by the CCRC leadership’s decision—quite out of line with the rest of the public sector where hybrid working prevails—to turn the organisation fully remote. We struggle to understand how investigative case work, with its complexities and potential for distress, is suitable to be undertaken fully from home, even with the most robust virtual support in...
Matched on
terms: staff
Committee recommendation
57match
#131 - 1st Report - Cutting crime: better community sentences
In the first instance, we heard about the importance of âmanageable caseloadsâ. 245 Kim Thornden-Edwards told us that a youth offending officer may be supervising â10 to 12 casesâ at a time, whereas Justin Russell said that âthe typical caseload for a Youth Offending Service case manager might be between six and 10 childrenâ. 246 By comparison, the...
Matched on
terms: staff