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

Scarborough Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
20 Mar 2026
Regulatory breachYork and Scarborough Teaching Hospitals NHS Foundation TrustMar 2026

We found new breaches of regulations in relation to safe care and treatment and good governance.

Original source ↗

Scarborough Hospital

Regulation
Regulation 17 (Good governance)
Date
20 Mar 2026
Regulatory breachYork and Scarborough Teaching Hospitals NHS Foundation TrustMar 2026

We found continued breaches of legal regulations in relation to staffing, consent, good governance and access to services.

Original source ↗

Nottingham City Hospital

Regulation
Regulation 18 (Staffing)
Date
11 Mar 2026
Regulatory breachNottingham University Hospitals NHS TrustMar 2026

We found breaches of regulations relating to security; organisational culture, staff wellbeing; engagement; visibility of leadership; consultant staffing and safeguarding training requirements.

Original source ↗

Nottingham City Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
11 Mar 2026
Regulatory breachNottingham University Hospitals NHS TrustMar 2026

We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in the following areas: Safe care and treatment - in relation to security.

Original source ↗

Community Care Advice Centre

Regulation
Regulation 12 (Safe care and treatment)
Date
06 Mar 2026
Regulatory breachNorth East London NHS Foundation TrustMar 2026

We found three breaches of the regulations in relation to safe care and treatment, person centred care and good governance.

Original source ↗

Queen's Medical Centre

Regulation
Regulation 18 (Staffing)
Date
04 Mar 2026
Regulatory breachNottingham University Hospitals NHS TrustMar 2026

We found breaches of regulations relating to security; organisational culture, staff well-being; engagement; visibility of leadership; consultant staffing and safeguarding training requirements.

Original source ↗

Queen's Medical Centre

Regulation
Regulation 12 (Safe care and treatment)
Date
04 Mar 2026
Regulatory breachNottingham University Hospitals NHS TrustMar 2026

We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in the following areas: Safe care and treatment – in relation to medicines management and the security.

Original source ↗

Princess Royal University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
04 Mar 2026
Regulatory breachKing's College Hospital NHS Foundation TrustMar 2026

However, the service remained in breach of the regulations safe care and treatment and good governance.

Original source ↗

Princess Royal University Hospital

Regulation
Date
04 Mar 2026
Regulatory breachKing's College Hospital NHS Foundation TrustMar 2026

As this was a focused assessment, we only looked at the safe, responsive and well led domains, where there were breaches of regulation.

Original source ↗

King's College Hospital

Regulation
Regulation 18 (Staffing)
Date
04 Mar 2026
Regulatory breachKing's College Hospital NHS Foundation TrustMar 2026

We found 3 breaches of the regulations in relation to staffing, safeguarding and governance.

Original source ↗

King's College Hospital

Regulation
Regulation 18 (Staffing)
Date
04 Mar 2026
Regulatory breachKing's College Hospital NHS Foundation TrustMar 2026

The service was in breach of legal regulation in relation to Regulation 18 Staffing, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Original source ↗

King's College Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
04 Mar 2026
Regulatory breachKing's College Hospital NHS Foundation TrustMar 2026

The service was previously in breach of Regulation 12 (safe care and treatment), Regulation 15 (premises and equipment), and Regulation 17 (good governance) of the Health and Social Care Act 2008.

Original source ↗

Northampton General Hospital

Regulation
Date
03 Mar 2026
Warning noticeNorthampton General Hospital NHS TrustMar 2026

We carried out this assessment to check the quality of services in response to a Section 29A Warning Notice (WN) we served to the trust in March 2025 following an onsite assessment in February 2025.

Original source ↗

Northampton General Hospital

Regulation
Date
03 Mar 2026
Warning noticeNorthampton General Hospital NHS TrustMar 2026

We carried out this assessment of medical care only to check the quality of services in response to a Section 29A Warning Notice (WN) we served to the trust in March 2025 following an assessment in February 2025.

Original source ↗

Northampton General Hospital

Regulation
Date
03 Mar 2026
Warning noticeNorthampton General Hospital NHS TrustMar 2026

At this assessment we did not rate as we only looked at specific aspects in response to the Section 29a Warning Notice (WN).

Original source ↗

Worthing Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustFeb 2026

The service was previously in breach of the legal regulation in relation to Safe Care and Treatment.

Original source ↗

Worthing Hospital

Regulation
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustFeb 2026

The breach was in relation to assurance through auditing systems, setting of targets and benchmarking processes.

Original source ↗

Worthing Hospital

Regulation
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustFeb 2026

We also found breaches in relation to the governance of the service.

Original source ↗

Worthing Hospital

Regulation
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustFeb 2026

The breaches related to appropriate management of risks including ligature risk assessments, medicines management and safeguarding training.

Original source ↗

Worthing Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustFeb 2026

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

Original source ↗

Worthing Hospital

Regulation
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustFeb 2026

We found breaches of regulations in relation to: risk assessments of the environment, staff training and governance of the service.

Original source ↗

Worthing Hospital

Regulation
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustFeb 2026

We assessed the maternity services in response to ongoing concerns about the services and follow up on past breaches of regulation.

Original source ↗

Derriford Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Plymouth NHS TrustFeb 2026

Although the service had made significant improvements since our last visit (some breaches had been addressed), they were still failing to provide safe care and treatment.

Original source ↗

Derriford Hospital

Regulation
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Plymouth NHS TrustFeb 2026

At this assessment the rating remains requires improvement as we identified some continued and new breaches of regulations.

Original source ↗

Derriford Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
27 Feb 2026
Regulatory breachUniversity Hospitals Plymouth NHS TrustFeb 2026

We identified breaches in regulation relating to safe care and treatment, dignity and respect and good governance.

Original source ↗

The Ipswich Hospital

Regulation
Date
18 Feb 2026
Requirement noticeEast Suffolk and North Essex NHS Foundation TrustFeb 2026

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

Original source ↗

The Ipswich Hospital

Regulation
Date
18 Feb 2026
Requirement noticeEast Suffolk and North Essex NHS Foundation TrustFeb 2026

We found the service had taken actions to address the requirement notice however, current performance demonstrated challenges with maintaining compliance in some areas.

Original source ↗

The Ipswich Hospital

Regulation
Date
18 Feb 2026
Requirement noticeEast Suffolk and North Essex NHS Foundation TrustFeb 2026

We carried out this assessment to review the progress made against the requirement notice that was served on the provider following the inspection in January 2020.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

The Warning Notice was not fully met as there will still improvements needed to ensure good communication for all women and their families.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

We found on this inspection that the Warning Notice was met.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

We found on this inspection that the Warning Notice had been met.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

We found on this inspection that the guidelines had been updated in line with national guidance and the Warning Notice had been met.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

The Warning Notice was not fully met as there are still significant improvements needed to staff the departments.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

The Warning Notice was met as we found on this inspection these checks were consistently completed and there was a robust system for checking equipment.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

The Warning Notice was met due to notable improvements in the service but there were still some improvements needed.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

At our previous assessment in July 2024, we issued a Section 29A Warning Notice in relation to: Insufficient medical staffing to provide safe care and treatment in triage.

Original source ↗

The Ipswich Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
18 Feb 2026
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustFeb 2026

We found breaches in Safe Care and Treatment and Good Governance.

Original source ↗

The Ipswich Hospital

Regulation
Date
18 Feb 2026
Warning noticeEast Suffolk and North Essex NHS Foundation TrustFeb 2026

During our assessment we found concerns which resulted in a breach of regulation in which we served a warning notice.

Original source ↗

The Ipswich Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
18 Feb 2026
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustFeb 2026

We previously inspected in 2020 and found 6 breaches of regulations relating to safe care and treatment, staffing and good governance.

Original source ↗

The Ipswich Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
18 Feb 2026
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustFeb 2026

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

Original source ↗

The Ipswich Hospital

Regulation
Date
18 Feb 2026
Warning noticeEast Suffolk and North Essex NHS Foundation TrustFeb 2026

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

Original source ↗

The Ipswich Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
18 Feb 2026
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustFeb 2026

At this assessment we identified breaches of regulations in relation to Safe Care and Treatment and Good Governance for both services.

Original source ↗

The Ipswich Hospital

Regulation
Date
18 Feb 2026
Warning noticeEast Suffolk and North Essex NHS Foundation TrustFeb 2026

In our assessment of medical care (including older people) services and urgent and emergency care, we found concerns which resulted in a breach of regulation in which we served a warning notice.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Regulatory breachSandwell and West Birmingham Hospitals NHS TrustFeb 2026

The breach of the regulation also covers the safe management of medicines and the failure to be compliant with safeguarding training.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Regulatory breachSandwell and West Birmingham Hospitals NHS TrustFeb 2026

While we know much of this was outside of the department’s control, we have served the trust with a breach of a regulation due to considering the patient’s experience and the potential for harm notwithstanding this was recognised by the department’s leaders and always in focus.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
18 Feb 2026
Regulatory breachSandwell and West Birmingham Hospitals NHS TrustFeb 2026

We have rated the department as good overall, but the safe care and treatment of patients requires improvement and we have served the trust with breaches of a regulation in this regard.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Regulation 9 (Person-centred care)
Date
18 Feb 2026
Regulatory breachSandwell and West Birmingham Hospitals NHS TrustFeb 2026

The service was in breach of the legal regulation relating to safe care and treatment, person-centred care and staffing.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Warning noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

This assessment was carried out to follow up on the Section 29A that we issued in July 2024 following concerns and breaches of regulation identified during out previous assessment published in July 2024.

Original source ↗

Midland Metropolitan University Hospital

Regulation
Date
18 Feb 2026
Requirement noticeSandwell and West Birmingham Hospitals NHS TrustFeb 2026

The trust has been issued with requirement notices for breaches of regulation in maternity services and urgent and emergency care.

Original source ↗

Salford Royal Hospital

Regulation
Regulation 18 (Staffing)
Date
13 Feb 2026
Warning noticeNorthern Care Alliance NHS Foundation TrustFeb 2026

The warning notice related to staffing levels across the surgical wards and concerns about the systems and processes used to identify and manage risks affecting quality and safety on the surgical wards.

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.