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Sunday 22/02/2026

Countess of Chester Hospital's Emergency Care Rated 'Inadequate' by CQC

Busy hospital emergency department with ambulances outside
Maya SinghMaya Singh

In This Article

HIGHLIGHTS

  • The Care Quality Commission (CQC) rated the Countess of Chester Hospital's emergency services as 'inadequate' following an inspection.
  • Inspectors identified breaches in five legal areas, including patient dignity, safeguarding, and equipment safety.
  • The hospital has received £7.5 million to address these issues and is committed to making sustainable improvements.
  • Concerns were raised about prolonged patient wait times, corridor care, and inadequate sepsis treatment.
  • The hospital's overall rating remains 'requires improvement', with a focus on addressing long-standing challenges.

The Countess of Chester Hospital's emergency department has been rated 'inadequate' by the Care Quality Commission (CQC) following an unannounced inspection earlier this year. The inspection, conducted in February, revealed significant shortcomings in patient care and safety, prompting the CQC to issue a warning notice demanding rapid improvements.

Inspection Findings

The CQC's inspection highlighted repeated breaches of legal regulations in five critical areas: dignity and respect, safeguarding from abuse, premises and equipment safety, governance, and staffing. Inspectors found that patients were often held in ambulances for extended periods due to limited capacity, and corridor care had become normalized due to staffing gaps. Karen Knapton, CQC deputy director, noted that these issues placed patients at risk, particularly those with complex needs such as mental health conditions.

Sepsis Treatment and Patient Safety

A particularly alarming finding was the hospital's failure to meet national guidelines for sepsis treatment, with only 59% of patients receiving timely care against an 84% target. The inspection also revealed visibly dirty equipment and poor infection control, further compromising patient safety.

Hospital's Response and Future Plans

In response to the CQC's findings, the Countess of Chester Hospital NHS Foundation Trust has received £7.5 million to implement necessary improvements. Jane Tomkinson, the hospital's Chief Executive Officer, expressed disappointment with the rating but emphasized the trust's commitment to addressing long-standing challenges. "Our focus remains on supporting our teams to ensure sustainable improvements in our services," she stated.

Despite the current challenges, the CQC acknowledged the hospital's commitment to learning and improvement, noting that staff were encouraged to report incidents. The hospital anticipates a follow-up inspection to demonstrate progress.

WHAT THIS MIGHT MEAN

The CQC's findings at the Countess of Chester Hospital underscore the urgent need for systemic improvements in emergency care. If the hospital successfully implements the recommended changes, it could significantly enhance patient safety and care quality. However, failure to address these issues could lead to further regulatory action and erode public trust. The hospital's ability to manage these challenges will be crucial in determining its future reputation and operational effectiveness. As healthcare systems across the UK face increasing pressure, the outcomes at Chester could serve as a benchmark for other institutions grappling with similar issues.