• Ambulance service

Pro Medicus

Overall: Requires improvement read more about inspection ratings

Unit 21, Thrales End Farm, Thrales End Lane, Harpenden, Hertfordshire, AL5 3NS (01582) 969313

Provided and run by:
Promedicus Limited

Important: This service was previously registered at a different address - see old profile
Important:

We imposed conditions on Promedicus Limited on 30 September 2025 for failing to meet the regulations relating to good governance and safe care and treatment at Pro Medicus.

Latest inspection summary

On this page

Overall

Requires improvement

Updated 19 August 2025

We assessed Pro Medicus from 11 to 13 June 2025. 

We carried out this focused assessment to determine whether improvements had been made against the requirements of the Section 29 warning notices, which were issued following our last assessment in January 2024.  We found that the requirements of the warning notices had not been fully met.  

Promedicus Limited was registered with CQC in June 2011 to deliver the regulated activities: Transport services, triage and medical advice provided remotely and Treatment of disease, disorder or injury. The service had a Registered Manager, who was also the service’s Nominated Individual. 

At this assessment we assessed 2 assessment service groups: Patient Transport Services, where we assessed 6 quality statements, and Emergency and Urgent Care, where we assessed 6 quality statements. During our assessment, we identified concerns regarding 1 further quality statement (safe and effective staffing). These concerns have been included in the report. However, we did not inspect all aspects of the quality statement. 

We visited the ambulance base as part of the assessment. 

At this assessment we identified breaches of regulations: 12 Safe Care and Treatment and 17 Good Governance. We also identified a breach of the requirement to notify CQC of other incidents and the requirement to display CQC performance assessments.  

We rated the location as requires improvement. We found breaches of regulations in relation to: infection prevention and control, medicines management, incident reporting, safe environments, training for staff, and processes for governance and the management of risk, issues and performance. 

Emergency and urgent care

Requires improvement

Updated 12 May 2025

We assessed Pro Medicus from 11 to 13 June 2025.

We carried out this focused assessment to determine whether improvements had been made against the requirements of the Section 29 warning notices which were issued following our last assessment in January 2024.

We rated the service as requires improvement. We found 3 breaches of the regulations in relation to safe care and treatment, governance and the requirement to display CQC performance assessments. We also identified a breach of the registration regulations relating to the requirement to notify CQC of other incidents. The service did not always ensure that medical gases were stored in line with national guidance. We remained concerned that the service did not have an effective local incident reporting system in place. The service could not always provide assurance that staff had received training for the safe operation of premises and equipment. Environmental risks were not always being effectively monitored and managed. We could not always be assured that the staff providing care or treatment to service users had the competence and skills to do so safely. The service did not always assess or manage the risk of infection. They did not always detect and control the risk of it spreading. Leaders did not demonstrate full oversight of service provision or understanding of regulatory requirements. The service did not have clear responsibilities, roles, systems of accountability and good governance. They did not act on the best information about risk, performance and outcomes, or share this securely with others when appropriate.

However,

All vehicles and equipment reviewed during our assessment were visibly clean. Processes had been implemented for auditing expiry dates of consumables and this meant that all consumables reviewed during our assessment were within their expiry date. Tamper-evident seals were used on medicines and kit bags, with serial numbers recorded and audited to confirm integrity prior to use. Regular temperature monitoring was in place across all medicine and medical gas storage areas. Staff provided positive feedback regarding the service’s leaders.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. Or, if we have requested an action plan, this will be requested upon publication of the final report.

Patient transport services

Requires improvement

Updated 12 May 2025

We assessed Pro Medicus from 11 to 13 June 2025.

We carried out this focused assessment to determine whether improvements had been made against the requirements of the Section 29 warning notices which were issued following our last assessment in January 2024.

We rated the service as requires improvement. We found 3 breaches of the regulations in relation to safe care and treatment, governance and the requirement to display CQC performance assessments. We also identified a breach of the registration regulations relating to the requirement to notify CQC of other incidents. The service did not always ensure that medical gases were stored in line with national guidance. We remained concerned that the service did not have an effective local incident reporting system in place. There were not always effective arrangements to monitor the safety and upkeep of the equipment and vehicles. We could not always be assured that the staff providing care or treatment to service users had the competence and skills to do so safely. The service did not always assess or manage the risk of infection. They did not always detect and control the risk of it spreading. Leaders did not demonstrate full oversight of service provision or understanding of regulatory requirements. The service did not have clear responsibilities, roles, systems of accountability and good governance. They did not act on the best information about risk, performance and outcomes, or share this securely with others when appropriate.

However,

All vehicles and equipment reviewed during our assessment were visibly clean. Processes had been implemented for auditing expiry dates of consumables and this meant that all consumables reviewed during our assessment were within their expiry date. Tamper-evident seals were used on medicines and kit bags, with serial numbers recorded and audited to confirm integrity prior to use. Regular temperature monitoring was in place across all medicine and medical gas storage areas. Staff provided positive feedback regarding the service’s leaders.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. Or, if we have requested an action plan, this will be requested upon publication of the final report.