Guy's and St Thomas' NHS Foundation Trust — An Ongoing Audit
Guy's and St Thomas' NHS Foundation Trust (London) · compiled 15 July 2026 · every item links to a primary source
This is an evidence audit. Every finding carries a VERIFIED (primary source e.g. coroner/CQC), DOCUMENTED (reputable press or official stats), or UNVERIFIED (advocacy only) label. Nothing here is alleged without a source link. Important: GSTT is currently CQC-rated Good overall — this audit documents specific deaths, inquest criticism and a service-level 'safe' shortfall, not a blanket failure finding.
Following an inquest into the death of Mr Weaver, the coroner issued a Regulation 28 Prevention of Future Deaths report dated 16 October 2019, sent to Guy's and St Thomas' NHS Foundation Trust. The Trust was required to respond on lessons to prevent similar deaths.
A coroner's Regulation 28 report named Guy's & St Thomas' NHS Foundation Trust after the death of Jeffrey, with medical cause of death recorded as septicaemia. The report required the Trust to act to prevent future deaths.
In 2024 the coroner issued a Prevention of Future Deaths report naming Guy's and St Thomas' NHS Foundation Trust (Jean Thomas), requiring a response within 56 days on lessons to prevent similar deaths. It forms part of a pattern of coroner scrutiny of deaths in the Trust's care.
After Daniel Williams died following surgery, an internal Trust investigation (prompted by the coroner) found the nursing care he received on a general GI ward was 'deficient in delivering the fundamentals of care'. The coroner issued a Regulation 28 Prevention of Future Deaths report to Guy's and St Thomas' NHS Foundation Trust in September 2019.
The family of Ayaan accused St Thomas' Hospital of negligence and discrimination after the death of a mother and baby. Guy's and St Thomas' NHS Foundation Trust strongly denied that racism or discrimination affected Ayaan's care or how the family were treated. Listed as documented/alleged; the Trust disputes the claims.
St Thomas' Hospital (Evelina children's hospital) did not reveal publicly that four premature babies — one of whom died — were infected with a deadly bacteria. The Guardian reported the infections were not disclosed at the time, raising transparency concerns.
During a 2022 heatwave, Guy's and St Thomas' trust had to postpone and divert appointments and operations when its IT system failed, with doctors unable to see patients' notes. The failure disrupted planned care across the trust.
The CQC rates Guy's and St Thomas' 'Good' overall, but the 'safe' domain was rated Requires Improvement (unchanged from the previous inspection). The Trust's urgent/emergency and caring services have been rated Outstanding/Good; one service overall requires improvement.
The Care Quality Commission currently rates Guy's and St Thomas' Good overall, with two services rated Outstanding and the Trust praised as Outstanding for being a caring organisation. This audit documents specific deaths, inquest criticism and a service-level 'safe' shortfall — it is NOT currently rated inadequate.