The Care Quality Commission (CQC) is the independent regulator of healthcare services in England. The CQC works with NHS organisations like us to make sure we provide people with safe, effective, compassionate and high-quality care.

CQC rating

Our inspection

We were inspected by the CQC in September 2014 and four of our hospitals were visited:

The CQC considers the Western Eye Hospital to be a specialist hospital so it was not included in our inspection and will be inspected separately.

The CQC inspected nine services across four of our hospitals:

  • Urgent and emergency care
  • Medical care (including older peoples’ care)
  • Surgery
  • Critical care
  • Maternity and gynaecology
  • Neonatal services
  • Services for children and young people
  • End of life care
  • Outpatients and diagnostic imaging

Each service was assessed according to the CQC’s domains:

  • Safe
  • Effective
  • Caring
  • Responsive
  • Well-led

The CQC awarded ratings to each service on each site. These ratings were added up to produce an overall rating for each hospital, as well as a rating for the Trust overall. The categories for ratings are:

  • Inadequate
  • Requires improvement
  • Good
  • Outstanding

Inspection results


All of our ratings and our inspection reports are available on the CQC website.

You can also see our initial response to the CQC’s findings here.

Overall ratings

Overall, as a Trust, we were rated as ‘requires improvement’. In terms of the CQC’s five domains, we were awarded the following ratings:




 Requires improvement






 Requires improvement


 Requires improvement

Hospital ratings



Queen Charlotte’s & Chelsea Hospital


Charing Cross Hospital

Requires improvement

Hammersmith Hospital

Requires improvement 

St Mary’s Hospital

Requires improvement 


Ratings for our services

  • Two of our core services, maternity and gynaecology, and end of life care, were rated as ‘good’ across all sites
  • Our outpatient departments and diagnostic imaging, both core services, were rated as ‘inadequate’ across all sites
  • Our remaining core services received a mixture of ‘good’ and ‘requires improvement’ ratings across the sites

We display our CQC ratings on our website and at the main entrances to our hospitals.

Areas of outstanding practice

During their visit, the CQC identified a number of areas of outstanding practice at the Trust:

  • Our patient outcomes for trauma and stroke services at Charing Cross Hospital, which are some of the best in the country
  • The NIHR Biomedical Research Centre, which is hosted by our Trust, and has a strong focus on translational research
  • The impact of our new CEO and senior leadership team and the optimism among our staff
  • The leadership programmes available to staff, which aim to drive exceptional performance

Making improvements following our CQC inspection

Here you can find more information about the improvements we have made following our CQC inspection.

Requires improvement

Requires improvement