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

Royal Oldham Hospital

Regulation
Date
18 Dec 2025
Warning noticeNorthern Care Alliance NHS Foundation TrustDec 2025

We also identified regulatory breaches relating to responsivity, medicines management, and health and safety that did not form part of the warning notice.

Original source ↗

Royal Sussex County Hospital

Regulation
Date
17 Dec 2025
Letter of intentUniversity Hospitals Sussex NHS Foundation TrustDec 2025

Following the assessment, we issued a letter of intent about possible urgent enforcement action under section 31 of the Health and Social Care Act 2008 and asked the provider for an action plan in response to the serious concerns found at this assessment.

Original source ↗

Royal Sussex County Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

We found 2 breaches in regulation in relation to safe care and treatment and privacy and dignity.

Original source ↗

Royal Sussex County Hospital

Regulation
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

Improvements were not found at this assessment, and the service remained in breach of regulations.

Original source ↗

Royal Sussex County Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

The service was previously in breach of regulation 12 Safe Care and Treatment and regulation 10 Dignity and respect.

Original source ↗

Royal Sussex County Hospital

Regulation
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

The breach was in relation to risks not being addressed in a timely manner, staff access to patient information, assurance through auditing systems, setting of targets and benchmarking processes.

Original source ↗

Royal Sussex County Hospital

Regulation
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

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

Original source ↗

Royal Sussex County Hospital

Regulation
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

The breaches related to appropriate management of risks including induction of labour and caesarean section delays, medicines management, safeguarding and the premises at Sussex House.

Original source ↗

Royal Sussex County Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

The service was in breach of legal regulation(s) in relation to people’s safe care and treatment and governance.

Original source ↗

Royal Sussex County Hospital

Regulation
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

We found 5 breaches in regulations.

Original source ↗

Royal Sussex County Hospital

Regulation
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

Although we saw improvements during this assessment (2025) the service remained in breach of regulations.

Original source ↗

Royal Sussex County Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

Following the focused inspection in 2021, we saw improvements, but the service was in breach of regulation 12: safe care and treatment in relation to triage processes and checks on lifesaving equipment.

Original source ↗

Royal Sussex County Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

At this assessment of maternity services, we identified 5 breaches of regulations in relation to safe care and treatment and good governance.

Original source ↗

Royal Sussex County Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Dec 2025
Regulatory breachUniversity Hospitals Sussex NHS Foundation TrustDec 2025

At the assessment of Urgent and Emergency Care we found 2 breaches in regulation in relation to safe care and treatment and privacy and dignity.

Original source ↗

Queen's Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
03 Dec 2025
Regulatory breachBarking, Havering and Redbridge University Hospitals NHS TrustDec 2025

At this assessment we identified a breach of safe care and treatment.

Original source ↗

Queen's Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
03 Dec 2025
Regulatory breachBarking, Havering and Redbridge University Hospitals NHS TrustDec 2025

However, the service was in breach of the regulation for safe care and treatment, in relation to incidents and medicines management.

Original source ↗

Queen's Hospital

Regulation
Date
03 Dec 2025
Regulatory breachBarking, Havering and Redbridge University Hospitals NHS TrustDec 2025

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

Original source ↗

Medway Maritime Hospital

Regulation
Date
28 Nov 2025
Warning noticeMedway NHS Foundation TrustNov 2025

Following this assessment, significant improvements had been made, and the Warning Notice had been met.

Original source ↗

Medway Maritime Hospital

Regulation
Date
28 Nov 2025
Warning noticeMedway NHS Foundation TrustNov 2025

We carried out this unannounced assessment of urgent and emergency services on the 29 and 30 April 2025 to review a Warning Notice issued to the trust in April 2024.

Original source ↗

Medway Maritime Hospital

Regulation
Date
28 Nov 2025
Warning noticeMedway NHS Foundation TrustNov 2025

This assessment looked at urgent and emergency services to follow up on a Warning Notice issued in April 2024, when we rated urgent and emergency services requires improvement.

Original source ↗

Medway Maritime Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
28 Nov 2025
Regulatory breachMedway NHS Foundation TrustNov 2025

The service was in breach of the legal regulations relating to dignity and respect and safe care and treatment.

Original source ↗

Medway Maritime Hospital

Regulation
Date
28 Nov 2025
Regulatory breachMedway NHS Foundation TrustNov 2025

Improvements were found at this assessment, but the service remained in breach of these regulations.

Original source ↗

Medway Maritime Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
28 Nov 2025
Regulatory breachMedway NHS Foundation TrustNov 2025

The service was previously in breach of the legal regulations in relation to dignity and respect and safe care and treatment.

Original source ↗

Royal Hampshire County Hospital

Regulation
Date
26 Nov 2025
Regulatory breachHampshire Hospitals NHS Foundation TrustNov 2025

The breaches were around the reduced quality of care or people’s experiences.

Original source ↗

Royal Hampshire County Hospital

Regulation
Date
26 Nov 2025
Regulatory breachHampshire Hospitals NHS Foundation TrustNov 2025

This was a follow up assessment following breaches of regulations found in November 2021.

Original source ↗

Basingstoke and North Hampshire Hospital

Regulation
Date
26 Nov 2025
Regulatory breachHampshire Hospitals NHS Foundation TrustNov 2025

The breaches were around the reduced quality of care or people’s experiences.

Original source ↗

Basingstoke and North Hampshire Hospital

Regulation
Date
26 Nov 2025
Regulatory breachHampshire Hospitals NHS Foundation TrustNov 2025

This was a follow up assessment following breaches of regulations found in November 2021.

Original source ↗

Ealing Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
26 Nov 2025
Regulatory breachLondon North West University Healthcare NHS TrustNov 2025

Urgent and emergency care Overall, the service was rated as requires improvement with breaches of regulation 10, dignity and respect and regulation12 safe care.

Original source ↗

Ealing Hospital

Regulation
Date
26 Nov 2025
Regulatory breachLondon North West University Healthcare NHS TrustNov 2025

During our assessment we identified areas for improvements and some breaches of regulation.

Original source ↗

Ealing Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
26 Nov 2025
Regulatory breachLondon North West University Healthcare NHS TrustNov 2025

Urgent and emergency care Overall, the service was rated as requires improvement with breaches of regulation 10, dignity and respect and regulation 12 safe care and treatment.

Original source ↗

Northwick Park Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
26 Nov 2025
Regulatory breachLondon North West University Healthcare NHS TrustNov 2025

The rating of Northwick Park hospital has remained the same, requires improvement with breaches of regulation 10, dignity and respect and regulation 12, safe care and treatment.

Original source ↗

HMP Peterborough Prison

Regulation
Regulation 12 (Safe care and treatment)
Date
18 Nov 2025
Regulatory breachNorthamptonshire Healthcare NHS Foundation TrustNov 2025

In October 2024 we carried out a joint inspection with His Majesty’s Inspectorate of Prisons (HMIP), where we found breaches of regulation relating to safe care and treatment, and good governance.

Original source ↗

Queen's Hospital

Regulation
Date
17 Nov 2025
Letter of intentBarking, Havering and Redbridge University Hospitals NHS TrustNov 2025

After the inspection, the CQC issued a Section 31 letter of intent, identifying significant risks.

Original source ↗

Queen's Hospital

Regulation
Date
17 Nov 2025
Regulatory breachBarking, Havering and Redbridge University Hospitals NHS TrustNov 2025

Inspectors observed breaches of patient dignity and confidentiality, including unsecured patient notes and overcrowded waiting areas, which staff had not fully addressed.

Original source ↗

Northampton General Hospital

Regulation
Date
13 Nov 2025
Warning noticeNorthampton General Hospital NHS TrustNov 2025

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
13 Nov 2025
Warning noticeNorthampton General Hospital NHS TrustNov 2025

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

Original source ↗

Queens Hospital

Regulation
Date
07 Nov 2025
Urgent enforcementUniversity Hospitals of Derby and Burton NHS Foundation TrustNov 2025

This was an unannounced assessment to review compliance against the urgent enforcement action we took in August 2023.

Original source ↗

Royal Derby Hospital

Regulation
Date
07 Nov 2025
Urgent enforcementUniversity Hospitals of Derby and Burton NHS Foundation TrustNov 2025

This was a scheduled assessment to review compliance with the urgent enforcement action we took in August 2023 University Hospitals of Derby and Burton NHS Foundation Trust provide maternity services for women in Derbyshire at Royal Derby and Queens Hospital.

Original source ↗

Whipps Cross University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Oct 2025
Regulatory breachBarts Health NHS TrustOct 2025

We found 3 breaches of the regulations in relation to safe care and treatment, premises and equipment and good governance.

Original source ↗

Basildon University Hospital

Regulation
Date
15 Oct 2025
Regulatory breachMid and South Essex NHS Foundation TrustOct 2025

While there had been some improvements in governance system, there were repeated breaches which reflected improvements were not always being sustained.

Original source ↗

Basildon University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
15 Oct 2025
Regulatory breachMid and South Essex NHS Foundation TrustOct 2025

We found five breaches of the legal regulations concerning safe care and treatment, premises and equipment, and good governance.

Original source ↗

Basildon University Hospital

Regulation
Date
15 Oct 2025
Regulatory breachMid and South Essex NHS Foundation TrustOct 2025

We did find breaches of the legal regulations during this inspection, though it was evident that the service was on an improvement trajectory.

Original source ↗

Basildon University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
15 Oct 2025
Regulatory breachMid and South Essex NHS Foundation TrustOct 2025

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

Original source ↗

Basildon University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
15 Oct 2025
Regulatory breachMid and South Essex NHS Foundation TrustOct 2025

We found 5 breaches of the legal regulations in relation to safe care and treatment, premises and equipment and governance.

Original source ↗

Nightingale Hospital Exeter

Regulation
Regulation 12 (Safe care and treatment)
Date
14 Oct 2025
Regulatory breachRoyal Devon University Healthcare NHS Foundation TrustOct 2025

At this assessment we identified breaches of regulations for diagnostic imaging in relation to Regulation 12, Safe Care and Treatment and have asked the trust to provide an action plan.

Original source ↗

Colchester General Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
08 Oct 2025
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustOct 2025

We previously inspected in 2022 and found 2 breaches of regulations relating to safe care and treatment, staffing and good governance.

Original source ↗

Colchester General Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
08 Oct 2025
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustOct 2025

We found breaches in regulation relating to consent, safe care and treatment, safeguarding, good governance, and staffing.

Original source ↗

Colchester General Hospital

Regulation
Date
08 Oct 2025
Warning noticeEast Suffolk and North Essex NHS Foundation TrustOct 2025

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

Original source ↗

Colchester General Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
08 Oct 2025
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustOct 2025

We previously inspected on 3 November 2022 and found 4 breaches of regulations relating to safe care and treatment, premises and equipment, good governance and staffing.

Original source ↗

Colchester General Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
08 Oct 2025
Regulatory breachEast Suffolk and North Essex NHS Foundation TrustOct 2025

We found breaches in regulation 12 in relation to safe care and treatment, regulation 15 premises and equipment and regulation 17 good governance.

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.