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

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 a breach 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

In our assessment of medical care (including older people) services we found breaches relating to safe care and treatment, poor compliance with infection, prevention control measures and use of protective personal equipment.

Original source ↗

Milton Keynes Hospital

Regulation
Regulation 18 (Staffing)
Date
03 Oct 2025
Regulatory breachMilton Keynes University Hospital NHS Foundation TrustOct 2025

We identified breaches in regulation 18 staffing, regulation 17 good governance and regulation 15 premises and equipment.

Original source ↗

Queen Alexandra Hospital

Regulation
Date
01 Oct 2025
Warning noticePortsmouth Hospitals University NHS TrustOct 2025

We found that the service had made improvements and had met the actions of the warning notices We visited the following areas as part of the assessment: Urgent and emergency services, medical wards and the endoscopy department.

Original source ↗

Queen Alexandra Hospital

Regulation
Date
01 Oct 2025
Warning noticePortsmouth Hospitals University NHS TrustOct 2025

We also reviewed progress made against a warning notice served on the provider following the inspection of urgent and emergency care in October 2019.

Original source ↗

Queen Alexandra Hospital

Regulation
Regulation 15 (Premises and equipment)
Date
01 Oct 2025
Regulatory breachPortsmouth Hospitals University NHS TrustOct 2025

However, we found 5 breaches of the regulations in relation to premises and equipment (waiting rooms and escalation areas), staffing (training), person centred care (learning disability), and good governance (contemporaneous records and identifying and assessing risks).

Original source ↗

Queen Alexandra Hospital

Regulation
Regulation 9 (Person-centred care)
Date
01 Oct 2025
Regulatory breachPortsmouth Hospitals University NHS TrustOct 2025

At this inspection, we found the service breached legal regulations about staffing and person-centred care.

Original source ↗

Queen Alexandra Hospital

Regulation
Regulation 15 (Premises and equipment)
Date
01 Oct 2025
Regulatory breachPortsmouth Hospitals University NHS TrustOct 2025
The hospital was in breach of legal regulations in relation to premises and equipment (waiting and escalation areas in the emergency department), staffing (training), person centred care (learning disability), and good governance (contemporaneous records and identifying and...
The hospital was in breach of legal regulations in relation to premises and equipment (waiting and escalation areas in the emergency department), staffing (training), person centred care (learning disability), and good governance (contemporaneous records and identifying and assessing risks).

Original source ↗

Dorset County Hospital

Regulation
Date
26 Sep 2025
Warning noticeDorset County Hospital NHS Foundation TrustSep 2025

This was a follow up assessment following a section 29a Warning Notice issued in June 2023.

Original source ↗

Broomfield Hospital

Regulation
Regulation 17 (Good governance)
Date
17 Sep 2025
Warning noticeMid and South Essex NHS Foundation TrustSep 2025

The service was issued with a Warning Notice under section 29A of the Health and Social Care Act 2008 under Regulation 17 there is a need for the service to demonstrate significant improvements in good governance and quality of health care.

Original source ↗

Basildon University Hospital

Regulation
Date
17 Sep 2025
Warning noticeMid and South Essex NHS Foundation TrustSep 2025

The service was issued with a Warning Notice under section 29A of the Health and Social Care Act 2008.

Original source ↗

Southend University Hospital

Regulation
Regulation 17 (Good governance)
Date
17 Sep 2025
Warning noticeMid and South Essex NHS Foundation TrustSep 2025

The service was issued with a Warning Notice under section 29A of the Health and Social Care Act 2008 under Regulation 17 there is a need for the service to demonstrate significant improvements in good governance and quality of health care.

Original source ↗

Liverpool Urgent Treatment Centre

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMersey Care NHS Foundation TrustSep 2025

We found one breach of regulation in relation to Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment.

Original source ↗

Broomfield Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025

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

Original source ↗

Broomfield Hospital

Regulation
Regulation 17 (Good governance)
Date
17 Sep 2025
Warning noticeMid and South Essex NHS Foundation TrustSep 2025

We served a Section 29A Warning Notice for Regulation 17 outlining the breaches and that we required the service to make improvements.

Original source ↗

Broomfield Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025

Following our assessment the concerns raised demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Original source ↗

Broomfield Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025
Following our assessment of Children and Young People Services the concerns raised demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities)...
Following our assessment of Children and Young People Services the concerns raised demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Original source ↗

Basildon University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 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 17 (Good governance)
Date
17 Sep 2025
Warning noticeMid and South Essex NHS Foundation TrustSep 2025

We served a Section 29A Warning Notice for Regulation 17 outlining the breaches and that we required the service to make improvements.

Original source ↗

Basildon University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025

Following our assessment the concerns demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Original source ↗

Basildon University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025

Following our assessment the concerns raised demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Original source ↗

Southend University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025

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

Original source ↗

Southend University Hospital

Regulation
Regulation 17 (Good governance)
Date
17 Sep 2025
Warning noticeMid and South Essex NHS Foundation TrustSep 2025

We served a Section 29A Warning Notice for Regulation 17 outlining the breaches which required the service to take action to address.

Original source ↗

Southend University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025

Following our assessment the concerns raised demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Original source ↗

Southend University Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
17 Sep 2025
Regulatory breachMid and South Essex NHS Foundation TrustSep 2025
Following our assessment of Children and Young People Services the concerns raised demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities)...
Following our assessment of Children and Young People Services the concerns raised demonstrate a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Original source ↗

Pilgrim Hospital

Regulation
Date
04 Sep 2025
Regulatory breachUnited Lincolnshire Teaching Hospitals NHS TrustSep 2025

Therefore, at the time of publication, this is not an ongoing breach.

Original source ↗

Pilgrim Hospital

Regulation
Date
04 Sep 2025
Regulatory breachUnited Lincolnshire Teaching Hospitals NHS TrustSep 2025

At the time of the onsite assessment the evidence indicated that there was one breach of the legal regulations in relation to safe storage of medicines.

Original source ↗

HMP Bedford

Regulation
Regulation 12 (Safe care and treatment)
Date
04 Sep 2025
Regulatory breachNorthamptonshire Healthcare NHS Foundation TrustSep 2025

We found that the service had made significant improvement and were compliant with the breaches in relation to regulation 12.

Original source ↗

HMP Bedford

Regulation
Regulation 17 (Good governance)
Date
04 Sep 2025
Regulatory breachNorthamptonshire Healthcare NHS Foundation TrustSep 2025

We also identified breaches in regulation 17 good governance and regulation 18 staffing, and we issued an action plan request, the provider was given more time to address these concerns.

Original source ↗

HMP Bedford

Regulation
Regulation 12 (Safe care and treatment)
Date
04 Sep 2025
Warning noticeNorthamptonshire Healthcare NHS Foundation TrustSep 2025
We followed up the concerns identified in April 2025 and served a warning notice in relation to breaches of regulation relating to regulation 12 safe care and treatment (specifically relating to patients who were residing or had resided on the inpatient unit as well as patients...
We followed up the concerns identified in April 2025 and served a warning notice in relation to breaches of regulation relating to regulation 12 safe care and treatment (specifically relating to patients who were residing or had resided on the inpatient unit as well as patients who required support from the mental health team).

Original source ↗

Blackpool Victoria Hospital

Regulation
Date
29 Aug 2025
Urgent enforcementBlackpool Teaching Hospitals NHS Foundation TrustAug 2025

This meant we did not need to take urgent enforcement action.

Original source ↗

Blackpool Victoria Hospital

Regulation
Date
29 Aug 2025
Letter of intentBlackpool Teaching Hospitals NHS Foundation TrustAug 2025

We conducted this unannounced focused assessment on 18 and 19 March 2025 as a follow-up of the requires improvement rating and Section 31 letter of intent.

Original source ↗

Blackpool Victoria Hospital

Regulation
Date
29 Aug 2025
Letter of intentBlackpool Teaching Hospitals NHS Foundation TrustAug 2025

We conducted this unannounced focused assessment on 18 and 19 March 2025 as a follow-up of the requires improvement rating and Section 31 letter of intent issued in 2022.

Original source ↗

Royal Cornwall Hospital

Regulation
Date
29 Aug 2025
Regulatory breachRoyal Cornwall Hospitals NHS TrustAug 2025

We found three breaches of regulation where care and treatment was not always provided in a safe and timely way in line with clinical guidance.

Original source ↗

Royal Cornwall Hospital

Regulation
Regulation 10 (Dignity and respect)
Date
29 Aug 2025
Regulatory breachRoyal Cornwall Hospitals NHS TrustAug 2025

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

Original source ↗

Birmingham Heartlands Hospital

Regulation
Date
28 Aug 2025
Warning noticeUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

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

Original source ↗

Birmingham Heartlands Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
28 Aug 2025
Warning noticeUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

At our previous assessment in February 2023, we issued a Section 29A Warning Notice in relation to insufficient medical staffing to provide safe care and treatment in triage.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Date
28 Aug 2025
Letter of intentUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

We issued the trust with a Section 31 Letter of Intent for Maternity Services.

Original source ↗

St George's Hospital (Tooting)

Regulation
Date
28 Aug 2025
Warning noticeSt George's University Hospitals NHS Foundation TrustAug 2025

In response to the warning notice, the trust made a number of changes to ensure women, birthing people, and babies were safe.

Original source ↗

St George's Hospital (Tooting)

Regulation
Date
28 Aug 2025
Warning noticeSt George's University Hospitals NHS Foundation TrustAug 2025

Following the inspection, under Section 29A of the Health and Social Care Act 2008, we issued a warning notice to the provider.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
28 Aug 2025
Regulatory breachUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

The service was in breach of the legal regulations relating to safe care and treatment due to long waits, crowding and lack of flow in the department.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Date
28 Aug 2025
Regulatory breachUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

Because of crowding in the department, and the lack of flow meaning patients were waiting a long time both in and to access the department, we have issued a regulatory breach.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Date
28 Aug 2025
Regulatory breachUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

Four of the 5 regulatory breaches from our inspection in 2023 had been met, but the requirement for all staff to have appraisals had not.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Regulation 12 (Safe care and treatment)
Date
28 Aug 2025
Regulatory breachUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

We identified breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, in relation to Regulation 12: Safe care and treatment, Regulation 17: Good Governance, and Regulation 15: Premises and equipment.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Date
28 Aug 2025
Regulatory breachUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

This assessment was conducted to follow up on concerns and breaches of regulation identified during our previous assessment published in February 2024.

Original source ↗

Birmingham Heartlands Hospital

Regulation
Date
28 Aug 2025
Letter of intentUniversity Hospitals Birmingham NHS Foundation TrustAug 2025

We have issued the service with a S31 Letter of Intent and given the hospital a number of breaches of Regulations to be acted on.

Original source ↗

St George's Hospital (Tooting)

Regulation
Regulation 12 (Safe care and treatment)
Date
28 Aug 2025
Regulatory breachSt George's University Hospitals NHS Foundation TrustAug 2025

The service was in breach of Regulation 12 (safe care and treatment) and Regulation 17 (good governance).

Original source ↗

St George's Hospital (Tooting)

Regulation
Regulation 12 (Safe care and treatment)
Date
28 Aug 2025
Regulatory breachSt George's University Hospitals NHS Foundation TrustAug 2025

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

Original source ↗

St George's Hospital (Tooting)

Regulation
Date
28 Aug 2025
Regulatory breachSt George's University Hospitals NHS Foundation TrustAug 2025

Although some improvements had been made, they were insufficient, and the service remained in breach of this regulation.

Original source ↗

St George's Hospital (Tooting)

Regulation
Regulation 12 (Safe care and treatment)
Date
28 Aug 2025
Regulatory breachSt George's University Hospitals NHS Foundation TrustAug 2025

The service was previously in breach of Regulation 12 (safe care and treatment) of the Health and Social Care Act 2008.

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.