Queen Eliz Uni Hosp Oct 17

During this inspection of Queen Elizabeth University Hospital, we were pleased to see that good progress had been made in relation to the issues we identified at our last safety and cleanliness inspection earlier this year. We saw a number of improvements, including the use of weekly environmental cleanliness audits, the retraining of facilities management staff and domestic supervisors, and improved cleanliness of public areas. Moreover, hand hygiene compliance was good with nursing and domestic staff, but a number of medical staff did not take the opportunity to perform hand hygiene at the appropriate times. We will continue to monitor progress during future inspections."

Alastair McGown, Senior Inspector for Healthcare Improvement Scotland






Queen Elizabeth University Hospital

Healthcare Environment  Inspectorate (HEI) unannounced follow-up inspection

Inspection date: 1 and 2 August 2017

Summary of inspection

We previously carried out an unannounced inspection to Queen Elizabeth University Hospital in December 2016, and a subsequent unannounced follow-up inspection to the emergency department, immediate assessment unit and clinical decisions unit in January 2017. One single report detailing our findings was produced following the two inspections. The inspections resulted in 10 requirements and three recommendations. As a result of the inspections, NHS Greater Glasgow and Clyde produced a detailed improvement action plan and submitted this to us. The inspection report and details of the action plan are available on the Healthcare Improvement Scotland website

This follow-up report should be read along with the previous December 2016 and January 2017 report.

Inspection focus

We carried out an unannounced follow-up inspection to Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, from Tuesday 1 to Wednesday 2 August 2017. The purpose of the inspection was to:

  • assess progress with the 10 requirements and three recommendations made at the previous inspections in December 2016 and January 2017, and
  • assess the hospital against the Healthcare Improvement Scotland Healthcare Associated Infection (HAI) Standards (February 2015).

The inspection also took account of the information supplied by NHS Greater Glasgow and Clyde in the 16-week improvement action plan submitted in May 2017. This plan details the action taken by the NHS board to address the requirements and recommendations we made at our previous inspections. The inspection team was made up of three inspectors, with support from a project officer. We inspected the following areas:

  • clinical decisions unit
  • emergency department
  • immediate assessment unit, and
  • public toilets in the main hospital atrium and mezzanine level 1. The report highlights areas of strength and weakness as well as areas for further improvement, including requirements and recommendations.
  • Domestic service provision must continue to be reviewed to provide a safe and clean environment. This should include domestic staff access to areas to clean and the availability of the equipment required to allow cleaning to take place.

Inspection findings

Of the 10 requirements made at the previous inspections in December 2016 and January 2017, the NHS board has:

  • met nine requirements, and
  • partially met one requirement.


One requirement remains outstanding from the December 2016 and January 2017 inspections and will be carried forward. The requirement is linked to compliance with the Healthcare Improvement Scotland HAI standards (2015) (see Appendix 1 on page 18).

NHS Greater Glasgow & Clyde must address the requirements and make the necessary improvements within the stated timescales.

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Published Date: 10 October 2017


The Queen Elizabeth University Hospital overview

Find out more about this hospital, including the latest inspection report, on the Queen Elizabeth University Hospital overview page.

Types of inspections

Inspections may be announced or unannounced and will involve physical inspection of the clinical areas, and interviews with staff and patients. We will publish a written report 8 weeks after the inspection.

  • Announced inspection: the service provider will be given at least 4 weeks’ notice of the inspection by letter or email.
  • Unannounced inspection: the service provider will not be given any advance warning of the inspection.
  • Follow-up inspection: the NHS board and hospital may or may not be given advance notice of the inspection. A safety and cleanliness follow-up inspection will take place no later than 26 weeks from the publication of the initial report.