Quality Of Service

New Victoria Hospital is committed to the provision of exceptional standards of care and service to its patients, whose individual needs and safety are our priority at all times.

As such, the hospital operates within a rigorous quality framework which aims to continually review and evaluate practice to improve the outcomes of care for patients and ensure the health and wellbeing of patients, staff and visitors.

These processes and outcomes are monitored, both internally and externally, as validation of the services delivered and compliance with regulatory, legislative and best practice requirements and guidance.

New Victoria Hospital is registered with and regulated by the Care Quality Commission and is fully compliant with their standards. The hospital was last inspected in July 2016.

The Care Quality Commission (CQC) is the independent regulator of healthcare and social care services in England. It makes sure that health and social care services provide people with safe, effective, compassionate and high-quality healthcare. 

It monitors, inspects and regulates services to make sure they meet fundamental standards of quality and safety and it publishes what it finds, including performance ratings to help people choose care.

Quality Accreditation

CHKS Healthcare Accreditation Unit is a leading provider of healthcare intelligence and quality improvement services. The accreditation is a measure of the overall quality of a hospital and independent evaluation has shown that CHKS accredited hospitals provide a better quality of service.

The accreditation programmes are based on a standards framework that covers healthcare governance, quality of services, risk management and patient experience of services. These standards exceed those required by regulation.

New Victoria Hospital is fully accredited for the quality of its service with CHKS and is certified ISO 9001.

In April 2016 we were delighted to win the prestigious CHKS Quality Improvement Award 2016 for patient care and patient experience as well as staff welfare, safety and morale. The awards celebrate the success of healthcare providers across the UK and internationally and reward important achievements in innovation, improvement and dedication to providing world-class healthcare. For further information on this award click here.

Performance and Audit

Performance indicators

The Care Quality Commission operates a risk based approach to inspection and performance indicators are collected from across the independent healthcare sector to include:-

  • rates of return to theatre
  • unplanned re-admissions
  • unplanned transfers
  • surgical site infections

New Victoria Hospital submits activity and adverse outcome data to them on a quarterly basis in compliance with its mandatory responsibilities.

A range of indicators, including those above, are routinely collected by the hospital and form the basis of the internal quality review. 


The review and evaluation of practice against agreed standards is integral to the clinical governance programme at New Victoria Hospital. A comprehensive audit schedule is in place to support our staff in achieving and maintaining the exceptional standards of care delivered to our patients. Monitoring activity is afforded a high level of importance in identifying areas for improvement and providing reassurance that the expected standards of practice are achieved and maintained.

New Victoria Hospital actively participates in relevant national clinical audits, as directed by the Department of Health.

Data protection

We take the security of the data we hold very seriously. We are accredited with the ISO27001 Information Security Standard. We are compliant with the NHS Data Security and Protection Toolkit. We are audited annually by QMS International to confirm that our policies and procedures ensure the confidentiality, integrity and availability of the data we hold.