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Our performance

Care Quality Commission Registration Status

The Care Quality Commission (CQC) is the independent regulator of health care services in England.  The CQC has the responsibility to ensure that people are provided with safe, effective, compassionate and high quality healthcare.  The Trust is required to register all services that deliver clinical care with the CQC.  Inpatient services, with wards group as hospitals where appropriate, are registered as separate listed locations and the majority of community services are listed under Trust Headquarters.

Leeds and York Partnership NHS Foundation Trust is fully registered with the Care Quality Commission without conditions. The attached document sets out the Trust's Statement of Purpose.

Care Quality Commission Inspections Update

The unannounced Care Quality Commission compliance  inspection of Bootham Park Hospital, Lime Trees and Trust Headquarters  during December 2013 identified areas for improvement. The Trust responded by taking immediate action which was followed by a more considered and broader response. The actions are set out in the immediate and full response action plans, the versions demonstrate review and progress over time.

Immediate Action Plan

Action Plan v2

Report of Actions Completed

Full Response v1

Full Response v2

Full Response and Action Plan v3

Recent Care Quality Commission Inspections

On 10 December 2013, the CQC commenced a two day unannounced inspection across seven sites including; Oak Rise at Acomb, White Horse View, Lime Trees, Bootham Park Hospital, Millside, Parkside Lodge and Trust Headquarters.

The inspection was a planned event and was not prompted because of concern or increased indication of risk.  The inspection was conducted by 14 people including; specialist advisors, experts by experience and compliance inspectors.  The inspection teams talked to staff, service users and carers as well as observing practice, considering the environment and checking clinical and other records and documents.

The inspections focussed on the following outcomes:-

Outcome 2 - Consent to Care and Treatment

Outcome 4 - Care and Welfare of People sho use Services

Outcome 10 - Safety and Suitability of Premises

Outcome 13 - Staffing

Outcome 16 - Assessing and Monitoring the Quality of Service Provision

Outcome 21 - Records

Published Reports

- Acomb Learning Disability Units

- Bootham Park Hospital

- Lime Trees Child, Adolescent and Family Unit

- Parkside Lodge

- Trust Headquarters

- White Horse View

- Millside

More information on the CQC's inspection process can be found here

Quality Accounts

As part of a nation-wide focus on the quality of NHS services, all NHS Trusts are required to publish their Quality Accounts in 2010.

Our Quality Accounts focus on quality of services in three areas:

  • People achieve their agreed goals for improving health and improving lives
  • People experience safe care, and
  • People have a positive experience of their care and support. 


The Trust’s Quality Accounts show the committed work that has taken place in the last year to improve the quality of services provided, as well as giving a forward look at how we aim to further improve the quality of our services.

The Quality Accounts are available to download by clicking the link below.

Quality Report 2013/14 / Easy Read

Quality Account 2012/13

Quality Account 2011/12 / Easy Read

Integrated Quality & Performance Reports to the Trust Board

The purpose of these reports is to provide Board Members with a monthly high level report of key financial and non-financial performance.  The reports offer a summary of progress against national and local performance indicators as well as key areas of attention for the Trust Board.


April 2014

May 2014

June 2014

July 2014

August 2014

September 2014

October 2014

November 2014


April 2013

May 2013

June 2013

July 2013

August 2013

September 2013

October 2013

November 2013

January 2014

February 2014

March 2014

Quality Focus Newsletter 

The Clinical Quality & Assurance Service (previously the Performance Team) are delighted to introduce their first edition of the "Quality Focus" Newsletter.  We intend to make it a regular publication and to use it to keep you in touch with news and developments which relate to all things "quality" within the Trust.  In this, and future editions, we shall be reporting up-to-date information on the Care Quality Commission, Monitor, our contractual requirements with commissioners and any in-house quality developments.

The newsletter will be published bi-monthly and we are keen to respond to the interests of our readers and look forward to your feedback and comments on this first edition using the contact address at  You can also follow us on Twitter @LYPFT_Quality 


Issue 1 - June 2014




Listening to Patients

 Listening to Patients

The National Service User Survey was undertaken for Leeds & York Partnership NHS Foundation Trust for 2013.

Download the report for our Inpatient Services

Download the report for our Community Services 


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