Source · Health & care regulation

CQC Enforcement (Single Assessment Framework)

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.

549 records114 warning notices131 locationsSep 2026 most recent

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.

How this source is collected and updated
Collection method
CQC API
Observed update
Updated monthly
Last record written
6 Sep 2026

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.

Enforcement actions

549 matching records

Gloucestershire Royal Hospital

Regulation
Date
27 Aug 2026
Regulatory breachGloucestershire Hospitals NHS Foundation TrustAug 2026

We found a breach of regulation in relation to medicines safety and governance within maternity services.

Original source ↗

Gloucestershire Royal Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
27 Aug 2026
Regulatory breachGloucestershire Hospitals NHS Foundation TrustAug 2026

We identified breach of 1 regulation: 12 Safe Care and Treatment We rated the location as requires Improvement.

Original source ↗

Gloucestershire Royal Hospital

Regulation
Date
27 Aug 2026
Condition of registrationGloucestershire Hospitals NHS Foundation TrustAug 2026

We assessed 1 assessment service group at this location to review the progress made following our last inspection in March 2024, where we issued conditions on their registration to improve safety of women and their babies.

Original source ↗

The Queen Elizabeth Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
27 Aug 2026
Warning noticeThe Queen Elizabeth Hospital King's Lynn NHS Foundation TrustAug 2026

During this assessment we found breaches in regulations relating to safe care and treatment and dignity and respect, a warning notice was served.

Original source ↗

The Queen Elizabeth Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
27 Aug 2026
Regulatory breachThe Queen Elizabeth Hospital King's Lynn NHS Foundation TrustAug 2026

We found breaches in safe care and treatment, and good governance.

Original source ↗

The Queen Elizabeth Hospital

Regulation
Date
27 Aug 2026
Warning noticeThe Queen Elizabeth Hospital King's Lynn NHS Foundation TrustAug 2026

These concerns resulted in a breach of regulation in which we served a warning notice.

Original source ↗

The Queen Elizabeth Hospital

Regulation
Regulation 17 (Good governance)
Date
27 Aug 2026
Regulatory breachThe Queen Elizabeth Hospital King's Lynn NHS Foundation TrustAug 2026

We found breaches of the regulations in relation to documentation of mental capacity assessments, mitigation of identified risk, mandatory training compliance and lack of medicines management and good governance.

Original source ↗

The Queen Elizabeth Hospital

Regulation
Date
27 Aug 2026
Requirement noticeThe Queen Elizabeth Hospital King's Lynn NHS Foundation TrustAug 2026

In addition, it was to review the progress made against the requirement notice that was served to the provider following the inspection in January 2020.

Original source ↗

The Queen Elizabeth Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
27 Aug 2026
Regulatory breachThe Queen Elizabeth Hospital King's Lynn NHS Foundation TrustAug 2026

At this assessment we found breaches relating to safe care and treatment and dignity and respect.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

There were 3 new breaches in this inspection around long delays, premises and environment.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

During the last inspection there were many breaches stating that the trust must ensure to make improvements; we reviewed all these breaches during this inspection, and we found many areas required the improvements had been met.

Original source ↗

The Princess Royal Hospital

Regulation
Regulation 18 (Staffing)
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

There were 2 new breaches in this inspection around performance of the stroke pathway and staffing.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

There is still a breach of regulation around completion of mandatory training, including safeguarding training, although appraisal rates had improved.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

Finally, there was a breach around completion of mandatory and legally required training and staff appraisals.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

During the last inspection there was a breach stating that the trust must ensure they continue to work on meeting their referral to treatment targets for all pathways.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

We did not see evidence of mixed sex breaches during this inspection.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

There was a previous breach around mixed sex breaches.

Original source ↗

The Princess Royal Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

During our previous inspection of medical care services published in 2024, we identified a breach of regulation relating to completion of risk assessments, with particular attention to venous thromboembolism risk assessments.

Original source ↗

Royal Shrewsbury Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

We will request an action plan to show how the service will meet the breaches of regulations.

Original source ↗

Royal Shrewsbury Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

We found 2 breaches of the regulations in relation to safe care and treatment and staffing.

Original source ↗

Royal Shrewsbury Hospital

Regulation
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

The service had made some improvements since our last inspection, but not all the previous breaches were met.

Original source ↗

Royal Shrewsbury Hospital

Regulation
Regulation 18 (Staffing)
Date
21 Aug 2026
Regulatory breachShrewsbury and Telford Hospital NHS TrustAug 2026

We identified breaches of 3 regulations around the failure to provide timely treatment, compliance with infection prevention and control guidance, management of substances hazardous to health, not always having safe staffing levels, and improvements needed in governance.

Original source ↗

HMP Bedford

Regulation
Regulation 18 (Staffing)
Date
13 Aug 2026
Regulatory breachNorthamptonshire Healthcare NHS Foundation TrustAug 2026

We also issued an action plan request for breaches relating to governance and staffing.

Original source ↗

HMP Bedford

Regulation
Regulation 12 (Safe care and treatment)
Date
13 Aug 2026
Warning noticeNorthamptonshire Healthcare NHS Foundation TrustAug 2026

We undertook a follow-up inspection in April 2025 and served a warning notice for breaches relating to safe care and treatment.

Original source ↗

Calderdale Royal Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
11 Aug 2026
Regulatory breachCalderdale and Huddersfield NHS Foundation TrustAug 2026

The service was in breach of the legal regulations relating to Staffing, Safe Care and Treatment, Consent and Good Governance.

Original source ↗

Calderdale Royal Hospital

Regulation
Date
11 Aug 2026
Regulatory breachCalderdale and Huddersfield NHS Foundation TrustAug 2026

We identified new breaches of regulation.

Original source ↗

Calderdale Royal Hospital

Regulation
Date
11 Aug 2026
Regulatory breachCalderdale and Huddersfield NHS Foundation TrustAug 2026

We found continued breaches of regulations in relation to recording and administration of medicines and the management of patients presenting with poor mental health.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
07 Aug 2026
Regulatory breachUniversity Hospitals Birmingham NHS Foundation TrustAug 2026

However, we still found breaches in regulations relating to safe care and treatment and safe staffing levels.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Date
07 Aug 2026
Regulatory breachUniversity Hospitals Birmingham NHS Foundation TrustAug 2026

This assessment was conducted to follow up on concerns and breaches of regulation identified during our previous assessment published in August 2025.

Original source ↗

The Countess of Chester Hospital

Regulation
Regulation 9 (Person-centred care)
Date
31 Jul 2026
Regulatory breachCountess of Chester Hospital NHS Foundation TrustJul 2026

However, the service remained in breach of 5 regulations related to good governance, staffing, safe care and treatment, premises and equipment and person-centred care.

Original source ↗

The Countess of Chester Hospital

Regulation
Date
31 Jul 2026
Warning noticeCountess of Chester Hospital NHS Foundation TrustJul 2026

We found the service had made improvements and had met some of the actions of the warning notices.

Original source ↗

The Countess of Chester Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
31 Jul 2026
Regulatory breachCountess of Chester Hospital NHS Foundation TrustJul 2026
We visited the following areas as part of this assessment: The Countess of Chester Hospital Emergency Department The Countess of Chester Hospital Urgent Treatment Centre The service was previously in breach of the legal regulations in relation to dignity and respect,...
We visited the following areas as part of this assessment: The Countess of Chester Hospital Emergency Department The Countess of Chester Hospital Urgent Treatment Centre The service was previously in breach of the legal regulations in relation to dignity and respect, safeguarding from abuse and improper treatment, premises and equipment, governance and staffing.

Original source ↗

The Countess of Chester Hospital

Regulation
Date
31 Jul 2026
Warning noticeCountess of Chester Hospital NHS Foundation TrustJul 2026

We carried out this assessment to review the progress made against a Warning Notice that was served to the trust following the inspection in February 2025.

Original source ↗

The Countess of Chester Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
31 Jul 2026
Regulatory breachCountess of Chester Hospital NHS Foundation TrustJul 2026

The service was in breach of the legal regulations in related to safe care and treatment, premises and equipment and staffing.

Original source ↗

The Countess of Chester Hospital

Regulation
Regulation 9 (Person-centred care)
Date
31 Jul 2026
Regulatory breachCountess of Chester Hospital NHS Foundation TrustJul 2026

We found the service was in breach of the legal regulation person-centred care.

Original source ↗

The Countess of Chester Hospital

Regulation
Regulation 9 (Person-centred care)
Date
31 Jul 2026
Regulatory breachCountess of Chester Hospital NHS Foundation TrustJul 2026

At this assessment we identified breaches of regulations person-centred care, safe care and treatment, premises and equipment, good governance and staffing.

Original source ↗

The Countess of Chester Hospital

Regulation
Date
31 Jul 2026
Warning noticeCountess of Chester Hospital NHS Foundation TrustJul 2026

The assessment of urgent and emergency care was to review the progress made against a warning notice that was served on the provider following an inspection in February 2025.

Original source ↗

The Princess Alexandra Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
30 Jul 2026
Regulatory breachThe Princess Alexandra Hospital NHS TrustJul 2026

They were in breach of the legal regulations in relation to staffing, and safe care and treatment.

Original source ↗

The Princess Alexandra Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
30 Jul 2026
Regulatory breachThe Princess Alexandra Hospital NHS TrustJul 2026

We found breaches in safe care and treatment, dignity and respect and good governance.

Original source ↗

The Princess Alexandra Hospital

Regulation
Date
30 Jul 2026
Regulatory breachThe Princess Alexandra Hospital NHS TrustJul 2026

During our assessment, we found concerns which resulted in a breach of regulation.

Original source ↗

Birmingham Children's Hospital

Regulation
Date
30 Jul 2026
Regulatory breachBirmingham Women's and Children's NHS Foundation TrustJul 2026

We found 2 breaches of regulations in the proper and safe management of medicines and mandatory training .

Original source ↗

Salisbury District Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
30 Jul 2026
Regulatory breachSalisbury NHS Foundation TrustJul 2026

At this inspection we found breaches of regulation in relation to Safe Care and Treatment and Good Governance.

Original source ↗

King's College Hospital

Regulation
Date
30 Jul 2026
Regulatory breachKing's College Hospital NHS Foundation TrustJul 2026

The previous breach had been addressed, with improvements to medical staff mandatory training rates.

Original source ↗

St Richard's Hospital

Regulation
Regulation 17 (Good governance)
Date
29 Jul 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustJul 2026

A breach of regulation 17: good governance due to the service not having an audit schedule and staff did not routinely complete local audits.

Original source ↗

St Richard's Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
29 Jul 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustJul 2026

There was a breach of regulation 12: safe care and treatment due to the design and environment of the maternity assessment unit did not meet the needs of women using the service due to a lack of space for women.

Original source ↗

St Richard's Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
29 Jul 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustJul 2026

The service was previously in breach of regulation 12: safe care and treatment due to checks not being completed on life saving equipment.

Original source ↗

St Richard's Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
29 Jul 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustJul 2026

At this assessment we identified a breach of regulations in relation to regulation 12: safe care and treatment and regulation 17: good governance.

Original source ↗

Princess Royal Hospital

Regulation
Regulation 17 (Good governance)
Date
29 Jul 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustJul 2026

There was a breach of regulation 17: good governance due to the service not having an audit schedule and staff did not routinely complete local audits.

Original source ↗

Princess Royal Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
29 Jul 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustJul 2026

We also found a breach of regulation 12: safe care and treatment, we found women did not receive a midwifery review within 15 minutes of arrival within the maternity care centre and women did not receive a medical review within a timely manner.

Original source ↗

Princess Royal Hospital

Regulation
Date
29 Jul 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustJul 2026

Following this inspection the service remains in breach of this regulation.

Original source ↗

Records by action taken

Read the chart values
Records by action taken
CategoryValue
Regulatory breach402
Requirement notice13
Warning notice114
Condition of registration2
Letter of intent10
Urgent enforcement8

Data from CQC Enforcement (Single Assessment Framework), published by Care Quality Commission.

Contains public sector information licensed under the Open Government Licence v3.0.