Source · CQC inspection

The Hillingdon Hospital

Provider The Hillingdon Hospitals NHS Foundation Trust Type NHS Healthcare Organisation Region London Last inspected 7 Jan 2026

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Requires Improvement
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 7 January 2026
The service is not performing as well as it should and we have told the service how it must improve.
The Hillingdon Hospital is an acute NHS hospital run by The Hillingdon Hospitals NHS Foundation Trust. The trust has two locations: The Hillingdon Hospital and Mount Vernon Hospital.This was a focused inspection of Surgery and Urgent and Emergency Care at The Hillingdon Hospital. The areas of focus were within the safe and well led domains.

Ratings by service

Surgery
Good
Aug 2025
Surgery
Good
Aug 2025
Urgent and emergency services
Requires Improvement
Aug 2025
Urgent and emergency services
Requires Improvement
Aug 2025
Surgery
Requires Improvement
May 2025
Surgery
Requires Improvement
May 2025
Urgent and emergency services
Requires Improvement
May 2025
Urgent and emergency services
Requires Improvement
May 2025

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
As a result of these concerns, we issued a warning notice on 6 August 2024.
· 7 Jan 2026 · CQC source
Warning notice Overall
In response to the warning notice, the trust provided an action plan that included revising the SAU’s standard operating procedure, introducing regular safety huddles, and enhancing escalation pathways for addressing delays in patient care.
· 4 Jun 2025 · CQC source
Warning notice Overall
The Care Quality Commission issued a warning notice following the inspection, detailing specific areas for urgent improvement, including deficiencies in patient flow, the management of the Surgical Assessment Unit (SAU), infection control protocols, and medicines management.
· 4 Jun 2025 · CQC source
Warning notice Safe
We found a breach in the HSCA 2008 Regulated Activities in Regulation 12, Safe Care and Treatment and issued the provider with a Section 29A warning notice.
Regulation: Regulation 12 (Safe care and treatment) · 4 Jun 2025 · CQC source
Warning notice Overall
Since the warning notice was issued, the trust provided additional evidence of its efforts to address these concerns.
· 4 Jun 2025 · CQC source
Warning notice Overall
These issues were highlighted in the warning notice issued, which called for immediate action to address deficiencies in the management of the SAU, as well as systemic concerns regarding patient safety and dignity.
· 4 Jun 2025 · CQC source

Breaches identified (1)

Breach Caring
Overall, the service was rated as requires improvement, at this inspection we identified a breach of regulation 10, dignity and respect.
Regulation: Regulation 10 (Dignity and respect) · 7 Jan 2026

Location details

CQC ID: RAS01
Local authority: Hillingdon
Region: London

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