Quality Care Commission (CQC) Report on the QMC and Nottingham City Hospital

The Quality Care Commission has published its report on the quality of care provided by Nottingham University Hospitals NHS Trust.

The trust was one of the first to be inspected under radical changes introduced by the CQC which are designed to provide a much more detailed picture of care in hospitals than ever before.

The team examined the care provided in accident and emergency (A&E), medical care (including older people’s care), surgery, intensive/critical care, maternity, children’s care, end of life care and outpatients. 

Overall, the report concludes that the Trust was providing services that were safe, effective, responsive, caring and well-led, but that there was room for improvement in some areas.

Positive findings included good examples of leadership at the trust; most staff felt well supported by their managers and several staff reported that training and development opportunities were available to them. Doctors in training also felt well supported, and their consultants provided effective supervision and guidance.

The vast majority of people said they had positive experiences of care at the trust. The inspection team saw some good examples of compassionate care on the wards they visited and noted that staff interacted well with patients.

Inspectors found the A&E department at the Queen’s Medical Centre ran smoothly despite an increase of admissions. Staff were caring and compassionate, and staffing levels were appropriate during the inspection. There were some nursing and medical vacancies, but there were plans to fill the gaps as soon as possible.

The maternity service had good and effective leadership, and an open and supportive culture. Patients were mostly very complimentary about the care and dedication of the staff looking after them.

Chief Inspector of Hospitals, Professor Sir Mike Richards, is quoted as saying: “We found that the Nottingham University Hospitals NHS Trust was providing services that were safe, effective, responsive, caring and well-led. Staff we spoke to were positive and engaged, and patients we spoke to were generally positive about the care that they had received at the hospital.

“There are improvements that could be made at the trust to improve the care delivered to local people, but overall we judge this to be a good trust.”

Whenever the CQC inspects, it asks five questions of every service: is it safe? Is it effective? Is it caring? Is it responsive to people's needs? Is it well-led? Using these questions as a guide, the CQC has concluded that for the service provided by the QMC and Nottingham City Hospital:

Is it safe? Overall, services were safe across the trust because there were systems for identifying, investigating and learning from patient safety incidents and there was an emphasis on reducing patient harm. We found nurse staffing levels were calculated using a recognised dependency tool in the adult wards which we considered to be good practice.

Is it effective? Overall, the services at Nottingham University Hospitals were generally effective and were focused on the needs of patients. We saw examples of some excellent work. Patients got either the same or better results from their treatment at the hospital when compared with treatment given at other hospitals in England.

Is it caring? The vast majority of people said they had positive experiences of care at the trust. We saw some good examples of compassionate care and we found staff to be hard working, caring and committed.

Is it responsive to people’s needs? Overall, services were responsive and the trust responded well to people’s needs. We found the trust actively sought the views of patients and their families. We found that although there was good access to interpreting services, there was a lack of written information available in other languages.

Is it well-led? Overall, the Trust was well-led. The Trust Board showed a good understanding of the key issues facing the trust. The executive team was well respected by staff. There were clear organisational, governance and risk management structures in place.

Peter Homa, Chief Executive of the Trust, said: “We are glad that CQC now describe us as a ‘good trust.’ We were disappointed that they judged NUH as ‘high risk’ when they announced their inspection in spring 2013. I appreciate the distress this caused patients relatives and staff, and have communicated that to CQC. 

“We were determined to use the inspection to further improve our patient care. I hope the report reassures our patients and local community that they can have confidence in the high quality of care being delivered at NUH.”

The CQC Report can be downloaded here:


For more information about the QMC, Notitngham City Hospital and the NUH Trust visit: