First reported 26 Nov 2013•Latest report 26 May 2026
Definition
What this concern includes
Includes recurring deficiencies in staffing capacity, experienced staff availability, senior clinical review, or ward management cover that specifically undermine safe weekend or out-of-hours care.
Not included
Excludes staffing or leadership deficiencies not materially connected to weekend or out-of-hours safe care.
Excludes failures of diagnostic, referral, documentation, audit or communication processes unless the report directly identifies inadequate weekend staffing or senior cover as the unsafe condition.
Excludes generic workforce shortages where no specific safe-care or senior-cover consequence is supported.
Reports
44
Distinct published reports
Individual concerns
48
A report can raise multiple concerns
Date range
2013–2026
First to latest report issue date
Stated actions
53
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Department of Health and Social Care10
NHS England4
University Hospitals Birmingham NHS Foundation Trust3
University Hospitals Sussex NHS Foundation Trust3
Isle of Wight NHS Trust2
Royal Stoke University Hospital2
Adullam Homes Housing Association Limited1
Ashford and St Peter'S Hospitals NHS Foundation Trust1
Barking, Havering and Redbridge University Hospitals NHS Trust1
Birmingham and Solihull Mental Health NHS Foundation Trust1
Birmingham Prison1
Blackpool Teaching Hospitals NHS Foundation Trust1
Bournemouth Churches Housing Association Limited1
Care Quality Commission1
Cumbria Health Limited1
NHS trust30
Ministerial department10
Healthcare site6
Executive non-departmental public body4
Private limited company3
Health professional body2
Multi-service care provider2
Registered provider of social housing2
Company limited by guarantee1
Health and social care service regulator1
Independent healthcare provider1
Integrated care board1
Medicines and medical devices regulator1
Prison or young offender institution1
Registered charity1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
Surrey
Concerns raised1
Lack of consultant ward rounds in weekend urology on-call arrangements
This report raised 18 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Provide weekend urology review and supervision through consultant ward rounds, registrar emergency assessments, case discussion and consultant availability.
Stated by Frimley Health NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 11 July 2014.
Action
Review the three-hospital urology on-call services and develop an action plan toward seven-day compliance.
Stated by Frimley Health NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 11 July 2014.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
Position
No specific national urology on-call guidelines existed; the cited recommendations were recent and not yet fully implemented.
Stated by Frimley Health NHS Foundation TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Existing weekend arrangements provide registrar and consultant review of urology emergency admissions and inpatients.
Stated by Frimley Health NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Existing arrangements provide safe, supervised out-of-hours trainee practice through registrar discussions and consultant advice or review when required.
Stated by Frimley Health NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Consultant-delivered emergency services with regular inpatient ward rounds require additional consultant appointments before compliance can be achieved.
Stated by Frimley Health NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Bedfordshire and Luton
Concerns raised1
Lack of sufficient staffing for patient caseloads
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
Action
Increase the number of nurses allocated to ward 22 at night following the staffing establishment review.
Stated by The TrustStated completedThe respondent said that this action was complete when they made their response on 16 April 2014.
Action
Raise insufficient staffing and early escalation with ward staff through daily safety brief discussions.
Stated by The TrustStated completedThe respondent said that this action was complete when they made their response on 16 April 2014.
Action
Review clinical support available at night across the Trust.
Stated by The TrustStated completedThe respondent said that this action was complete when they made their response on 16 April 2014.
Action
Develop a revised hospital-at-night model to provide a robust 24/7 service.
Stated by The TrustStated in progressThe respondent said that this action was in progress when they made their response on 16 April 2014.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing staffing reviews, risk assessments and on-call arrangements are considered sufficient to ensure adequate medical and nursing staffing.
Stated by The TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
South Yorkshire (Western)
Concerns raised2
Failure to maintain minimum staffing levels on Hawthorn Ward
Failure to provide a senior manager solely for management duties
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester North
Concerns raised1
Inadequate out-of-hours medical cover for ENT service provision
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Out-of-hours staffing and ENT cover are considered appropriate for the site and trust’s activity.
Stated by Pennine Acute Hospitals NHS TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
More than one trust-wide middle-grade ENT clinician on call is considered neither clinically nor financially practical.
Stated by Pennine Acute Hospitals NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
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Includes recurring deficiencies in staffing capacity, experienced staff availability, senior clinical review, or ward management cover that specifically undermine safe weekend or out-of-hours care.
