A paramedic was left to run a town’s hospital with an enrolled nurse in December last year, a situation NSW Health has acknowledged was not “perfect”.

The admission comes after 24 clinical staff from Yass District Hospital in the Southern Tablelands wrote a letter to the NSW Government saying the community was at “risk of harm” and called for urgent action, Nine Newspapers reported.

The letter alleged no registered nurse was available in the days leading up to Christmas, and the hospital was run by a fill-in doctor and an enrolled nurse.

In the following days NSW Health brought in a paramedic, who then ran the hospital with the enrolled nurse.