- NHS hospital
The Hillingdon Hospital
Report from 7 October 2025 assessment
Contents
Ratings - Urgent and emergency services
Our view of the service
Hillingdon Hospital is a hospital in Hillingdon, London. It is one of two hospitals run by The Hillingdon Hospitals NHS Foundation Trust, the other being Mount Vernon Hospital.
This was a focused inspection of The Hillingdon Hospital following up on concerns we identified during our visit on 23 and 24 July 2024. As a result of these concerns, we issued a warning notice on 6 August 2024. This was because the trust was failing to comply with requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found the service had made improvements and there were no continuing breaches of regulation.
We carried out a focused assessment on the 07 October 2025 to assess the improvements the trust had made. We looked at the adult emergency department (ED), the paediatric ED and, the Urgent Treatment Centre (UTC). We spoke to consultants, matrons, junior doctors, junior nurses, and health care assistants (HCA’s) as well as service users.
Overall, the service was rated as requires improvement, at this inspection we identified a breach of regulation 10, dignity and respect.
There was no mental health ‘ligature light’ room or cubicle in the paediatric emergency department in which to provide care for children and young people with mental health conditions. While risks were mitigated for children and young people this continued to sometimes place children and young people at risk of potential self-harm.
There was a recently implemented standard operating procedure for the care of patients in temporary escalation spaces (TES). However, patients cared for in these areas did not always have their privacy and dignity maintained.
Patients were streamed on arrival at the department and directed to the most appropriate area to meet their needs. This had positively impacted on flow through the department.
Paediatric patients who attended the ED were now assessed by a paediatric trained nurse.
There were governance structures in place that included reporting and escalation processes.
People's experience of this service
During our visit we did not speak to patients because we were following up on specific areas of concern we identified in 2024. The patient satisfaction data gathered by the service and shared with us was generally positive. However, like many emergency departments, the response rate was low. We did see copies of compliments from patients and their relatives that highlighted the caring manner of staff and the care that had been provided.