Staff policy awareness
Absence of a system to confirm that all staff have read and understood existing, updated, or new policies, procedures, and guidance documents.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
IOPC learning recommendation
95match
Police response to an abandoned emergency call – Cleveland Police, March 2020
The IOPC recommends that Cleveland Police policy and guidance documents are relevant and up to date, ensuring standard roles and responsibility policy documents for all supervision and staff working within the control room are in place, fit for purpose and reviewed on a regular basis. If policies/processes change then Cleveland Police should ensure that guidance is updated as...
Matched on
terms: awarenes, policy, staff
Inquiry recommendation
86match
38 - Government department safeguarding policy reviews
The Cabinet Office must ensure that each government department reviews its child safeguarding policy or policies in light of the expert witness report of Professor Thoburn. There must also be published procedures to accompany their policies, in order that staff know how to enact their department's policy. All government departments must update their safeguarding policies and procedures regularly,...
Matched on
terms: policy, staff
PFD report
81match
Rajesh Parkash
The coroner identifies gaps in ensuring staff awareness of policy updates and comprehensive driving regulations for multi-lane highways. Concerns also include the need to expand supervising paramedic roles to include driving, ensure ongoing driver training, and improve communication within and between ambulance services.
Matched on
terms: awarenes, policy, staff
Inquiry recommendation
77match
39 - Political party safeguarding policies
All political parties registered with the Electoral Commission in England and Wales must ensure that they have a comprehensive safeguarding policy. All political parties must also ensure that they have procedures to accompany their policies, in order that politicians, prospective politicians, staff and volunteers know how to enact their party's policy, which must be published online. All political...
Matched on
terms: policy, staff
IOPC learning recommendation
77match
Recommendations - West Midlands Police, June 2021
The IOPC recommends that West Midlands Police create a policy on handling concern for welfare calls. This policy should cover the responsibility for informing third parties and should provide guidance for officers and staff members dealing with an enquiry relating to anyone raising concern for the welfare of another person. This recommendation is made following a DSI investigation...
Matched on
terms: policy, staff
IOPC learning recommendation
76match
Recommendation - Hertfordshire Constabulary, April 2026
The IOPC recommends that Hertfordshire Constabulary take steps to assure itself that police officers and staff likely to be involved in the handling of cross-border missing person investigations, especially those where mental health and safeguarding risks are present, are aware of: - Significant local policy, guidance (including Concern for Welfare Policy), standard operating procedures (SOP) (including the Missing...
Matched on
terms: policy, staff
HSSIB recommendation
74match
Interim report: Retained swabs following invasive procedures
Organisations can improve patient safety by using consistent terminology in national and local guidance when describing the responsibility for the reconciliation of items used in surgery and invasive areas, including swabs. How is information about swabs communicated? Challenges in communication between operating theatre team members were frequently highlighted in the serious incident reports. For example, there were incidents...
Matched on
terms: awarenes, staff
PFD report
73match
Mary Chapman
Nuffield's discharge policy is lengthy, generic, and lacks clear definition of roles and responsibilities for staff or guidance for arranging post-discharge investigations. There was insufficient evidence that implemented changes had improved the quality or accuracy of discharge communications.
Matched on
terms: policy, staff
PFD report
73match
Michael Dent-Jones
Staff at St Catherine’s Priory and other Approved Premises may not be familiar with or applying the Safe Working Practices Document, specifically the guidance on prescribed medication delivery/collection and other resident safety policies.
Matched on
terms: staff
PFD report
73match
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: policy, staff
PFD report
73match
Liridon Saliuka
The coroner noted a lack of clear documentation regarding required disability adjustments for the prisoner and insufficient disability awareness among prison staff.
Matched on
terms: awarenes, staff
PFD report
73match
Doris Smith
The coroner noted delays and inaccuracies in falls risk assessments, a confusing observation policy, and a lack of required neurological observations. Concerns were also raised about poor electronic record keeping and communication between staff.
Matched on
terms: policy, staff
CQC action
73match
Royal Victoria Infirmary
The trust must ensure all staff are aware of and consistently follow the trust policy, systems and processes to safely prescribe, administer, record and store and dispose of medicines.
Matched on
terms: policy, staff
CQC action
73match
Royal Hallamshire Hospital
The trust must ensure it implements effective systems to ensure staff adhere to trust policy in relation to the use of restrictive interventions including restraint and rapid tranquilisation.
Matched on
terms: policy, staff
IOPC learning recommendation
73match
Recommendations - West Midlands Police, April 2021
The IOPC recommends that West Midlands Police should take steps to formalise the escalation and vulnerability doctrines (as set out in the force document “HMIC Observations and action taken following September 2017 Inspection”) into a compulsory policy and take step to ensure all contact staff are aware of their responsibilities under the policy. If this is formalised into...
Matched on
terms: policy, staff
Inquiry recommendation
70match
16 - Drivers and staff to use formal fault reporting
Railtrack and TOCs must impress on drivers and other staff the need to use formal fault reporting procedures where the Rules so provide, and that the duty to report a fault must be performed personally and the report delivered to the person or body identified in the Rules, and not to any other person or body (paras 7.9,...
Matched on
terms: staff
Inquiry recommendation
70match
8 - Inform staff of procedure in force
The Chief Executive and Trust Board shall inform all staff when a Serious Incident Procedure is in force.
Matched on
terms: staff
Inquiry recommendation
70match
5 - Consult crews and train on testing policy
Owners and operators should discuss all these questions with representatives of officers and crews before they are included in contracts and they should embark on an education and training programme for all employees in order to ensure that they understand the policy, the mechanics of the testing procedures and the consequences of failing to comply with it.
Matched on
terms: policy
PFD report
69match
Ryan Chapman
The coroner identified staff's lack of understanding regarding the patient leave policy and the role of support workers as escorts. Concerns were also raised about overdue risk assessments, insufficient information provided to families, and inconsistent visitor security on the ward.
Matched on
terms: policy, staff
PFD report
69match
Kevin Pearson
The coroner noted that the company may not yet have ensured full compliance with relevant health and safety guidance, nor confirmed all drivers' awareness and understanding of it.
Matched on
terms: awarenes
PFD report
69match
Rosalind Flett
The Trust's search policy contained ambiguity between 'advanced' and 'intimate' searches, leading staff to believe they could not ask patients to remove outer clothing like a bra for searching. This policy gap may extend to other Trusts.
Matched on
terms: policy, staff
PFD report
69match
Cariss Stone
The coroner noted staff misunderstandings regarding the level two observation policy and concerns about agency staff training. There was also a lack of routine supply of ligature cutters to observation staff in a ward where self-harm was not uncommon.
Matched on
terms: policy, staff
Inquiry recommendation
69match
76 - Time to read mental disorder booklet
Profiled time should be set aside for staff to read the booklet explaining the main components of the mental health awareness training course. The booklet should include advice given on the course about how prisoners with particular disorders should be managed on the wing. That advice should be published and made freely available.
Matched on
terms: awarenes, staff
HSSIB recommendation
69match
Residual drugs in intravenous cannulae and extension lines
Consumable IV equipment may be subject to change for a range of reasons which may include availability, cost, newer/better variants, and quality. Training and awareness of these changes is rarely provided, but there is a risk that staff are not made aware of changes to specification and/or device performance.
Matched on
terms: awarenes, staff
CQC action
69match
Westmorland General Hospital
The trust must ensure that staff in the service adhere to trust infection prevention and control policy in the use of personal protective equipment and maintain patient and staff safety through social distancing at all times and in all areas.
Matched on
terms: policy, staff
CQC action
69match
University College Hospital & Elizabeth Garrett Anderson Wing
The service should ensure that all staff adhere to the uniform policy to maintain effective infection prevention control.
Matched on
terms: policy, staff
CQC action
69match
The York Hospital
The service must ensure all staff are aware of and consistently follow the trust policy to safely store medicines including controlled drugs.
Matched on
terms: policy, staff
CQC action
69match
Scarborough Hospital
The service must ensure all staff are aware of and consistently follow the trust policy to safely store medicines including controlled drugs.
Matched on
terms: policy, staff
CQC action
69match
Salford Royal Hospital
The service must ensure that all staff are using the most up to date version of the intranet policy store.
Matched on
terms: policy, staff
CQC action
69match
Royal Cornwall Hospital
The serviceshouldensurestaffareawareofthebabyabductionpolicy,thepolicyisstrengthenedtoincludepreventativemeasures,andthatstaffofalllevelsareinvolvedinlivesimulations.
Matched on
terms: policy, staff
CQC action
69match
Rochdale Infirmary
The service must ensure that all staff are using the most up to date version of the intranet policy store.
Matched on
terms: policy, staff
Scottish FAI
69match
Allan Menzies
However, the criteria to be used should, in my opinion, be known to both the staff and the prisoners and ought to include inter alia the index offence, the issues behind it, his home circumstances, his personal preferences within reason, any outstanding appeal and the length of time spent within the NIC, any health issues and with the...
Matched on
terms: staff
Detention investigation recommendation
68match
Independent Investigation into Concerns about Brook House Immigration Removal Centre - Rec R47
The SMT should undertake a programme of awareness-raising among staff to improve their understanding and use of the anti-bullying policy. (To be completed within 3 months)
Matched on
terms: awarenes, policy, staff
IOPC learning recommendation
66match
Recommendations - South Wales Police, July 2022
The IOPC recommends the National Police Chiefs’ Council (NPCC) shares the learning from this IOPC investigation with force custody leads, asking them to take steps to ensure: Custody staff understand that the Prisoner Escort and Custody System (PECS) is a stand-alone system which does not interface with any other police systems. Therefore, any existing or new information recorded...
Matched on
terms: staff
PFD report
65match
Arthur Fry
A communication breakdown meant an MRI scan was declined due to an uncommunicated consent requirement, potentially impacting the patient's care. Tighter controls are needed for requisitioning procedures like MRI and CT scans to avoid confusion and prevent failed procedures.
Matched on
terms: staff
PFD report
65match
Maureen Flynn
The coroner noted a falls risk assessment for Mrs. Flynn was incomplete, and care staff were unaware. The report identifies a need for a system to alert staff to incomplete assessments, an issue also not identified by the patient safety investigation.
Matched on
terms: staff
PFD report
65match
Wayne Cornlouer
The coroner noted that Night Orders now include a medical emergency coding system (code red/code blue) but raised concerns about whether all staff are aware of this change.
Matched on
terms: staff
PFD report
65match
Daniel Tucker
The coroner identifies that some staff do not fully utilise ward-specific risk assessments and care plans. Also, the system for allocating and recording named nurses is inadequate, hindering investigations into their role.
Matched on
terms: staff
PFD report
65match
Jada Monoja
The coroner identified that the online Risk Assessment Tool (EPJS) is not used in line with policy, with detailed indicators not being systematically reviewed. This can lead to risk assessments based on incomplete or misleading information.
Matched on
terms: policy
Inquiry recommendation
65match
38 - Display of issued permits to work
Copies of all issued permits to work should be displayed at a convenient location and in a systematic arrangement such that process operating staff can readily see and check which equipment is under maintenance and not available for operation (para 18.8).
Matched on
terms: staff
CQC action
65match
William Harvey Hospital
The trust should ensure staff working under their enhanced observation framework are given suitable rest periods in line with their policy.
Matched on
terms: policy, staff
CQC action
65match
University Hospital of Hartlepool
The trust should ensure that policies and procedures are correctly managed and reviewed in a timely way so that the latest and most appropriate guidance is always available to its staff.
Matched on
terms: staff
Scottish FAI
65match
Mark Patrick Hutton
(1) The welfare of prisoners has to be the priority for custody staff. The other duties that are covered by those staff, such as preparing prisoners for release, dilutes their ability to focus on the priority that is the prisoners’ welfare. The Police Service of Scotland should review the staffing levels in the custody suite as well as...
Matched on
terms: staff
Inquiry recommendation
64match
19 - Revise basic visual inspection procedures
The planning, operating, and recording of basic visual inspection procedures, as prescribed in RT/CE/S/103, should be reviewed. Revised Track Inspection Sheets and Track Patrol procedure documents should be produced that: • Mandate the exact procedures that staff are required to follow. • Include instructions as to how recording and signing should be carried out, particularly in terms of...
Matched on
terms: staff
Committee recommendation
64match
#15 - Fourteenth Report: Readying the NHS and social care for the COVID-19 peak
The Department stressed that it had to respond quickly to the COVID-19 pandemic often with “imperfect knowledge”, which was why its approach had altered over time.43 But Care England told us that PPE guidance had changed no fewer than 40 times, causing confusion and anxiety to service providers and staff.44 When we asked why the PPE guidance had...
Matched on
terms: staff
HMICFRS recommendation
64match
FRS 2023-25 CoC Recommendations: Gloucestershire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since our last inspection to embed its values and associated behaviours and promote a positive workplace culture. The service has done enough to complete the following recommendations from our 2021 inspection: • improve how it engages with its staff to gain their commitment to the service’s values and associated behaviours;...
Matched on
terms: staff
IOPC learning recommendation
64match
Failure to investigate indecent exposure – Metropolitan Police Service, February 2021
The IOPC recommends that the Metropolitan Police Service (MPS) ensures that its call handlers are aware that they have discretion when assigning the length of time slots for police officers to attend car appointments for allegations of sexual offences. This follows an IOPC investigation where an Emergency Response Team (ERT) Officer attended a fast-food restaurant drive-through to conduct...
Matched on
terms: policy
Detention investigation recommendation
63match
Independent Investigation into Concerns about Brook House Immigration Removal Centre - Rec R49
The SMT with the violence reduction manager should undertake a development programme with staff to: • develop their confidence and skills in dealing with disruptive detainees; and • improve their awareness and understanding of the anti-disruption policy and how it should be implemented. (To be completed within 3 months)
Matched on
terms: awarenes, policy, staff
Inquiry recommendation
62match
13 - Awareness of emergency plan responsibilities
It is essential that those who would be required to take action under the Windscale emergency plan are fully aware of the responsibilities the plan places on them (para 11.30).
Matched on
terms: awarenes
Committee recommendation
62match
#26 - Code of Practice for resident communication during remediation shows inconsistent practice and limited awareness
In 2023, MHCLG launched a Code of Practice to support improved communications during remediation. The HBF and the NHF told us that developers and social housing providers had agreed to follow the code. EOCS told us the code was “a long time coming” and had been heavily revised at the last minute. It told us that information on...
Matched on
terms: awarenes