Media Release: Inspection report Queen Margaret Hospital, NHS Fife

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Healthcare Improvement Scotland today (Thursday 12 June) published a report relating to a mental health services safe delivery of care inspection visit to Queen Margaret Hospital, NHS Fife. The inspection took place on 18 February, 2025.

Our safe delivery of care inspections of adult mental health services aim to take account of the changing risk considerations and sustained service pressures currently across NHS Scotland.

Queen Margaret Hospital has three mental health inpatient wards. During our inspection we looked at the wards, spoke to staff and patients and reviewed policies and procedures.

Speaking of the new type of inspection for adult mental health services, Eddie Docherty, Director of Quality Assurance and Regulation, said:

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“Our previous mental health inspection programme was focused on infection prevention and control. It was agreed with Scottish Government to widen the inspection focus from infection prevention and control to a broader assurance function, creating a new and revised ‘safe delivery of care’ assurance model in NHS adult mental health units.

“We believe it is important to provide public assurance that adult mental health units in Scotland are safe for patients and staff, provide quality person-centred care, with clear leadership and a focus on improvement.”
Eddie Docherty
Director of Quality Assurance and Regulation

Speaking of the Queen Margaret Hospital report, Donna Maclean, Chief Inspector, Healthcare Improvement Scotland, said:

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“During our inspection we saw staff treating patients with care and compassion, showing dignity and respect and using a range of methods to overcome barriers to communication.

“Staff used techniques such as personalised playlists to support patients experiencing stress and patients we spoke with were positive about the care they received.

“We saw visible clinical leadership and staff told us there was good management support at ward level. Daily safety huddles were used to escalate and mitigate risks relating to capacity, patient acuity and staff across the site.

“Care plans were complete and up to date and patient risk assessments were comprehensive and regularly reviewed. All areas inspected were clean, tidy and uncluttered.
“We observed the the use of mixed sex and mixed function wards which is challenging for staff and patients with regards to privacy and dignity.

“NHS Fife has a ligature reduction programme however the ligature assessments provided were incomplete and mitigations described within the risk assessments raised concerns with the inspection team. We raised this immediately with senior managers who provided assurance that risk assessments would be reviewed and updated as a matter of priority.”
Donna Maclean
Chief Inspector, Healthcare Improvement Scotland

Other areas for improvement included a lack of meaningful activities for patients to promote wellbeing and purpose, as well as low completion of essential mandatory training and high staff sickness and vacancy rates which could impact the safe delivery of care.

The Queen Margaret Hospital inspection resulted in three areas of good practice and 16 requirements and two recommendations.

An improvement action plan has been developed by NHS Fife to meet the requirements.

The full inspection report is available to view at: Queen Margaret hospital – mental health safe delivery of care inspection: June 2025

Notes to editor

This report is part of Healthcare Improvement Scotland’s programme of inspections and reviews.

Healthcare Improvement Scotland’s statutory role is to help improve the quality of health and care, provide information to the public about the quality of health and care services, monitor public involvement, and to evaluate and provide advice on the clinical and cost-effectiveness of medicines and health technologies.