Nottinghamshire Healthcare NHS Foundation Trust

Updated 13 January 2026

Nottinghamshire Healthcare NHS Foundation Trust is an NHS provider of integrated care services, including mental health (inpatient community and high secure services) intellectual disability (learning disability) and physical health services. The trust employs over 11,000 staff to work at the trust and provide services in a variety of settings from over 257 different locations. The trust provides care to a population of around 1.1 million people.

The trust provides a range of community and home-based services for children, young people, adults of working age and older adults supporting physical and mental health needs as well as providing services for those with an intellectual disability. This includes community-based nursing and therapy teams and well as universal services such as health visiting and school nursing for children and families. Services are delivered from in-patient settings, children’s centres, local health centres, secure settings, GP practices and people’s homes. At the time of our assessment, the trust provided healthcare to offenders in prison services across the East Midlands but had made a decision to stop this service which will be led by another provider in the near future. National specialist services also sit with the trust, including the national high secure deaf service, national high secure service for learning disabilities and autism, and the Nottingham Centre for transgender health.

Since May 2024, we have undertaken a programme of assessments following the Single Assessment Framework (SAF). This was part of a recommendation made during a formal review of services (Section 48 review by the Care Quality Commission) which took place following the devastating attack on individuals in Nottingham in June 2023.

The SAF is a framework which allowed us to carry out short, targeted assessments, and we make judgements on the quality of care by assessing a number of quality statements at each site visit. In total, 39 assessments were completed between May 2024 and August 2025.

All 18 assessment service groups (ASG’s) of the trust were assessed. 57% of all quality statements across the trust were assessed in part or as a whole, and of those, 73% were re-rated in full which led to 3 ASG’s that had all 5 key questions assessed and 10 ASG’s (56% of the trust services), 7 mental health services and 3 community health services, which led to a change in their overall rating. Improvement was seen in the overall rating of 4 services, 12 remained the same and 1 service rating had deteriorated.

No services in the trust remained inadequate. 7 services were rated requires improvement overall (5 mental health and 2 community health services); 10 services were rated good overall (9 mental health services and 1 community health service); and 1 service was rated outstanding overall (1 community health service). 83% of all ASGs (15 of 18) had the key question of safe re-rated where 7 services showed an improved rating, 7 remained the same and 2 deteriorated. 2 services had 3 quality statements re-rated to an improved rating of outstanding (caring in perinatal services and safe and caring in community health services for children, young people and families). However, we have told the trust to take action in 10 services where we found breaches of regulation. The trust responded with action plans.

This trust wide well-led review was carried out to assess how ‘well-led’ the trust was following the programme of assessments of frontline services and as part of our commitment to carry out the recommendations of the Section 48 review.

We asked the trust to take immediate action to address the delay to complete the eradication of dormitories at the trust. In 2022 we asked the trust to make significant improvement to eradicate shared living accommodation. At the time of this assessment, dormitory style accommodation remained at one location at Highbury Hospital. The trust had no proactive or strategic appetite to elevate the importance of improving estate across the trust in relation to eradication of dormitories.

In addition, the trust had no proactive strategic plans that were confirmed, consulted with and in progress to elevate the importance of improving estate across the trust in relation to environments used for long term segregation of Service Users.

We have identified this to be a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to Regulation 17, good governance.

Due to the level and nature of risks identified, we have taken enforcement action and asked the trust to make significant improvements and to work collaboratively with key stakeholders in the wider healthcare system to support significant improvement.

We also identified further breaches of regulation 17, good governance. We have asked the trust to provide an action plan to address the following areas:

• To embed and make progress to deliver its shared vision and strategy, based on transparency, engagement, equity and inclusion.
• To embed and make progress on strategic culture to deliver workforce equality and diversity, proactively engage with staff to improve culture where staff feel valued and recognise the impact a positive staff culture has on patient care.
• To fully deliver and embed the Patient and Carer Race Equality Framework (PCREF) across the organisation.

Details relating to our findings of these issues can be found in our report.

Updated 15 May 2025

We assessed inpatient wards at Hopewood hospital, which is a 32 bedded unit across 3 wards for children and young people aged 13 - 18 years old. It supports those who are experiencing mental health difficulties that can no longer be managed in the community. These may include eating disorders or difficulties, mood disorders such as depression and anxiety, obsessive compulsive disorder, schizophrenia and bipolar disorder.

We assessed:

Pegasus Ward - a 12 bed specialist eating disorder service

Phoenix Ward - a 12 bed general adolescent unit

We looked at 14 care and 15 medication records.

We spoke with 12 staff, 5 young people and 4 carers of young people.

We attended one care planning review meeting.

Updated 7 July 2025

Date of Assessment: 22 and 23 July 2025

Nottinghamshire Healthcare NHS Foundation Trust’s wards for older people with mental health problems service consists of 4 wards across 2 locations including Highbury Hospital and Blossomwood Mental Health Unit. During this assessment, we carried out an onsite assessment of Cherry ward and Silver Birch ward at Highbury Hospital and Robin ward and Kingfisher ward at Blossomwood Mental Health Unit.

The service was last rated inadequate (March 2024). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across 1 key question: shared direction and culture, Capable, compassionate and inclusive leaders, freedom to speak up, workforce equality, diversity and inclusion, governance, management and sustainability care, treatment and support. As we assessed all the quality statements for the key question of well led, the rating for this key question reflects the findings of this assessment. However, as we did not assess the quality statements from the key questions; Safe, Effective, Responsive and Caring we have used the ratings from the previous inspection to rate these key questions. During this assessment we found the service was now meeting concerns raised during our previous assessment in relation to leaders of the service having the rights skills, knowledge and experience to have oversight of care delivery.

Updated 15 May 2025

Date of assessment: 11 and 18 August 2025.

Nottinghamshire Healthcare NHS Foundation Trust’s long stay rehabilitation for adults of a working age in-patient service consists of 36 beds across 2 locations including Thorneywood Mount and Bracken House. During this assessment, we carried out an onsite assessment of both locations.

The service was last rated requires improvement (November 2022). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 2 assessments at this location using our new approach and therefore its overall rating is a combination of the new and old methodology. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across 2 key question of Effective and Well led and as therefore the rating of these 2 key questions reflects the findings of this assessment. As we only assessed 3 quality statements from the key question Safe and did not assess any quality statements from the key questions; Responsive and Caring, we use the ratings from the previous inspections to rate these key questions. During this assessment we found breaches in regulation under Regulation 9, 17 and Regulation 18. The trust did not have good governance oversight to manage environments, patient outcomes, restrictive interventions or treatment model of the service, staff did not always inform patients of their rights under the mental health act, and staff did not always have access to timely supervision. We asked the trust to produce an action plan in response to these.

Updated 2 June 2025

Date of Assessment: 25 and 26 June 2025

An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability. The Orion Unit is part of Nottinghamshire Healthcare NHS Foundation Trust and is an 8 bedded mixed gender inpatient unit providing assessment and treatment for patients with learning disabilities, behaviours that challenge and mental health issues. The unit provided accommodation for adults over the age of 18 who are treated informally or under the Mental Health Act. The service was last rated good (published August 2018). The report was published following the CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 15 quality statements across 2 key questions; Safe and Well Led and re rated these 2 key questions. During this assessment we found breaches in regulation under safe care and treatment and dignity and respect . We have asked the trust to provide action plans on how they aim to improve on issues raised through the breaches in legislation. As we did not assess the other key questions we used the ratings from the previous inspection to rate the key questions Effective, Caring and Responsive. The service was based at Highbury Hospital. The service was made up of various clinicians and they worked alongside other partners. At the time of the onsite assessment the unit was supporting 7 patients.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.’

Updated 15 May 2025

Date of assessment: 8 July 2025.

Nottinghamshire Healthcare NHS Foundation Trust specialist perinatal services consist of an 8-bedded inpatient unit and a community service.

The Margaret Oates Mother and Baby Unit is an 8-bed specialist inpatient perinatal unit based at Hopewood Hospital and is for mothers from 32 weeks of pregnancy and their babies up to one year after birth. They are a regional unit for the East Midlands, however, as a national resource they accept admissions from other areas of England if needed.

Community Perinatal services cover the whole of Nottinghamshire, the base is located at Hopewood Hospital, however the team see patients across the county in a variety of locations including in the patient’s home, GP practices. We have completed 3 assessments at this location using our new approach and therefore its overall rating is using the new methodology. The service’s overall rating was Good. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across the key question Responsive and Well led and some of the quality statements across the key question Effective. As we assessed all the quality statements for the key question of Responsive and Well led, the rating for these key questions reflects the findings of this assessment. However, as we did not assess quality statements from the key questions; Safe, Effective and Caring, which means we use the ratings from the previous inspection to rate these key questions. At the time of the assessment the service was supporting 8 mothers and their babies on the unit and 5 of whom were on leave from the ward.

Updated 27 February 2025

Date of assessment: 7 to 14 May 2025

Nottinghamshire Healthcare NHS Foundation Trust’s forensic in-patient service consists of 3 locations including The Wells Road Centre, Wathwood Hospital and Arnold Lodge.During this assessment, we carried out an onsite assessment at Arnold Lodge and Wathwood Hospital. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 3 assessments at this location using our new approach and therefore its overall rating is a combination of the new and old methodology. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all the quality statements across the key question Well Led: Shared direction and culture, Capable, compassionate and inclusive leaders, Freedom to speak up, Workforce quality, diversity and inclusion, Governance, management and sustainability, Partnership and communities and Learning, improvement and innovation and 1 quality statement under Responsive: Listening to and involving people. As we have now assessed all the quality statements for the key question of Well led, the rating for this key question reflects the findings of this assessment. However, as we did not assess enough quality statements from the key questions; Safe, Effective, Caring, and Responsive, which means we use the ratings from the previous assessment to rate these key questions.

Updated 16 April 2025

Date of Assessment: 14 May 2025

Nottinghamshire Healthcare NHS Foundation Trust’s community health in-patient service consists of 72 bed inpatient unit across 3 wards specialising in rehabilitation located at Lings Bar Hospital. There are three wards at the hospital: John Proctor ward, Castle ward and Forest ward. During this assessment we visited Castle ward and Forest ward. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 2 assessments at this location using our new approach and therefore its overall rating is a combination of the new and old methodology. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all the quality statements across the key questions Effective and Caring and reviewed the areas of improvement identified within the Key Question Safe from the last assessment. Therefore, the rating for the key questions Safe, Effective and Responsive reflect the findings of this assessment and we used the ratings from the previous inspection to rate the Key questions Responsive and Well led. During this assessment we found the trust had met breaches in regulation identified at the last assessment under safe and effective staffing and good governance. However, we found a new breach in regulation under good governance and the trust was requested to produce an action plan in response to this.

Updated 17 January 2025

Date of assessment: 18 and 19 March

Nottinghamshire Healthcare NHS Foundation Trust offers end-of-life care through various services, including the John Eastwood hospice, Bassetlaw hospice and the Adult Community Hub. During this assessment, we carried out an onsite assessment of Bassetlaw hospice, John Eastwood hospice and the Living Well Centre based and the John Eastwood hospice. The service was last rated Good (November 2022). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across the 2 key questions of Safe and Caring. As we assessed all the quality statements for the key question of Safe and Caring the rating for these key questions reflects the findings of this assessment. However, as we did not assess enough quality statements from the key questions; Effective, Responsive, and Well led, which means we use the ratings from the previous inspection to rate these key questions. During this assessment we found a breach in regulation under safe care and treatment and have asked the trust to produce and action plan in response to this.

Updated 13 January 2025

Date of Assessment: 11 February to 5 March 2025

Rampton is a high secure hospital with services run by Nottinghamshire Healthcare NHS Foundation Trust. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 5 assessments at this location using our new approach and therefore its overall rating is a reflection the new methodology. We have rated this service as requires improvement. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all the quality statements across the key questions caring and well led. As we assessed all the quality statements across the key question, caring and well led, these have been re rated as part of this assessment. As we did not look at enough key question quality statements at this visit it means we use the ratings from the previous inspection to rate the key questions safe, effective, and responsive. During this assessment we visited all 23 wards at the hospital over 4 weeks. We found 4 breaches of the regulations in relation to safeguarding, privacy and dignity, premises and equipment and safe and effective staffing. We have asked the trust to produce an action plan to address these issues.

Updated 7 January 2025

Date of Assessment: 20 and 21 January 2025 Nottinghamshire Healthcare NHS Foundation Trust’s acute wards for adults of working age and psychiatric intensive care units service consists of 5 wards at Highbury hospital and 4 wards at Sherwood Oaks hospital. During this assessment we carried out an onsite visit at Beech and Cedar wards at Sherwood Oaks Hospital and Redwood 2 and Willows wards at Highbury Hospital. This was a risk based assessment and the specific areas we reviewed were based on concerns raised following incidents at the service. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 1 assessment at this service using our new approach and therefore its overall rating is a combination of the new and old methodology. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 5 quality statements across 2 key questions; Learning Culture, Involving people to manage risk, Safe environments, Safe and effective staffing and Governance, management and sustainability. As we assessed some but not all quality statements at this visit for Safe and Well led the ratings for these 2 key questions are a combination of finding from this assessment and previous assessments. We use the ratings from previous inspections for key questions: effective, caring and responsive. During this assessment we found breaches in regulation under Safe and effective staffing, Safe care and treatment, premises and equipment, and Good governance. We have asked the trust to submit an action plan outlining how they are going to meet these areas of concern.

Updated 13 January 2025

Date of Assessment: 4 and 5 February 2025

Nottinghamshire Healthcare NHS Foundation Trust provide Community health services for children, young people and families across two main bases at City Hospital and Kingsmill Hospital, along with additional sites in local communities including schools and health centres. During this assessment we carried out an onsite visit at Queens medical centre and a virtual visit to Kingsmill Hospital. The service was last rated Good (November 2022). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across 2 key questions: learning culture, safe systems pathways and transitions, safeguarding, involving people to manage risks, safe environments, safe and effective staffing, infection, prevention and control, medicines optimisation, kindness, compassion and dignity, treating people as individuals, independence, choice and control, responding to people's immediate needs, workforce wellbeing and enablement. As we assessed all the quality statements for the key questions of Safe and Caring, the rating for these key questions reflects the findings of this assessment. However, as we did not assess quality statements from the key questions; Effective, Responsive, and Well led, which means we use the ratings from the previous inspection to rate these key questions. The service is made up of various clinicians, who worked alongside other partners.

Updated 16 October 2024

Dates of assessment: 03, 04, 05 December 2024

The service was last rated good (published November 2022). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across 1 key question: Learning culture, Safe systems, pathways, and transitions, Safeguarding, Involving people to manage risks, Safe and effective staffing, Safe environments, Infection prevention and control and Medicines optimisation. As we assessed all the quality statements for safe at this visit it means the rating for this key question reflects the findings from this report. As we did not assess the other key questions the ratings from the previous inspection will be used to rate the key questions effective, caring, responsive and well-led. Nottingham Healthcare NHS Foundation Trust provides a community-based service which is nurse-led and delivers care across Nottinghamshire. The integrated care teams are made up of nurses, specialist nurses, occupational therapists, physiotherapists, assistant practitioners and support workers. The services include nursing care such as wound care, support when people leave hospital, helping to stop falls, end of life care, continence care, pulmonary rehabilitation, help with long-term conditions including respiratory, diabetes and heart failure. During this assessment we found breaches in regulation under safe care and treatment, good governance and safe and effective staffing and have asked the trust to submit an action plan to address these.

Updated 16 October 2024

Dates of assessment: 25 and 27 November 2024

The service was last rated requires improvement (published November 2022). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across 1 key questions: Learning culture, Safe systems, pathways, and transitions, Safeguarding, Involving people to manage risks, Safe and effective staffing, Safe environments, Infection prevention and control and Medicines optimisation. As we assessed all the quality statement for safe at this visit it means the rating for this key question reflects the findings from this report. As we did not assess the other key questions the ratings from the previous inspection will be used to rate the key questions effective, caring, responsive and well-led. The service is based across 7 locations across Nottinghamshire. At this assessment we carried out an on-site assessment of the 3 locations. During this assessment we found the service to be safe. The service is made up of various clinicians, who worked alongside other partners.

Updated 16 October 2024

Date of Assessment: 26 and 27 November 2024

Nottinghamshire Healthcare NHS Foundation Trust provide specialist community-based mental health services for children and young people across four bases at Pebble Bridge in Nottingham, Lindsay Close in Mansfield, 65 Northgate in Newark-on-Trent and the Langold Clinic in Worksop. However, most of the work takes place in the community. During this assessment we assessed the sites at Pebble Bridge and Lindsay Close. The services last inspection report was published December 2015. The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all quality statements across 1 key question: Assessing needs, Delivering evidence-based care and treatment, How staff, teams and services work together, Supporting people to live healthier lives, Monitoring and improving outcomes and Consent to care and treatment. As we assessed all the quality statement for effective at this visit it means the rating for this key question reflects the findings from this report. As we did not assess the other key questions the ratings from the previous inspection will be used to rate the key questions safe, caring, responsive and well-led. The service is made up of various clinicians, who worked alongside other partners.

Updated 9 October 2024

Date of assessment: 12 November 2024

The service was last rated good (published May 2019). This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have assessed the service against ‘Right support, Right care, Right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 7 quality statements across 1 key question: learning culture, safe systems, pathways and transitions, safeguarding, involving people to manage risks, safe environments, safe and effective staffing and infection, prevention and control. Therefore, the key question safe has been re rated and reflects the findings from this assessment. The ratings for the key questions; effective, caring, responsive and well led have been taken from inspections carried out using the old methodology. We visited 3 of the community mental health intellectual difficulties and disability (IDD) services provided by Nottinghamshire Healthcare Trust. These were ICATT (Intensive Community Assessment and Treatment Teams in the north of the county, the ICATT team in the south of the county and Ashfield community IDD service. The service is made up of various clinicians, who worked alongside other partners. During this assessment we found this service to be safe.

Updated 4 September 2024

Dates of assessment: 29, 30 October and 12, 13 November 2024

Nottinghamshire Healthcare provide a 24-hour, seven-day a week crisis resolution home treatment team service (CRHT) that offers assessments to people with significant mental illness who would otherwise be admitted to hospital. Nottingham City and County South teams are located at Highbury hospital and the County Mid team is based at Sherwood Oaks hospital. This includes short term home treatment to minimise the risk of people being admitted to hospital and providing support to achieve recovery from crisis at home.

The trust has 2 section Health Based Places of Safety; they are the Cassidy suite at Sherwood Oaks hospital and the Acorn suite at Highbury hospital. A Health Based Place of Safety is a designated place where a mental health assessment can take place.

Psychiatric liaison services are provided at 4 locations within Nottinghamshire, Queens Medical Centre, Nottingham University Hospital, Kingsmill Hospital and Bassetlaw hospital. During this assessment we assessed the CRHT and Health Based Places of Safety at Highbury hospital and Sherwood Oaks hospital and Psychiatric Liaison teams at Queens Medical Centre and Kingsmill hospital. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 5 quality statements across 3 key questions: Safe systems pathways and transitions, Involving people to manage risks, Safe and effective staffing, Assessing needs, Responding to people’s immediate needs. As we assessed some but not all quality statements at this visit it means we use the ratings from the previous inspection to rate all the key questions safe, effective, caring, responsive and well-led. During this assessment we found breaches in regulation under safe care and treatment, safe staffing and good governance and we asked the trust to produce an action plan to make improvement's.

Updated 12 August 2024

Date of assessment 21 October 2024

The service was last rated good (published May 2019). This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 2 assessments at this service type using our new approach and therefore its overall rating is a combination of the new and old methodology. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 5 quality statements across 1 key question: learning culture, safeguarding, involving people to manage risks, infection, prevention and control, medicines optimisation. As we assessed the 3 other quality statements from the key question safe in July, we have now reassessed all the quality statements within this key question. Therefore, the key question safe has been re rated and reflects the findings from this year. The ratings for the key questions; effective, caring, responsive and well led have been taken from inspections carried out using the old methodology. The service is based across 11 locations across Nottinghamshire. At this assessment we carried out an on-site assessment of the Nottinghamshire County provision of this service. This included 4 hubs across Nottinghamshire County.

The service is made up of various clinicians, who worked alongside other partners.

Updated 10 June 2024

The Nottingham Eating Disorder Service run by Nottinghamshire Healthcare NHS Foundation Trust is a multidisciplinary community service which provides treatment and support for those aged 18 and over with an eating disorder. The service was last rated good (published July 2014). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 18 June 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 5 quality statements across 5 key questions; Safe and effective staffing; Assessing needs, Treating people as individuals; Care provision, integration, and continuity; Governance, management, and sustainability. As we assessed some but not all quality statements at this visit it means we use the ratings from the previous inspection to rate all the key questions safe, effective, caring, responsive and well-led. The service is based in a main office in Nottingham offering telephone and face to face or video conferencing appointments, this is based around individual need.

The service is made up of various clinicians and worked alongside other partners. The service is made up of various clinicians and they worked alongside other partners. At the time of the assessment the service was supporting 115 people in the Nottingham eating disorder service.