Table 1

The most common learning found across all NSCTs

Learning	NSCTs citing 2017/2018 (%)	NSCTs citing 2018/2019 (%)	NSCTs citing 2019/2020 (%)
Problem with communication (including language barrier, consent and handover)	46	45	41
Problem in recognition and escalation of deteriorating patients	43	46	36
End-of-life planning or treatment escalation planning not evident/incomplete	42	47	45
Problems with documentation	41	49	47
Lack of clinical knowledge, consideration differential/delay diagnosis or seeking advise	27	23	27
Lack of/problem with risk assessments/interventions/escalating concerns	25	35	32
Lack of/problem with engagement with/support of families/carers	4	15	28