Source · CQC inspection

Whipps Cross University Hospital

Provider Barts Health NHS Trust Type NHS Healthcare Organisation Region London Last inspected 17 Oct 2025

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Current CQC assessment

Single Assessment Framework

From 2024 CQC rates services through ongoing assessments rather than comprehensive inspections.

Requires Improvement Assessed 17 October 2025
The service is not performing as well as it should and we have told the service how it must improve.
Date of assessment: 29 to 30 July 2025. Whipps Cross University Hospital provides a range of NHS hospital services. This assessment looked at diagnostic imaging services due to concerns regarding a poor culture. We rated this service as requires improvement. The rating from diagnostic imaging has been combined with ratings of the other services from the last inspections. See our previous reports to get a full picture of all other services at Whipps Cross University Hospital. The rating of Whipps Cross University Hospital remains requires improvement. In our assessment of …

Ratings by service

Diagnostic imaging
Requires Improvement
May 2025
Urgent and emergency services
Requires Improvement
May 2024

Regulatory breaches & enforcement

Current-framework "must do" equivalent

Breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, stated verbatim in the CQC assessment.

Warning notice Overall
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.
· 13 Aug 2025 · CQC source
Warning notice Overall
We issued a warning notice to the trust as we felt there were areas which required significant improvement.
· 30 Oct 2024 · CQC source

Breaches identified (1)

Breach Safe
We found 3 breaches of the regulations in relation to safe care and treatment, premises and equipment and good governance.
Regulation: Regulation 12 (Safe care and treatment) · 17 Oct 2025

Earlier inspection findings

pre-2024 framework · 1 must-do 10 should-do

Must-do actions (1)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 1
Must do
Well-led
Leaders must ensure that GAP Grow pathways reflect national guidance and that staff were trained to use the pathway and practice is monitored.
Regulation: Regulation 17(1)(2)(a)
⚠ We saw the service used ‘GapGrow’ charts however, evidence showed trust-wide the ‘GapGrow’ care pathway did not always conform to national guidelines. There was a timeline agreed to review the guidelines when the Royal college of obstetricians and gynaecologists publish their new guidelines which was anticipated to be six months …

Should-do actions (10)

Recommended improvements to enhance service quality.

Should-do action 1 of 10
Should do
Safe
The service should ensure planned and actual staffing levels are met throughout the service.
Should-do action 2 of 10
Should do
Safe
The service should ensure that there is adequate skill mix and that there is always a supernumerary labour ward shift co-ordinator.
Should-do action 3 of 10
Should do
Safe
The service should ensure that they make the implementation of centralised cardiotocograph (CTG) monitoring a priority in line with national guidance.
Should-do action 4 of 10
Should do
Safe
The service should ensure that they monitor the use of the triage tool once implemented to embed practice.
Should-do action 5 of 10
Should do
Safe
The service should ensure that all community midwives are given time to complete their mandatory training.
Should-do action 6 of 10
Should do
Safe
The service should ensure that that pharmacy provision for maternity is increased to seven days a week
Should-do action 7 of 10
Should do
Well-led
Leaders should ensure that all staff receive their annual appraisal.
Should-do action 8 of 10
Should do
Safe
The trust should consider introducing newborn RAG rated risk assessments for all babies, which include maternal history, length of labour, mode of delivery, and type of infant feeding. Risk assessments should include a plan of care for the first 24 hours of life for all babies.
Should-do action 9 of 10
Should do
Well-led
The service should consider recording planned actions and timeframes for all Perinatal Mortality Reviews Summary Reports, serious incident reviews and Risk register reports.
Should-do action 10 of 10
Should do
Safe
The service should consider monitoring the use of the SBAR tool to make sure that staff complete the assessment and risk aspects of the tool.

Location details

CQC ID: R1HKH
Local authority: Waltham Forest
Region: London

Inspection report

Type: Location
Date: 15 November 2022
Rating: Requires improvement
Actions: 1 must-do 10 should-do
AI-extracted 2 Jun 2026