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St Thomas' 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

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

Current CQC assessment

Single Assessment Framework

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

Good Assessed 3 June 2026
The service is performing well and meeting our expectations.
Date of assessment: 10, 11 and 12 March 2026. St Thomas' Hospital is part of Guy's and St Thomas' NHS Foundation Trust . The hospital has 840 beds and offers a wide range of services and specialist services across London and nationally. This assessment looked at urgent and emergency care to assess the quality of the care received by patients using those services. The rating of urgent and emergency care has been combined with the ratings of the other services from the previous assessments. See our previous reports to get …

Ratings by service

Urgent and emergency services
Outstanding
Feb 2026

Earlier inspection findings

pre-2024 framework · 4 must-do 5 should-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4
Must do
Safe
The service must ensure they have a clear process to ensure women are triaged and reviewed according to their risk and consider the suitability of reviewing women attending for planned appointments, unplanned appointments and labour assessments in the same area.
Regulation: Regulation 12 (Safe care and treatment)
⚠ Women could not always access the triage and maternity assessment unit when they needed it. They often had to wait a long time to be triaged, for a medical review or to be admitted or treatment. The environment in triage and the maternity assessment area meant staff could not always …
Must-do action 2 of 4
Must do
Safe
The service must ensure they maintain safe staffing numbers in the triage area, to include dedicated staff to manage the triage telephone line
Regulation: Regulation 18 (Staffing)
⚠ The service did not always have enough maternity staff to respond to and support mothers and babies. The phone-line did not always have a dedicated staff member to triage the calls. Also, the line did not automatically divert to an alternative number or voicemail, if calls were not answered.
Must-do action 3 of 4
Must do
Safe
The service must ensure staff trigger staffing concerns promptly to ensure they are re-deployed to the area most in need, to keep women and babies safe.
Regulation: Regulation 18 (Staffing)
⚠ We highlighted unsafe staffing levels during our visit to the triage area. Staff had not triggered the escalation policy, but more staff were re-deployed in response to our concerns.
Must-do action 4 of 4
Must do
Well-led
The trust must ensure records are held securely including computer access
Regulation: Regulation 17 (Good governance)
⚠ Records were not always stored securely. We saw there was a lock on the door on the postnatal ward, but the room was kept unlocked. We also saw the computer screen was left unlocked with the ward handover details on display. The computer screen was also unlocked in the neonatal …

Should-do actions (5)

Recommended improvements to enhance service quality.

Should-do action 1 of 5
Should do
Safe
The service should ensure staff complete mandatory, safeguarding and any additional role specific training in line with the trust target.
Should-do action 2 of 5
Should do
Well-led
The service should ensure all staff have an annual appraisal to support their learning and development.
Should-do action 3 of 5
Should do
Safe
The service should ensure emergencies trollies and drugs contained with them are tamper proof.
Should-do action 4 of 5
Should do
Caring
The service should consider the environment to ensure women and their families can always be treated with respect and dignity.
Should-do action 5 of 5
Should do
Safe
The service should review their infection prevention and control risk assessment for testing urine samples on a clinical trolley, in their midwifery assessment unit.

Location details

CQC ID: RJ122
Local authority: Lambeth
Region: London

Inspection report

Type: Location
Date: 9 December 2022
Rating: Good
Actions: 4 must-do 5 should-do
AI-extracted 2 Jun 2026

Related PFD reports

2019-0345 — Derek Weaver (Oct 2019)
2019-0309 — Daniel Williams (Sep 2019)
None — Kevin Gilbert (Dec 2015)
2015-0381 — Lee Bates (Sep 2015)