Home / Sources / CQC / Stoke Mandeville Hospital
Index live
Source · CQC inspection

Stoke Mandeville Hospital

Type NHS Healthcare Organisation Region South East Last inspected 25 Oct 2023

Overall rating: Good  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 4 must-do 1 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 anaesthetic staff are up-to-date with maternity mandatory training modules.
Regulation: Regulation 12(1)(2)(c)
⚠ PROMPT (Practical Obstetric Multi-Professional Training) compliance was only 57% for anaesthetic consultants working in obstetrics.
Must-do action 2 of 4
Must do
Safe
The service must ensure they have a suitable environment to triage pregnant women and birthing people which includes sufficient suitable equipment.
Regulation: Regulation 15(c)
⚠ The design, maintenance and use of facilities, premises and equipment was not always suitable, particularly in triage where confidentiality could not be maintained, and staff did not always have enough suitable equipment.
Must-do action 3 of 4
Must do
Well-led
The service must monitor the triage improvement plan to ensure women and birthing people are triaged and reviewed according to their clinical need and urgency.
Regulation: Regulation 17(1)(2)(a)(b)(c)
⚠ It was difficult for staff to always identify and quickly act upon women and birthing people at risk of deterioration in triage as the triage tool and policy were not fully embedded, leading to recorded delays and risks. Leaders had not addressed staff working outside local guidance for triage and …
Must-do action 4 of 4
Must do
Safe
The service must improve the governance of medicine management.
Regulation: Regulation 12(1)(2)(g)
⚠ Staff did not always follow processes to safely prescribe medicines, prescription charts were not always completed in full, medicines were not always stored correctly, and medicine management audits were not effective in identifying issues. Leaders did not have oversight of medicine management.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Caring
The service should consider how they can improve confidentiality of women and birthing people attending triage.

Location details

CQC ID: RXQ02
Local authority: Buckinghamshire
Region: South East

Inspection report

Type: Location
Date: 25 October 2023
Rating: Good
Actions: 4 must-do 1 should-do
AI-extracted 2 Jun 2026

Related PFD reports

2025-0396 — Suzanne Edwards (Aug 2025)
2018-0406 — Joyce Long (Dec 2018)
2014-0336 — Charles Pierson (Aug 2014)