2 August 2023
During an inspection looking at part of the service
Pages 1 and 2 of this report relate to the hospital and the ratings of that location, from page 4 the ratings and information relate to maternity services based at Queen Elizabeth Hospital.
We inspected the maternity service at Queen Elizabeth Hospital as part of our national maternity inspection programme. The programme aims to give an up-to-date view of hospital maternity care across the country and help us understand what is working well to support learning and improvement at a local and national level.
Queen Elizabeth Hospital provides maternity care and treatment to women, birthing people and babies from Woolwich and surrounding areas, as well as providing support to University Hospital Lewisham and working with other trusts from the Local Maternity and Neonatal System (LMNS). The LMNS covers Southeast London. Staff at the hospital delivered 4,181 babies between July 2022 and June 2023.
Maternity services at Queen Elizabeth Hospital includes an obstetric consultant-led delivery suite, maternity assessment unit (triage) and wards for antenatal and postnatal care. A midwife-led birth centre provides intrapartum care for women and birthing people who meet the criteria and are assessed to have lower risk pregnancies.
We last carried out a comprehensive inspection of the maternity service in September 2018.
We will publish a report of our overall findings when we have completed the national inspection programme.
We carried out a short notice announced focused inspection of the maternity service, looking only at the safe and well-led key questions.
We did not review the rating of the location, therefore our rating of this hospital stayed the same Queen Elizabeth Hospital is rated requires improvement.
We also inspected one other maternity service run by Lewisham and Greenwich NHS Trust. Our reports are here:
University Hospital Lewisham - https://www.cqc.org.uk/location/RJ224
How we carried out the inspection
We provided the service with 2 working days’ notice of our inspection.
We visited maternity assessment (triage and the day assessment unit), labour ward, the midwife-led birthing centre, the antenatal and postnatal wards.
We spoke with 3 women and birthing people and 3 birthing partners and or relatives. We also spoke with 19 midwives, 2 support workers, 4 doctors, 2 student midwives and 3 other staff. We received no responses to our give feedback on care posters which were in place during the inspection.
We reviewed 6 patient care records, 6 Observation and escalation charts and 6 medicines records.
Following our onsite inspection, we spoke with senior leaders within the service; we also looked at a wide range of documents including standard operating procedures, guidelines, meeting minutes, risk assessments, recent reported incidents as well as audits and action plans. We then used this information to form our judgements.
You can find further information about how we carry out our inspections on our website: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection .