Health and care · NHS trust. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.
Reports
3
Naming this recipient
Published responses
100%
Found for named reports
Concerns addressed
7
Across all linked responses
Stated actions
26
Described in responses
Reports over time
Reports over time
Reports naming this recipient by issue year.
Evidence profile
Report topics
Share of this recipient’s reports compared with all other recipients.
100%published responses found
26stated actions described
Topic comparisons are not available in the current evidence snapshot.
Concerns and recipient responses
Statements from Bradford District Care NHS Foundation Trust linked to the concerns in each report. Select any concern, action or position to view the source wording.
West Yorkshire (Western)
Concerns raised4
Lack of an overarching management tool for scrutinising and measuring care
Delays in access to psychological therapy
Failure to provide requested psychiatric appointments
Insufficient mental healthcare appointments
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 this recipient says it has done, is doing, or plans to do in response to the concern raised.3
Action
Have the administration team book consultant psychiatrist appointments for assessed referrals, using urgent slots when risk-based assessment indicates greater urgency.
Stated plannedThe respondent said that this action was planned when they made their response on 10 March 2025.
Action
Create a timebound recovery plan addressing assessment waits through demand-and-capacity analysis, additional staffing and administration, and streamlined clinical processes.
Stated completedThe respondent said that this action was complete when they made their response on 10 March 2025.
Action
Deliver a continuous-improvement programme to enable access to a meaningful intervention within four weeks of referral.
Stated in progressThe respondent said that this action was in progress when they made their response on 10 March 2025.
West Yorkshire (West)
Concerns raised2
Doors permitting access to the hinge pin side
Failure to adequately manage ligature risks from personal items
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 this recipient says it has done, is doing, or plans to do in response to the concern raised.4
Action
Review ligature assessments and new ligature incidents through the monthly Ligature Environmental Risk and Safety group to identify learning.
Stated completedThe respondent said that this action was complete when they made their response on 8 February 2020.
Action
Continue reviewing processes for managing patients’ personal belongings and associated ligature risks.
Stated in progressThe respondent said that this action was in progress when they made their response on 8 February 2020.
Action
Develop and submit a business case for environmental improvements and high-specification full-door alarms on identified bedrooms across eight high-risk wards.
Stated completedThe respondent said that this action was complete when they made their response on 8 February 2020.
Action
Implement standard multidisciplinary ligature-risk assessments using the Manchester Audit Tool, with documented mitigations, staff access, induction materials, visual aids and training.
Stated completedThe respondent said that this action was complete when they made their response on 8 February 2020.
Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.2
Position
Replacing all inpatient doors is constrained by significant capital expense, so improvements are being delivered through the ongoing capital programme in stages.
Unable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Potential ligature items are not routinely removed; individual risk assessment, care planning and increased observations are used where clear clinical risk exists.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
West Yorkshire (Western)
Concerns raised6
Unavailability of verbal fire-risk warnings from healthcare professionals for retail and online purchases
Lack of accurate national data on fire incidents involving paraffin-based skin products
Inconsistent fire-risk alerts and warnings across NHS prescribing systems
Lack of healthcare professional awareness of the fire hazard from low-paraffin emollient creams
Failure to display fire-risk warnings on all product packaging
Fire hazard from paraffin-based ointments and low-paraffin emollient creams
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 this recipient says it has done, is doing, or plans to do in response to the concern raised.10
Action
Display emollient risk messages on Trust screens and repeat the messages twice yearly.
Stated completedThe respondent said that this action was complete when they made their response on 30 October 2018.
Action
Raise staff awareness of emollient risks and include the issue in all fire training.
Stated completedThe respondent said that this action was complete when they made their response on 30 October 2018.
Action
Produce and disseminate a patient safety leaflet on paraffin-based products and laundering clothing and bedding.
Stated completedThe respondent said that this action was complete when they made their response on 30 October 2018.
Action
Conduct annual community nursing audits of leaflet distribution and documented discussions of emollient hazards with patients.
Stated plannedThe respondent said that this action was planned when they made their response on 30 October 2018.
Action
Repeat staff awareness surveys every six months to identify concerns about emollient hazards.
Stated in progressThe respondent said that this action was in progress when they made their response on 30 October 2018.
Action
Provide existing community nursing patients with safety leaflets and advice about emollient risks.
Stated completedThe respondent said that this action was complete when they made their response on 30 October 2018.
Action
Create a SystmOne alert identifying patients at risk when emollient treatment is entered in the clinical record.
Stated completedThe respondent said that this action was complete when they made their response on 30 October 2018.
Action
Produce and disseminate a fire hazard poster on paraffin-based products across clinical service areas and organisational communication channels.
Stated completedThe respondent said that this action was complete when they made their response on 30 October 2018.
Action
Maintain liaison with the Fire Service to update teams on laundering evidence and ongoing emollient hazards.
Stated in progressThe respondent said that this action was in progress when they made their response on 30 October 2018.
Action
Upload the leaflet and poster to the NHSI improvement hub and disseminate them nationally through NHSI.
Stated completedThe respondent said that this action was complete when they made their response on 30 October 2018.
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations