Underperforming NHS Trusts: Government Oversight

Rebecca Long Bailey Excerpts

Wednesday 14th October 2026 Westminster Hall

[Rebecca Long Bailey (Salford) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Stuart. I thank the hon. Member for Chelmsford (Marie Goldman).

The staff at Salford Royal are absolutely amazing. I have seen their dedication, and I have joined them on picket lines as they have campaigned to improve patient safety as much as their own workplace conditions. I have also met whistleblowers ringing the alarm on patient safety, and I have repeatedly raised their concerns and patients’ concerns and called for them to be listened to by trust management. Sadly, they have been let down and now the situation is critical.

The Minister may know that Salford Royal was the poster child of NHS safety; it was one of the best hospitals in the country, if not the best. Savage austerity and round after round of cuts have undoubtedly brought our NHS to the point of collapse right across the country, but the fact that an individual trust’s services can fall from “Outstanding” in 2018 to “Requires improvement” a few weeks ago warrants her personal oversight and intervention.

I will briefly canter through how matters got to this point. In 2018, the CQC rated Salford Royal NHS foundation trust as “Outstanding”. The stand-alone hospital trust then merged to form a super-trust across Greater Manchester called the Northern Care Alliance. Just a year after the merger, the CQC rated the newly formed trust “Requires improvement”—a long way from Salford’s previous position.

Between 2023 and 2024, worrying reports about patient safety started to emerge, and there were then various interventions. In 2025, there was a rapid quality review process, and that September the CQC issued its first section 29A warning notice regarding the trust’s surgical services, citing inadequate staffing arrangements and ineffective systems for identifying and managing patient safety risks.

A few months later, in August 2026, another warning notice had to be issued due to significant concerns about the trust’s management of risk, patient safety complaints, freedom to speak up, and workforce wellbeing and inclusion. That brings us to the latest CQC report, a couple of weeks ago, which rated the hospital “Requires improvement” and identified 12 regulatory breaches relating to safe care and treatment, governance and staffing.

All that is very worrying, but one staff member recently told me:

“It really is getting worse, especially with theatres, and they’ll try and blame the current industrial action, but it’s not those days. It’s normal days, they are just horrendous. Staff crying. Staff exhausted, increasing sickness rates.”

It is clear that there is a crisis unfolding, and the staff are exhausted. I urge the Minister to meet me to discuss what action she can take to get the trust back on the steady and safe footing that its staff and patients deserve.