St George's Hospital (Tooting)
- Regulation
- —
- Date
- 28 Aug 2025
Breaches were also found around poor standards of documentation and information security.
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.
Breaches were also found around poor standards of documentation and information security.
The service was in breach of the legal regulation relating to safe care and treatment.
We found a breach of the legal regulations in relation to Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – Safe care and treatment.
The 9 regulatory breaches from our inspection in April 2023 had been met, but other aspects of the service needed a focus of attention.
The service was previously inspected in June 2021 and was in breach of legal regulations in relation to safe care and treatment (Regulation 12) and equipment and premises (Regulation 15).
We served the trust with breaches within 1 regulation in relation to some people not getting timely care, medicines not being managed safely at all times, and anaesthetic equipment not being checked as required at all times.
We served the trust with breaches of 3 regulations around the failure to provide timely treatment, not always having safe staffing levels, and improvements needed in governance.
We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, in relation to Regulation 12: Safe care and treatment.
We carried out this assessment following information of concern around waiting times, poor performance indicators and to follow up on the previous Warning Notice and breaches of regulation.
We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to Regulation 9 Person Centred Care and Regulation 12 Safe Care and Treatment.
We identified 2 breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, in relation to Regulation 12: Safe care and treatment and Regulation 17: Good Governance.
This assessment was conducted to follow up on concerns and breaches of regulation identified during our previous assessment published in June 2023.
We also carried out a focused inspection to follow up the warning notice during January 2024.
Following the inspection, we issued a warning notice requiring the trust to make significant improvements.
We found 5 breaches of the legal regulations in relation to safe care and treatment, staffing, premises and equipment, dignity and respect, and person-centred care.
We found 4 breaches while completing the assessment at the service.
We found the service complied with the requirements of the warning notice issued in February 2023 but identified additional regulatory breaches relating to safe care and treatment (Regulation 12), good governance (Regulation 17) and staffing (Regulation 18).
However, the service remained in breach of 1 regulation and we found 1 new breach of regulation.
On 20 March 2025, we served a Section 29A Warning Notice to inform the trust that significant improvements were required to improve patient flow through medical care and to ensure timely discharges.
The purpose of the assessment was to follow up on the warning notice served under Section 29A of the Health and Social Care Act 2008 which was issued to the service following our assessment in July 2024.
We found 3 breaches of the legal regulations in relation to infection prevention and control, medicines management, supporting staff with annual appraisals, and training and governance.
The warning notice told the trust it must make significant improvements to the quality of healthcare provided by the trust's urgent and emergency care services.
Following the assessment, we issued the trust a warning notice under Section 29a of the Health and Social Care Act 2008 on 4 April 2025.
The warning notice told the trust it must make significant improvements to the quality of healthcare provided by the trust’s urgent and emergency care services.
Following the assessment, we issued the trust a warning notice under Section 29A of the Health and Social Care Act 2008 on 4 April 2025.
We rated urgent and emergency care inadequate in 2 key questions, with repeated breaches of the legal regulations.
The warning notice was issued due to breaches of 5 of the legal regulations in relation to dignity and respect, safeguarding from abuse and improper treatment, premises and equipment, governance and staffing.
This assessment was to follow up on actions the service had taken after we identified breaches of 2 legal regulations at our last assessment in June 2024.
We found that the service has made improvements and had met the actions of the warning notice.
We assessed service assessment group maternity at this location, to review the progress made against the warning notice that we served on the provider following the inspection in August 2023.
We found a breach of regulation in relation to: timely reviews of high risk women and birthing people on the wards who were waiting for their labour to be induced.
At this assessment we identified a breach of regulation: 12 Safe Care and Treatment.
The service was in breach of the legal regulation relating to safe care and treatment, dignity and respect and governance.
There were improvements following the breaches reported in the previous inspection of surgery in 2020.
Improvements in governance were not found the service remained in breach of regulation.
We found new breaches of regulation in relation to safeguarding and Mental Capacity Act, safe care and treatment and privacy and dignity.
We found eight breaches of the legal regulations in relation safe care and treatment, consent, premises and equipment, medicines management and good governance as well as staffing at this assessment.
At the last assessment the service was in breach of regulation relating to good governance and this was a continued breach at this assessment.
Whilst the service had improved in a number of places since the last assessment at this assessment we still found breaches of legal regulations.
The provider was found compliant in relation to the previous breach of regulation for complaints.
The provider remained in breach of the legal regulation in relation to regulation 12, safe care and treatment, regulation 18, staffing and regulation 17 governance.
At this assessment, we found 3 breaches of regulation.
We issued an action plan request in relation to breaches of regulation found relating to safe care and treatment, complaints, governance and staffing.
We took urgent enforcement action to keep people safe.
We found breaches of regulation in relation to safe care and treatment and safeguarding.
While improvements had been made since the last assessment, we identified breaches of regulation in relation to safe care and treatment, and premises and equipment.
The service remained in breach of these regulations at this assessment.
The service was in breach of regulations relating to safe care and treatment, premises and equipment and good governance as well as staffing.
| 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.