Recurring concern
Insufficient district nursing staffing capacity
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Request correctionFirst reported 17 Jul 2022•Latest report 27 Jun 2025
What this concern includes
Includes recurring shortages, under-resourcing, recruitment or retention deficiencies and inadequate staffing resilience specifically affecting district nursing services, including the anchor's under-resourced team and residual District Nursing Service staffing shortages.
Not included
- Excludes generic healthcare or social-care staffing shortages where district nursing is not the specifically affected service.
- Excludes district nursing competence, communication, documentation, wound-care or referral failures where staffing capacity is not the shared unsafe condition.
- Excludes isolated staff absence or workload pressure unless it indicates a continuing district nursing staffing-capacity deficiency.
- Excludes staffing deficiencies in other community services, hospitals, prisons or care homes.
- Reports
- 5
- Individual concerns
- 5
- Date range
- 2022–2025
- Stated actions
- 6
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
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.
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.
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Concerns raised1
Failure to maintain sufficient community nursing capacity for required patient appointments
Responses linked to these concernsEach 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.1
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Action
Publish a 10 Year Workforce Plan to support a sufficient and skilled NHS workforce.
Stated by Department of Health and Social Care
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
Responsibility for the number and quality of district nurses rests with local Integrated Care Boards and NHS trusts.
Stated by Department of Health and Social Care
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Concerns raised1
Under-resourcing of the district nursing team
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 concernsEach 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
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Action
Staff the dressing clinic with a substantive band 6 nurse under senior Trust community district nursing line management.
Stated by East London NHS Foundation Trust -
Action
Implement a dressing-clinic standard operating procedure providing 30-minute service-user appointment slots instead of 10-minute slots.
Stated by East London NHS Foundation Trust
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Concerns raised1
Insufficient District Nursing and Community Specialist Practitioner capacity to see patients in accordance with their needs
Responses linked to these concernsEach 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
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Action
Move toward a neighbourhood health service by delivering more care in local communities and shifting resources over time to primary and community services.
Stated by Department of Health and Social Care -
Action
Train the staff the NHS needs to provide care when patients need it.
Stated by Department of Health and Social Care
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Concerns raised1
Residual staffing shortages in the District Nursing Service
Responses linked to these concernsEach 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.1
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Action
Increase NHS nurse numbers, including community nursing capacity, to address staffing shortages.
Stated by Department of Health and Social Care
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Concerns raised1
Insufficient District Nursing Team staffing capacity for caseload demand
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach 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.1
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Position
The case findings were attributed to individual practice and awareness rather than District Nursing Service pressures, although wider pressures may have contributed.
Stated by NHS Greater Manchester Integrated Care Board
Data last updated 7 September 2026