Portsmouth Hospitals NHS Trust
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This page provides information about how we place quality at the heart of everything we do. You will be able to find out about progress in the Trust to improve the quality of the services we provide through this webpage.


Care Quality Commission

The Care Quality Commission (CQC) are the independent regulator of health and adult social care in England. They ensure that health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.

During inspections the CQC ask whether services are:


People are protected from abuse and avoidable harm.


People’s care, treatment and support achieve good outcomes, promote a good quality of life and are based on best available evidence.


Staff involve and treat people with compassion, kindness, dignity and respect.


Services are organised so that they meet people’s needs.


The leadership, management and governance of the organisation assure the delivery of high-quality person-centred care, supports learning and innovation, and promotes an open and fair culture.


The CQC monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety; publishing what they find, including performance ratings to help people rate care.

Portsmouth Hospitals NHS Trust inspections

All CQC inspections can be found on the CQC website here: http://www.cqc.org.uk/provider/RHU

The most recent inspection was undertaken on the 22nd – 23rd February 2016 and 3rd and 4th March 2016.  This was as a result of concerns identified during an inspection in February and March 2015, during which the CQC found that some patients in the Emergency Department (ED) were at risk of unsafe care and treatment.  Following this inspection the Trust was served two warning notices under safety for ‘care and welfare of patients’ and ‘assessing and monitoring the quality of service provision’ in the ED. These required the Trust to take immediate action to improve the initial assessment of patients, the safe delivery of care and treatment, and the management of emergency care in the ED. A subsequent re-inspection of the emergency department in April 2015 saw improvements, and the service was then rated overall as ‘requires improvement’.

The inspections on the 22nd and 23rd February and 3rd and 4th March were unannounced and focused on the emergency care pathway at Queen Alexandra Hospital and on the actions taken by the Trust in response to the identified risks to patients through their emergency care pathway. Urgent and emergency care and medical services were inspected.

As a result the Trust was required to take immediate action, under section 31 of the Health and Social Care Act (2008); four conditions were imposed on our registration:

  1. A clinical transformation lead is appointed based on external advice and agreement, and ensure effective medical and nursing leadership in the emergency department.
  2. Patients attending the Emergency Department at Queen Alexandra Hospital are triaged, assessed and streamlined by appropriate staff, and escalation procedures are followed.
  3. The “Jumbulance” is not used on site at the Queen Alexandra Hospital, under any circumstances. The exception to this will be if a major incident is declared.
  4. CQC receive daily monitoring information that is to be provided on a weekly basis

In response to the Enforcement Notice, the Trust developed an ‘Urgent Care Quality Improvement Plan’ to address the Conditions and subsequent Contract Performance Notice issued by the Clinical Commissioning Group.

Monthly reports are provided to the Trust Board providing an update on compliance and concerns with delivery of the plan. These reports can be found within the Trust Board papers.

Quality Performance

The Trust reports against key quality indicators to the Trust Board each month through the Integrated Performance Report. These reports can be found within the Trust Board papers.

Quality Accounts

A Quality Account is a report about the quality of services by an NHS healthcare provider. The reports are published annually by each provider, including the independent sector, and are available to the public.

There Accounts an important way for local NHS services to report on quality and show improvements in the services they deliver to local communities and stakeholders. The quality of the services is measured by looking at patient safety, the effectiveness of treatments that patients receive, and patient feedback about the care provided.

The Trust is proud to publish it’s Quality Account each year (please see the bottom of this page). We hope you will enjoy reading our Quality Account and we welcome comments and feedback on the report which will help to inform the report for next year.  Should you wish to provide feedback please use the customer services feedback form.

Last updated - 16 November 2017
Working together to drive excellence in care for our patients and communities


Queen Alexandra Hospital
Cosham, Portsmouth
Tel: 023 9228 6000

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