First reported 26 Nov 2013•Latest report 3 Jun 2025
Definition
What this concern includes
Includes failures in the design, reconfiguration, staffing, coverage, coordination or operational management of explicitly split-site hospital services where the arrangement can compromise patient safety or clinical care across sites.
Not included
Excludes generic medical staffing shortages or inadequate cover where no split-site or geographic service arrangement is identified.
Excludes general hospital reconfiguration, estate or organisational-change concerns without a direct patient-safety consequence in a split-site arrangement.
Excludes isolated clinical-care, referral or communication failures that are not part of the split-site hospital arrangement.
Excludes capacity or service deficiencies in single-site hospitals unless the assertion explicitly links them to the same split-site arrangement.
Reports
3
Distinct published reports
Individual concerns
4
A report can raise multiple concerns
Date range
2013–2025
First to latest report issue date
Stated actions
6
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 Care2
Pennine Acute Hospitals NHS Trust2
British Association of Perinatal Medicine1
Leeds Teaching Hospitals NHS Trust1
Resuscitation Council UK1
Royal College of Paediatrics and Child Health1
Yorkshire and Humber Neonatal Operational Delivery Network1
NHS trust3
Ministerial department2
Health professional body1
Professional body1
Type not available1
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.
West Yorkshire Eastern
Concerns raised1
Limited nursing and medical support available to the SJUH site
This report raised 5 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.6
Action
Rewrite training rotas and enhance pay and banding support for Advanced Nurse Practitioners.
Stated by Leeds Teaching Hospitals NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 11 June 2025.
Action
Implement clinical protocols, including intensive and high-dependency care centralisation, daily safety huddles, consultant-led cover and transfer of sick neonates to LGI.
Stated by Leeds Teaching Hospitals NHS TrustStated completedThe respondent said that this action was complete when they made their response on 11 June 2025.
Action
Recruit additional consultants and advanced clinical practitioners to strengthen neonatal staffing.
Stated by Leeds Teaching Hospitals NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 11 June 2025.
Action
Submit a business case to increase the consultant workforce to 18 whole-time equivalents.
Stated by Leeds Teaching Hospitals NHS TrustStated completedThe respondent said that this action was complete when they made their response on 11 June 2025.
Action
Establish an Executive-led group to review the neonatal care model and safe staffing across both sites.
Stated by Leeds Teaching Hospitals NHS TrustStated completedThe respondent said that this action was complete when they made their response on 11 June 2025.
Action
Complete a full review of neonatal service risks, controls, gaps and mitigation strategies with commissioners and the ODN.
Stated by Leeds Teaching Hospitals NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 11 June 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Individual NHS trusts and employers are responsible for ensuring sufficient staffing for safe care and should review staffing levels.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester City
Concerns raised2
Difficulties in providing safe and effective care across split hospital sites
Impact of split-site commitments and reconfiguration on patient safety and clinical care
This report raised 13 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 medical cover for geographic or split-site commitments
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.
Pin
Get email alerts
Request correction
Includes failures in the design, reconfiguration, staffing, coverage, coordination or operational management of explicitly split-site hospital services where the arrangement can compromise patient safety or clinical care across sites.
