Staff suitability and fitness
Failure to ensure that employed staff possess good character, necessary qualifications, skills, experience, and physical and mental fitness for their roles.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
78match
FR-7 - Registration of Care Home Staff
The Inquiry recommends (as originally stated in its Interim Report, dated April 2018) that the UK government introduces arrangements for the registration of staff working in care roles in children's homes, including secure children's homes. Registration should be with an independent body charged with setting and maintaining standards of training, conduct and continuing professional development, and with the...
Matched on
terms: fitnes, staff
Inquiry recommendation
78match
24 - Registration of children's home care staff
The Chair and Panel recommend that the Department for Education introduces arrangements for the registration of staff working in care roles in children's homes. Registration should be with an independent body charged with setting and maintaining standards of training, conduct and continuing professional development, and with the power to enforce these through fitness to practise procedures. The Chair...
Matched on
terms: fitnes, staff
PFD report
73match
Jack Brown
The coroner identified that care agencies supplying staff to care homes are unregulated, meaning their recruitment processes are not inspected. This creates a risk that unsuitable agency staff may be providing care to vulnerable people without basic checks as to experience and suitability.
Matched on
terms: staff, suitability
HSSIB recommendation
73match
Suitability of equipment and technology used for continuous fetal heart rate monitoring
HSIB recommends that NHS England and NHS Improvement amends the ‘Saving Babies’ Lives care bundle version 2’ to enhance the role of the ‘fetal monitoring lead’ to include, training and competency checks of all maternity staff on the use and functionality of cardiotocograph (CTG) equipment.
Matched on
terms: staff, suitability
PFD report
69match
John Rogers
Systems within BCUHB are not sufficiently robust to ensure staff are appropriately qualified for their roles and that their training and qualifications remain up to date.
Matched on
terms: staff
Inquiry recommendation
69match
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
Committee recommendation
69match
#26 - 4th Report - Housing Conditions in the Private Rented Sector
We are concerned that many local authorities do not have enough suitability skilled staff to robustly regulate and enforce standards in their private rented markets. If not addressed this problem threatens to undermine the steps the government is taking to raise standards and the effectiveness of other reforms introduced by the Renters’ Rights Act. (Conclusion, Paragraph 113)
Matched on
terms: staff, suitability
CQC action
69match
Salford Royal Hospital
The trust must ensure that services are always safely staffed by people with the necessary skills, knowledge and experience.
Matched on
terms: staff
CQC action
69match
Fleetwood Hospital
The trust must ensure the service has enough staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment.
Matched on
terms: staff
HMICFRS recommendation
69match
FRS 2018-19 CoC Recommendations: Devon and Somerset Fire and Rescue Service
Cause of concern: Devon and Somerset FRS cannot assure itself that operational members of staff meet the minimum fitness requirements to perform their role. Recommendation: By 28 February 2020, the service should provide an action plan that details how they will address this issue.
Matched on
terms: fitnes, staff
HMICFRS recommendation
69match
FRS 2023-25 CoC Recommendations: Bedfordshire Fire and Rescue Service
Cause of concern: Bedfordshire Fire and Rescue Service can’t assure itself that its operational members of staff meet the minimum fitness requirements to perform their roles. Recommendation: Within 28 days, the service should provide an action plan that details how it intends to make sure all staff meet the minimum fitness requirements.
Matched on
terms: fitnes, staff
IMB recommendation
68match
The Mount (2022)
On staffing levels and new recruits, the Prison Service needs to better appraise applicants as to their suitability for the role. A lot of effort and money is wasted when trainees leave because they cannot cope with the environment. Numbers recruited should not be the only measure. The number that finish their training who are still employed 12...
Matched on
terms: staff, suitability
Inquiry recommendation
66match
27 - Professional registration for custodial care staff
As the Inquiry set out in its Interim Report, professional registration of the workforce in settings responsible for the care of vulnerable children complements regulation of institutions by a separate, independent regulator. The Government has agreed in principle that professional regulation of staff in children's homes in England could provide an effective additional means of protecting children. It...
Matched on
terms: staff
Committee recommendation
66match
#7 - Amend prison staff recruitment to grant Governors ultimate decision and mandate face-to-face interviews.
Governors must have the ultimate decision on the recruitment of staff who work in their prison. HMPPS must amend its recruitment process to ensure that all frontline staff, including prison officers, undergo a mandatory face-to-face interview process led by Governors or a member of the senior leadership team. (Recommendation, Paragraph 37)
Matched on
terms: staff
PFD report
65match
Neil Carter
The coroner noted repeated failures to perform basic nursing observations, inadequate staffing levels and skill mix on the ward, and a lack of staff discipline. There was also a deliberate falsification of nursing records.
Matched on
terms: staff
Committee recommendation
65match
#187 - Amend HMPPS recruitment to mandate face-to-face interviews by local governors for frontline staff
HMPPS must amend its recruitment process to ensure that all frontline staff, including prison officers, undergo a mandatory face-to-face interview process led by local governors. This critical step addresses the identified deficiency in governors not having direct involvement in the recruitment process. This lack of involvement limits the scrutiny necessary to prevent individuals recruited solely to facilitate criminal...
Matched on
terms: staff
Committee recommendation
65match
#16 - Second Report: Merging success: Bringing together the FCO and DFID
It is also important that the alignment in aid and diplomacy is not used as an excuse to roll back the reforms that have ensured the UK’s IMF and World Bank positions are still staffed by individuals with experience of multilateral aid and major project management, whose skills will now be housed in the FCDO. (Paragraph 37) 18...
Matched on
terms: staff
CQC action
65match
Kidderminster Hospital and Treatment Centre
Ensure an evidenced-based review of the nursing establishment (including skill-mix) is carried out to ensure there are sufficient staff with the right skills and experience to meet the needs of patients who attend the minor injuries unit.
Matched on
terms: staff
CQC action
65match
Ellesmere Port Hospital
The trust must implement an effective system to ensure that medical, nursing and midwifery staff have the skills, knowledge, experience, and appraisal to care for and meet the needs of patients within their service area.
Matched on
terms: staff
CQC action
65match
Castle Hill Hospital
The service must ensure that there are sufficient staff with the right qualifications, skills and training to keep people safe from harm.
Matched on
terms: staff
CQC action
65match
Broomfield Hospital
The trust must ensure there are sufficient numbers of suitably qualified, competent, skilled and experienced staff.
Matched on
terms: staff
CQC action
65match
Victoria Infirmary
The trust must ensure they deploysufficient number of suitably qualified, competent, skilled and experienced staff to ensure safe care and treatment is provided.
Matched on
terms: staff
CQC action
65match
Royal Derby Hospital
Ensure the midwifery on-call rota is staffed by midwives who are suitably qualified, competent, skilled and experienced.
Matched on
terms: staff
GIRFT recommendation
64match
Mental Health Rehabilitation
8. All trusts, health commissioners and social care commissioners should invest in developing a skilled and competent MDT workforce within their mental health rehabilitation systems, particularly as part of local ICS community mental health transformation plans. a Routinely consider skill mix in any workforce reviews or developments. b HEE, alongside a whole system approach and with all relevant...
Matched on
terms: staff
Inquiry recommendation
62match
94 - Standby vessel crew age and fitness
The proposals in the amended code as to age limit, medical examination and certification of fitness of members of the crew of standby vessels; and as to their periods of duty are endorsed (paras 20.51-52).
Matched on
terms: fitnes
Inquiry recommendation
62match
R9 - GP certification of fitness for NHS employment
We recommend that consideration be given to how General Practitioners might, with the candidate's consent, be asked to certify that there is nothing in the medical history of a candidate for employment in the National Health Service which would make them unsuitable for their chosen occupation (para 5.5.19).
Matched on
terms: fitnes
HSSIB recommendation
62match
Workforce and patient safety: temporary staff - integration into healthcare providers — HSSIB
National bodies can support patient safety by developing credentialing systems which enable staff to verify their competencies when moving between NHS organisations.
Matched on
terms: staff
PFD report
61match
Jack William Payton
The coroner observed that the workload and working hours of two control room staff appeared to detrimentally affect their judgement and subsequent handling of the incident.
Matched on
terms: staff
PFD report
61match
Ian Taylor
The coroner identified concerns regarding PC's fitness to serve, highlighting dismissive comments about an individual's distress and the officer's failure to acknowledge an inadequate risk assessment. No evidence of post-incident supervision or training was presented to address these attitudinal deficits.
Matched on
terms: fitnes
PFD report
61match
Syeda Fatima
The coroner noted significant cultural tensions between midwifery and obstetric staff at Good Hope Hospital's maternity unit, which may have delayed urgent medical action. A wider hierarchical and bullying culture was identified, hindering staff contribution to decision-making and causing anxiety in urgent situations.
Matched on
terms: staff
PFD report
61match
Valerie Gibson
The coroner noted staff uncertainty and confusion in medication dispensing and administration, leading to unclear records and a risk of incorrect dosing. Concerns also included inadequate checks of patient possessions and inconsistent use of electronic medication systems.
Matched on
terms: staff
CQC action
61match
William Harvey Hospital
The trust should ensure staff receive appropriate ongoing or periodic supervision in their role to make sure competence is maintained. 18(2)(a): Staffing
Matched on
terms: staff
CQC action
61match
University Hospital of Hartlepool
The service must deploy sufficient numbers of suitably qualified, competent, skilled and experienced staff to make sure that they can meet people’s care and treatment needs.
Matched on
terms: staff
CQC action
61match
Royal Victoria Infirmary
The service must ensure that there are sufficient numbers of suitably competent, skilled, medical staff to meet minimum staffing levels and meet the care and treatment needs of service users.
Matched on
terms: staff
CQC action
61match
Leicester Royal Infirmary
The trust must ensure there are always enough suitably qualified and skilled staff on duty.
Matched on
terms: staff
Scottish FAI
60match
Marlene Patricia Wightman
That all nursing staff recruited in the Hospital to care for post-operative breast surgery patients should either (i) have sufficient prior experience in caring for surgical patients as to be familiar with the nature and extent of the particular procedures which have been carried out on these patients, have knowledge of the detailed requirements of their care, be...
Matched on
terms: staff
IMB recommendation
60match
Swinfen Hall (2024)
Why can staff who are completing their residential course prior to appointment to their prison not have their offer of employment withdrawn if, during the course or on completion, it is clear they do not have the capacity or suitability to take on the role of prison officer?
Matched on
terms: staff, suitability
PFD report
57match
Lloyd Butler
The coroner noted a lack of professionalism and leadership in the custody suite, where inappropriate behaviour and banter were common. There was insufficient evidence of guidance or training for staff on acceptable conduct, indicating a need for cultural change within custody suites.
Matched on
terms: staff
PFD report
57match
Thomas Warren
The coroner noted that the NHS Trust did not require its recruitment agency to perform registration or fitness-to-practice checks on a locum doctor. The Trust was also unaware of prior concerns and ongoing investigations regarding the doctor's performance in other health services.
Matched on
terms: fitnes
PFD report
57match
Simon Tree
Concerns are raised regarding the security of the airlock system, which has allowed patients to 'tailgate' visitors and leave the unit. The report also notes a lack of monitoring by staff in the reception area.
Matched on
terms: staff
PFD report
57match
Mary Hyden
The coroner noted concerns regarding a consultant neurologist working excessive hours, including 7 days a week, which presented an increased potential for errors.
Matched on
terms: staff
PFD report
57match
Jakub Moczyk
Pre-fight medical checks were incomplete for boxers, including the deceased's opponent, and medics did not identify this or inform the referee. During the fight, medics did not assess the opponent's fitness after he vomited, relying on the non-medically qualified referee.
Matched on
terms: fitnes
PFD report
57match
Cyril Anderton
Medical staff did not attempt CPR after consulting the wrong set of medical notes.
Matched on
terms: staff
PFD report
57match
Alex Blake
The coroner raised concerns regarding the reliability of observations and recorded evidence by three staff members, noting inconsistencies in their accounts and suggesting that observations may not have been performed or that false evidence was provided.
Matched on
terms: staff
PFD report
57match
Arthur Hughes
The coroner noted a lack of protocol for observing and assessing locum staff in practice, potentially leading to them working beyond their capabilities. There was also a reluctance at a managerial level to supplement locum references with telephone calls.
Matched on
terms: staff
PFD report
57match
Macloud Nyeruke
The Trust was unaware of the deceased's medical conditions, leading to work on wards with multi-resistant organisms, and there was scant evidence of appropriate PPE training for agency staff. Nursing agencies supplied support workers without knowledge of their health vulnerabilities, creating infection risks for staff and patients.
Matched on
terms: staff
PFD report
57match
Rachel Johnston
The coroner noted Pirton Grange lacked a robust policy for investigating staff misconduct, including imposing suspensions and reporting to the NMC. Following a death, initial investigation and reporting of nurse conduct to the NMC were inadequate and delayed.
Matched on
terms: staff
PFD report
57match
Tarik Drakes
Insufficient staffing and monitoring at Dorset Lodge permits unmonitored entry by non-residents and drug use within the premises. Additional concerns include agency staff not conducting key worker sessions and a non-functional out-of-hours emergency contact.
Matched on
terms: staff
PFD report
57match
Michael Dalkin
Inadequate licensing and deployment of door supervisors, including the use of unlicensed staff and inaccurate recording of operational numbers on SIA registers.
Matched on
terms: staff
PFD report
57match
Lee Stammers
Poor documentation, communication, and systems meant urgent tests were not undertaken due to inaccurate medical records. The report also identified that tests could be cancelled by unidentified staff without rationale or accountability.
Matched on
terms: staff