Source · CQC inspection
Guy's Hospital
Provider Guy's and St Thomas' NHS Foundation Trust
Type NHS Healthcare Organisation
Region London
Last inspected 3 Jun 2026
Overall rating: Good View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Good
Current CQC assessment
Good
The service is performing well and meeting our expectations.
Ratings by service
Urgent and emergency services
Good
Earlier inspection findings
Must-do actions (2)
Must-do action 1 of 2
Must do
Safe
The trust must ensure staff within the skin biopsy clinic follow medicine administration procedures in line with trust policy.
Must-do action 2 of 2
Must do
Safe
The trust must ensure all staff comply with the trust policy for medicine management and administration.
Should-do actions (22)
Should-do action 1 of 22
Should do
Safe
The trust should improve the uptake of mandatory training, including safeguarding to meet its own expected targets.
Should-do action 2 of 22
Should do
Effective
The trust should enable all staff have an opportunity to receive a performance review.
Should-do action 3 of 22
Should do
Responsive
The trust should continue its work aimed at improving the constitutional targets, including referral to treatment times, and reduce the number of patients with overdue follow up appointments.
Should-do action 4 of 22
Should do
Well-led
The trust should consider how local risk registers are developed in all service areas and the mitigations therein described are appropriate.
Should-do action 5 of 22
Should do
Safe
The trust should enable the required equipment maintenance to be followed and items are checked and services according to its plan.
Should-do action 6 of 22
Should do
Safe
The trust should make sure its staff follow the policy for medicines management and administration.
Should-do action 7 of 22
Should do
Responsive
The trust should consider how it may develop seven-day outpatients services.
Should-do action 8 of 22
Should do
Well-led
The trust should continue work to improve recruitment and retention of staff in some service areas.
Should-do action 9 of 22
Should do
Effective
The trust should continue with the programme of improvements with in the IT systems.
Should-do action 10 of 22
Should do
Caring
The trust should consider how it can make the bereavement suite less clinical in its decoration and design it in a way that makes it homelier in maternity.
Should-do action 11 of 22
Should do
Responsive
The trust should review the timeliness of its responses to complaints from women and their partners who used maternity services, as these were taking longer than the trust’s target.
Should-do action 12 of 22
Should do
Safe
The trust should reinforce the importance of the completion of modified early obstetric warning score (MEOWs) scores, and that these are completed fully in all notes, particularly in the high dependency unit (HDU).
Should-do action 13 of 22
Should do
Effective
The trust should consider how it can enable applications for deprivation of liberty safeguards to be made at all times.
Should-do action 14 of 22
Should do
Safe
The trust should ensure medical staff complete the required mandatory training, and the trust needs to be able to provide up to date training records for all staff groups.
Should-do action 15 of 22
Should do
Effective
The trust should ensure appraisal rates meet the 95% target.
Should-do action 16 of 22
Should do
Safe
The trust should improve mandatory training rates for nursing staff and allied health professionals.
Should-do action 17 of 22
Should do
Well-led
The trust should collect medical staffing mandatory training rates for outpatients.
Should-do action 18 of 22
Should do
Safe
The trust should enable staff treating children in outpatient clinics to complete level three children safeguarding training.
Should-do action 19 of 22
Should do
Responsive
The trust should continue to work to improve DNA rates and 62-day cancer waiting times targets.
Should-do action 20 of 22
Should do
Well-led
The trust should enable the risk register to be fully completed with up to date risks.
Should-do action 21 of 22
Should do
Safe
The trust should develop local risks assessment to ensure all staff in a specific area are aware of local risks and mitigating actions.
Should-do action 22 of 22
Should do
Safe
The trust should improve compliance with the equipment maintenance programme to ensure staff are only using equipment that have been tested and serviced annually.