Remote hospital working

Healthcare access varies across England, and this can lead to health inequalities.

A review of 109 completed MNSI investigations found that geographical remoteness led to a complex operational environment and that a coordinated approach was needed to ensure safer maternity and neonatal care.

The review identified eight themes, several directly linked to a hospital's remote location:

  • multidisciplinary team working
  • staffing
  • staff exposure to and familiarity with certain conditions
  • equity of care, including the cost and practicality of travel
  • the range of clinical services available locally
  • emergency transfer, including transport by ferry, helicopter, and ambulance
  • communication and information sharing between trusts
  • antenatal care planning.

This briefing paper shares our evidence and insight and provides safety prompts to open up the conversation between remote and non-remote hospitals to help them work collaboratively.

We welcome any comments or feedback. You can share your thoughts with us by emailing: enquiries@mnsi.org.uk

© 2026 MNSI. All rights reserved.