Nottingham City Hospital
- Regulation
- Regulation 12 (Safe care and treatment)
- Date
- 25 Feb 2025
We identified 4 breaches in safe care and treatment.
Regulatory breaches and the formal action the Care Quality Commission took on them, as named in CQC Single Assessment Framework assessment commentary from 2024 onward. CQC publishes no separate machine-readable enforcement register, so each record is the breach statement quoted verbatim from the assessment and classified by the action stated there. A letter of intent is recorded separately from urgent action, so an action CQC is only considering is never shown as one already taken.
Coverage: England. Regulatory breaches and the formal action taken on them, named verbatim in CQC Single Assessment Framework assessment commentary from 2024 onward. Scoped to NHS-trust locations by default, so it is not a complete record of CQC enforcement across the whole regulated estate.
Newest content date: 4 Sep 2026. This describes the content held here, not the date this page was opened.
Records written on 4 of the last 90 days; last write 6 Sep 2026.
Publisher's stated schedule: Continuous. That is the publisher's own description, not a measurement of this copy.
We identified 4 breaches in safe care and treatment.
Date of the on-site assessment was 29 October and 30 October 2024.
During the assessment we found 2 breaches of regulation.
We identified 3 breaches of regulation in safe care and treatment.
During the most recent inspection of stroke services inspectors did not identify any regulatory breaches.
As a result of these findings, we served a Warning Notice requiring the trust to make significant improvements to the quality of healthcare in the emergency department.
The warning notice was issued due to concerns we had regarding the trust’s continuous flow model (CFM).
Following the assessment, we issued the trust a warning notice under section 29 of the Health and Social Care Act 2008 on 11 October 2024.
In our assessment of urgent and emergency services we found breaches of Regulation 10, 12, 15, 17 and 18 of the Health and Social Care Act (Regulated Activities) Regulations 2014.
We also identified regulatory breaches relating to responsivity, medicines management, and health and safety that did not form part of the warning notice.
We had carried out an assessment in March 2024 where the service was rated inadequate overall and were placed under conditions of service under Section 31 of the Health and Social Care Act to ensure the trust took immediate action to keep women, birthing people, and babies safe.
We identified 4 breaches of regulation in safe care and treatment.
The service was re-inspected in October 2021 against the warning notice requirements, the outcome being removal of the warning notice.
During the most recent inspection of stroke services inspectors did not identify any regulatory breaches.
During this focused inspection, not all breaches identified at the last inspection were reassessed to include all potential improvements.
We found 2 breaches of legal regulations in relation to governance which impacted on care and treatment.
When we carried out our last inspection the provider was given an overall rating of Requires Improvement with two breaches in Regulation 12 and 17.
During the assessment we identified 4 regulatory breaches relating to the key question for safe, where we told the service it needs to make improvements.
Following our assessment the overall rated reduced to inadequate and a notice of decision was sent to impose conditions under Section 31 of the Health and Social Care Act to ensure the trust took immediate action to keep women, birthing people, and babies safe.
When we carried out our last inspection the provider was given an overall rating of Requires Improvement with two breaches in Regulation 12 and 17.
We found 5 breaches of the legal regulations in relation to safe care and treatment, staffing and governance.
We identified 3 breaches in safe care and treatment.
As a result of these findings, we served a Warning Notice requiring the trust to make significant improvements to the quality of healthcare in the emergency department.
We found breaches of Regulation 10, 12, 15, 17 and 18 of the Health and Social Care Act (Regulated Activities) Regulations 2014.
We issued a Requirement Notice in relation to Regulation 17, Good governance of the Health and Social Care Act 2008.
We issued a Requirement Notice in relation to Regulation 11-Need for Consent, Regulation 12, Safe care and treatment and Regulation 17, Good governance of the Health and Social Care Act 2008.
We found a breach of legal regulation in relation to equipment and premises which impacted on care and treatment.
We found 2 breaches of legal regulations in relation to governance which impacted on care and treatment.
Following the assessment, we issued the service with a Section 29A Warning Notice telling them they were required to make significant improvements regarding the quality to healthcare to ensure the trust took immediate action to keep women, birthing people and babies safe.
We issued Requirement Notices in relation to Regulation 17 Good Governance and Regulation 12, Safe Care and Treatment.
We found that although some improvements had been made, there was not sufficient progress against the breaches.
We issued a warning notice to the trust as we felt there were areas which required significant improvement.
We rated the key questions and the service overall as requires improvement as we identified breaches of regulations.
We found two breaches of regulation where care and treatment was not always provided in a safe and timely way in line with clinical guidance and in an area of the department or correct specialty where it is safe to do so.
We rated the key questions and the service overall as requires improvement as we identified breaches of regulations.
Trust have met their section 29a Warning Notice, the service have made significant improvements since our last inspection.
We issued Requirement Notices in relation to Regulation 10 Dignity and Respect as well as Regulation 11 Need for Consent, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We found 2 breaches of legal regulations in relation to safe care and treatment and safe staffing.
Before this assessment, we reviewed a range of information provided by the Trust including the action plan associated with the Requirement Notices.
We issued a Requirement Notice in relation to Regulation 17 Good Governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We issued a Requirement Notice in relation to Regulation 11-Need for Consent, Regulation 12, Safe care and treatment and Regulation 17, Good governance of the Health and Social Care Act 2008.
However, during the inspection we identified 6 regulatory breaches where we have told the service it needs to make improvements.
However, during the inspection we identified 5 regulatory breaches relating to the key question for safe, where we have told the service it needs to make improvements.
However, during the inspection we identified one regulatory breach relating to the key question for responsive, where we have told the service it needs to make improvements.
However, during the inspection we identified 6 regulatory breaches where we have told the service it needs to make improvements.
As a result of these findings we have asked the trust to submit an action plan in regards to each breach.
In our assessment of services for children and young people we found breaches of Regulation 12, 17 and 18 of the Health and Social Care Act (Regulated Activities) Regulations 2014.
| Category | Value |
|---|---|
| Regulatory breach | 402 |
| Requirement notice | 13 |
| Warning notice | 114 |
| Condition of registration | 2 |
| Letter of intent | 10 |
| Urgent enforcement | 8 |
The chart shows the mix of formal actions named across the loaded records.
Contains public sector information licensed under the Open Government Licence v3.0.