- NHS hospital
Queen's Medical Centre
Assessment report published 5 October 2026
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
We assessed one quality statement under the well-led key question. The Trust had a robust governance framework with strong leadership and oversight. There were appropriate policies and procedures for staff to follow, and the service was subject to regular performance monitoring with partners such as the police and NHSE. Audit activity, supervision and incident reporting were well embedded, and there was an open and positive culture within the service.
Find out what we look at when we assess this area in our information about our new Single assessment framework.
The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.
Capable, compassionate and inclusive leaders
The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.
Freedom to speak up
The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.
Workforce equality, diversity and inclusion
The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.
Governance, management and sustainability
The Trust had a robust governance structure with clear responsibilities and accountability for the running of the service. Trust senior leaders had oversight of the SARC and the SARC manager was responsible for the day to day running of the service had received positive feedback from staff and professionals. They worked closely with the clinical lead to maintain a safe service where staff felt supported and enjoyed working at the SARC.
There were relevant policies, procedures and risk assessments to support the management of the service which were regularly reviewed and updated as required. The performance of the SARC was scrutinised by commissioners to ensure that it was meeting contractual requirements as well as responding to the needs of patients and partner agencies.
There was a comprehensive audit programme in place which was overseen by the SARC manager. Audits routinely carried out included areas of patient safeguarding, cleanliness, record keeping and infection prevention and control. Audit findings we reviewed were consistently good.
All staff received regular supervision, appraisal and peer review to ensure their practice met professional standards. Staff mandatory training was up to date, and staff were clearly extremely passionate about their work.
Staff knew how to report incidents which were appropriately reviewed and actioned by managers. Learning was shared with staff at team meetings.
Staff actively sought feedback from patients about their experience of using the service, including ideas for improvements which were acted on where possible.
Partnerships and communities
The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.
Learning, improvement and innovation
The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.