Guy's and St Thomas' NHS Foundation Trust — An Ongoing Audit
Guy's and St Thomas' NHS Foundation Trust (London) · compiled 18 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.
West London Assistant Coroner Dr Anton van Dellen issued a Regulation 28 Prevention of Future Deaths report (ref 2024-0662, dated 3 September 2024) after Samsam Ateye died on 12 May 2023 following aortic valve replacement surgery at Harefield Hospital, which is run by Guy's and St Thomas' NHS Foundation Trust; the coroner raised concern about the policy for Covid-19 testing before cardiac valve surgery, and GSTT was named as an interested person required to receive the report.
London Inner (South) Coroner Andrew Harris issued a Regulation 28 Prevention of Future Deaths report (ref 2015-0381, dated 17 September 2015) into the hospital death of Lee Bates, categorised as a clinical-procedures/medical-management related death; the report was sent to Guy's and St Thomas' NHS Trust and the Cambian Group as recipients required to respond.
Dorset coroner Brendan Allen issued a Regulation 28 Prevention of Future Deaths report (ref 2025-0528, 21 October 2025) into the SUDEP death of Amber Walker, sent to Guy's and St Thomas' NHS Foundation Trust as an interested party; the coroner was concerned SUDEP risk was not discussed during her neurology care.
An inquest at London Inner South Coroner's Court in June 2025 heard the family of Balram Patel, 30, who died at St Thomas' Hospital in August 2023, say a second opinion and intravenous (rather than oral) diuretics might have prolonged his life; the coroner was told his death was not preventable.
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.
A ransomware cyber-attack on Synnovis — the pathology partnership between SYNLAB, Guy's and St Thomas' and King's College Hospital — on 3 June 2024 caused significant disruption to GSTT, cancelling appointments and operations and suspending blood tests across south east London.
At a September 2024 inquest Guy's and St Thomas' admitted that highly vulnerable baby Aviva Otte died from contaminated parenteral nutrition it supplied in 2014, reversing a decade of denial; the Trust later conceded it had been operating 'an entirely unsafe system'.
On 3 July 2025 the Information Commissioner issued a practice recommendation to Guy's and St Thomas' NHS Foundation Trust after its FOI request compliance rate was 34% in 2024; by May 2025 it had improved to 61% and the Trust is taking steps to improve.
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.
An Employment Tribunal upheld consultant transplant surgeon Mr Nizam Mamode's claim of constructive unfair dismissal against Guy's and St Thomas' NHS Foundation Trust (judgment June 2024). The Trust appealed, and the Employment Appeal Tribunal (13 January 2026) found the ET had erred in law on aspects of its breach-of-contract analysis and remitted the case for a fresh rehearing; the underlying dispute concerned the Trust's investigation into bullying allegations and the practice restrictions it imposed on the surgeon.