Escalations are an inevitable part of clinical practice, particularly in complex, fast-paced healthcare settings where competing priorities, workforce pressures and patient acuity can create challenging circumstances. While much attention is often placed on the content of an escalation, equal value lies in reflecting on how we respond when concerns are raised.

In realistic clinical scenarios, escalation can occur during periods of significant operational pressure. It is natural for individuals and teams to experience feelings of stress, defensiveness or frustration, particularly when they believe they are already working at full capacity. However, effective leadership requires us to recognise these emotional responses and ensure they do not influence how concerns are received or addressed.

Reflection allows us to move beyond an immediate reaction and consider what the escalation is telling us about the wider system. Rather than viewing escalation as criticism, we seek to understand it as valuable feedback that may identify risks, highlight unmet needs or reveal opportunities for improvement. This approach helps foster a culture where staff feel psychologically safe to speak up and where concerns are welcomed as part of delivering high-quality care.

Following the session, certificates will be sent out to provide evidence for 1 hour towards your continual professional development evidence.

Why This Matters

Escalation processes are fundamental to ensuring timely responses to clinical risks, deteriorating situations and service pressures within maternity care.

When escalation is effective:

• Concerns are recognised early.
• Staff feel confident to speak up.
• Teams respond promptly and collaboratively.
• Service users receive safer care.
• Learning is shared across teams.

Got a question?

If you have a question about this event, please contact Angie Willis or Asha Dhany: angela.willis5@nhs.net & asha.dhany1@nhs.net

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