Recurring concern
Insufficient tissue viability service capacity and access
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Request correctionFirst reported 19 Dec 2014•Latest report 25 Sep 2025
What this concern includes
Includes failures in the named tissue viability service or team that limit timely provision according to need, including insufficient Tissue Viability Nurse staffing, withdrawal or absence of embedded tissue viability provision, unavailable weekend access and resulting delays in specialist assessment or support.
Not included
- Excludes generic healthcare, district nursing or care-home staffing shortages where tissue viability service capacity or access is not the identified unsafe condition.
- Excludes failures in wound care, pressure-ulcer prevention, referral guidance or follow-up where tissue viability service capacity or access is not materially deficient.
- Excludes failures occurring after timely tissue viability input has been provided, including unrelated implementation or documentation failures.
- Excludes generic specialist-service shortages without an explicit tissue viability service or team connection.
- Reports
- 9
- Individual concerns
- 11
- Date range
- 2014–2025
- 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
Absence of embedded, dedicated Tissue Viability Nurses and a Tissue Viability Service across Community Hospital Wards
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
Fund and approve establishment of a substantive 0.6 WTE Band 6 Tissue Viability CNS post.
Stated by East Suffolk and North Essex NHS Foundation Trust -
Action
Recruit a 0.6 WTE Band 6 Tissue Viability CNS to provide tissue viability services across community hospital sites.
Stated by East Suffolk and North Essex NHS Foundation Trust
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Concerns raised1
Limited access to tissue viability and district nursing information and support for wound care in the community
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.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
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Position
Demand across Greater Manchester tissue viability and district nursing services made improved community wound-care access difficult to achieve.
Stated by NHS Greater Manchester Integrated Care Board
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Position
Limited access to community tissue viability and district nursing wound care falls outside the regulator’s remit.
Stated by Care Quality Commission -
Position
The Secretary of State and Greater Manchester Integrated Care are considered better placed to address limited community wound care access.
Stated by Care Quality Commission
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Concerns raised1
Unavailability of Tissue Viability Team over weekends causing delays in patient assessment
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
Monitor Specialist Tissue Viability Team referral-to-response times according to pressure-ulcer severity.
Stated by University Hospitals of North Midlands NHS Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
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Position
NICE or the National Wound Care Strategy Programme should be engaged because no specific guidance sets tissue viability referral timings.
Stated by NHS England
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Position
The relevant NHS Trust is responsible for commenting on tissue viability provision at Royal Stoke University Hospital.
Stated by NHS England -
Position
The applicable six-hour requirement is for pressure-ulcer risk assessment, not review by the Specialist Tissue Viability Team.
Stated by University Hospitals of North Midlands NHS Trust -
Position
Routine weekend Tissue Viability coverage is unnecessary because pathways, policies, guidance and staff training mitigate pressure-ulcer risks out of hours.
Stated by University Hospitals of North Midlands NHS Trust
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Concerns raised1
Shortage of staff within the Tissue Viability Nurse team
This report raised 10 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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Insufficient Tissue Viability Nurse capacity to deal with referrals
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Inadequate tissue viability nurse service capacity
This report raised 11 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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Insufficient Tissue Viability Nurse staffing in community and hospital settings
This report raised 1 other concern. 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.3
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Action
Complete a review of the community tissue viability nursing service.
Stated by Trust -
Action
Increase the provision of community tissue viability nurses.
Stated by Trust -
Action
Meet with Bedfordshire CCG to discuss reviewing commissioned community tissue viability nursing levels.
Stated by Trust
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Concerns raised1
Insufficient staffing of Tissue Viability Nurses
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised3
Delays in Tissue Viability Nurse and wound care input
Insufficient Tissue Viability Nurse capacity to serve the regional hospitals
Specialist nurses not being based in the hospital for TVN and wound care input
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026