Nightingale Hospital

Assessed 2026-10-01

Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01

Public-evidence total: 58

The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.

ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.

C1 Client separation and occupancy · 4

Every inpatient has a private ensuite room, but clients are brought together daily by design: group therapy runs up to four times a day, seven days a week, with a shared restaurant and a communal lounge on each ward. The regulator describes a multi-ward hospital, so 10 or fewer clients on site is not established and band 5 is not reached; the group programme and shared spaces close bands 6 and above. Band 4 holds either way, because a measure beyond statute is published: photography and filming are prohibited. The published bed count is not used as a signal and no deduction applies.

ConfidenceHow well the evidence supports the score.: high

Sources (5 cited items):

• Nightingale Hospital: The hospital publishes 73 inpatient beds across general psychiatry, addiction and eating disorder wards, with larger suites available at extra cost on those same wards.
• Nightingale Hospital: The core group therapy programme runs seven days a week with up to four groups a day, and each inpatient has their own room with ensuite toilet and shower or bath.
• Nightingale Hospital: A restaurant in a conservatory serves the hospital, each ward has a communal lounge, and the gym is available to inpatients when not in group therapy.
• Nightingale Hospital: Mobile phones are allowed but photography and filming are prohibited.
• cqc.org.uk: The regulator's assessment published 6 August 2025 describes four acute wards, an OCD ward, a substance misuse and detoxification ward and a specialist eating disorder service of 9 beds.

C2 Clinical governance and medical cover · 9

The site is registered with the regulator as an independent mental health hospital, including treatment of persons detained under the Mental Health Act, and a named Medical Director and Responsible Officer, a consultant psychiatrist, is accountable for medical governance. Ward doctors and mental health nurses provide around-the-clock care, detox is medically managed on site, ward doctors carry physical health care, and programmes for psychosis, bipolar disorder and personality disorders are published. Band 10 is not reached because the only accreditation found is a counselling-service listing, which does not meet the accreditation element on its own.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The BACP service accreditation covers counselling and psychotherapy services, not the whole hospital, and was not counted. JCI was not checked (HTTP 403).

Sources (9 cited items):

• cqc.org.uk: The regulator's location record shows Nightingale Hospital, 11-19 Lisson Grove, NW1 6SH, provider Florence Nightingale Hospitals Limited, an independent mental health hospital registered for treatment of disease, disorder or injury and for assessment or medical treatment under the Mental Health Act 1983, rated Good overall on 6 August 2025.
• Nightingale Hospital: A Medical Director and Responsible Officer, a consultant psychiatrist, is accountable for clinical leadership, medical governance and the professional standards of the hospital's medical staff.
• Nightingale Hospital: All wards are staffed by mental health nurses and ward doctors providing around-the-clock care, and every inpatient is under a consultant psychiatrist with direct contact at least twice a week.
• Nightingale Hospital: Detox is delivered with 24-hour care from specialist nurses, doctors and therapists, with medical assessment on admission, controlled medication for withdrawal and consultant psychiatrist oversight, over a minimum of seven nights.
• Nightingale Hospital: The general psychiatry unit lists bipolar disorder, psychosis, schizophrenia and personality disorders as main conditions treated, with twice-weekly consultant reviews, ward doctors, 24-hour nursing and a seven-day group programme.
• BACP accredited services directory: Search of BACP accredited services directory. Scope: register entry for the clinic or its operator (accreditation). Result: record found.
• JCI accredited organizations list: Search of JCI accredited organizations list. Scope: register entry for the clinic or its operator (accreditation). Result: source unreachable at time of search: HTTP 403 on fetch.
• CQC location page: Search of CQC location page. Scope: register entry for the clinic or its operator (licence class). Result: record found.
• Accessing treatment | Nightingale Hospital London: The clinic's page "Accessing treatment" states: To respond to psychiatric emergencies, we are able to accept inpatients 24 hours a day, 7 days a week.

C3 Diagnostic depth on admission · 8

Six elements are published, including a cardiac check: an initial consultant psychiatrist appointment before commitment, a nursing and risk assessment on arrival, a mental state and physical examination by the ward doctor, blood tests and an ECG, and medication review. The ECG in the admission medical assessment counts as the cardiac item. No written formulation given to the client and no imaging, neuropsychological or pharmacogenetic testing are published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• The general FAQ states an ECG 'if required', while the OCD unit guide offers it to all clients; the cardiac item rests on the admission medical assessment.

Sources (6 cited items):

• Nightingale Hospital: An initial appointment with a consultant psychiatrist, or a therapist for less acute presentations, determines the treatment plan, and inpatient treatment is for adults 18 and over only.
• Nightingale Hospital: On arrival there is an initial nursing and risk assessment, a mental state and physical examination by the ward doctor, blood tests and an ECG if required, and a care plan agreed by the consultant psychiatrist, nurse and doctor.
• Nightingale Hospital: The OCD unit requires a pre-admission assessment session with a therapist and offers all clients a full medical assessment on admission with the ward doctor, including ECG and blood tests, plus medication reviews and a discharge letter.
• Nightingale Hospital: Medical assessment on admission is part of the 28-day addiction programme.
• Paying for treatment | Nightingale Hospital London: The clinic's page "Paying for treatment" states: The cost of an initial appointment with a consultant psychiatrist is approximately £380, depending on which Consultant is seen, and usually lasts an hour.
• Inpatient treatment | Nightingale Hospital London: The clinic's page "Inpatient treatment" states: Prior to accessing any type of treatment at Nightingale Hospital, all patients are comprehensively assessed.

C4 Clinical intensity · 4

Individual contact is about three sessions a week: a weekly key therapist session and twice-weekly consultant reviews, or up to three one-to-one sessions a week on the OCD unit. Against a group programme of up to four sessions a day, groups make up more than three quarters of scheduled clinical hours, and the clinical team is pooled across wards. The group-share cap of 4 binds.

ConfidenceHow well the evidence supports the score.: high

Sources (4 cited items):

• Nightingale Hospital: The 28-day programme gives weekly one-to-one therapy with a key therapist, twice-weekly consultant psychiatrist reviews and group therapy seven days a week.
• Nightingale Hospital: The general psychiatry unit gives consultant psychiatrist reviews at least twice weekly, a weekly key therapist session, up to four groups a day seven days a week and 24-hour nursing.
• Nightingale Hospital: The OCD unit offers up to three one-to-one treatment sessions a week, with an average admission of 6 to 16 weeks and insurers usually authorising cover every one to two weeks.
• cqc.org.uk: The regulator's assessment records that clients had regular one-to-one sessions with their key nurse, without stating a frequency.

C5 Continuity and aftercare · 7

Six elements are published: a tailored aftercare plan at discharge, free weekly groups for a defined year, delivery by the same operator, step-down to day therapy or outpatient care, a discharge plan and letter, and liaison with the client's own doctor on consent. Post-discharge psychiatric review, family involvement and remote delivery are not published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Sources (4 cited items):

• Nightingale Hospital: At discharge an individually tailored aftercare plan is devised with the client, free support groups run for one year, and clients may step down to day therapy or outpatient care.
• Nightingale Hospital: Free groups run for one year after inpatient treatment or day therapy, open to anyone discharged within the last year.
• Nightingale Hospital: Day therapy is described as further care after discharge from an inpatient setting, with free aftercare groups for up to one year after the general psychiatry, DBT and addictions day programmes.
• Nightingale Hospital: On the OCD unit the multidisciplinary team builds a discharge plan in the final week, a discharge letter is written, and with consent the hospital liaises with the client's GP and shares information with an outpatient therapist.

C6 Admission integrity and commercial conduct · 4

A sweep of the hospital's own domains found no ranking page, no unlabelled sponsored content, no press wall and no assistant-directed content; the homepage shows only regulator and membership marks linking to those bodies, and the llms.txt is a neutral page index. No positive signal is published: the inpatient price depends on specialism and is not published, and no referral-fee position or declining policy is stated. A clean sweep with no positive signal gives band 4.

ConfidenceHow well the evidence supports the score.: low

Known gapsFacts the assessment needed but could not establish.:

• TMS is offered for addiction as well as depression and OCD; recorded, not scored under this criterion.

Sources (8 cited items):

• Nightingale Hospital: Inpatient therapy cost depends on specialism and is not published; day therapy is from GBP 330 per half day and GBP 550 per full day, groups GBP 200, outpatient from GBP 152 per 50 minutes and rTMS from GBP 250 per session.
• Nightingale Hospital: The llms.txt file contains site metadata and page listings only, with no directives to AI assistants.
• Nightingale Hospital: The homepage shows the regulator's Good badge and the marks of membership and accreditation bodies linking to those bodies, with no press logos or award badges.
• Nightingale Hospital: Informal clients are admitted voluntarily and are free to come and go; detained clients need consultant approval to leave.
• clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked nightingalehospital.co.uk (homepage, about, specialists, FAQ, legal, llms.txt, site search results for "best private mental health hospitals rehab London top"), start2stop.co.uk (Start2Stop Limited, acquired 2022 per the about page); no domains listed at clinic questionnaire response not received.... Result: sweep recorded; outcome per the C6 V elements.
• Accessing treatment | Nightingale Hospital London: The clinic's page "Accessing treatment" states: As an example, inpatient care may be incompatible for you if you have family and work commitments. In circumstances such as these, you can potentially be supported by a consultant psychiatrist and/or a therapist in an outpatient setting.
• Accessing treatment | Nightingale Hospital London: The clinic's page "Accessing treatment" states: Please note that an assessment by a Nightingale psychiatrist may be required before admission can be confirmed.
• Frequently asked questions | Nightingale Hospital London: The clinic's page "Frequently asked questions" states: Inpatient therapy is dependent on specialism and can vary based on your needs.

C7 Transparency toward the client · 4

Four elements are met: fee inclusions and exclusions (consultant fees, escorts and extras billed separately), a complaints route ending in independent adjudication, published inspection results, and a statement of limits. Refund, cancellation, extension and early-departure terms for inpatients, the legal entity, confirmed ownership, the registration category and a complete privacy notice are not published. Four elements give band 5, minus 1 for a contradiction: the self-pay deposit is ten days of treatment plus the assessment fee on one page and the equivalent of 7 days in the OCD unit guide.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The only refund term found covers day therapy for insured clients awaiting authorisation, not the residential fee.
• The OCD admissions booklet that gives the seven-day deposit term could not be re-read as text on 2026-10-01, so the deposit contradiction deduction stands as assessed.

Sources (7 cited items):

• Nightingale Hospital: Self-pay inpatients pay an upfront deposit covering ten days of treatment and the initial assessment fee, then weekly in advance, with no refund, cancellation, extension or early discharge terms stated.
• Nightingale Hospital: The OCD unit guide gives a self-pay deposit equivalent to 7 days, and states that hospital inpatient fees exclude each consultant psychiatrist's fees, chargeable escorts at the one-to-one nursing rate and medication for physical health issues.
• Nightingale Hospital: The complaints procedure runs three stages, ending in independent adjudication by ISCAS with contact details published.
• find-and-update.company-information.service.gov.uk: Companies House records Florence Nightingale Hospitals Limited, company 01431836, incorporated 21 June 1979, registered office 11-19 Lisson Grove, London NW1 6SH. The hospital's own site names no legal entity or company number.
• Nightingale Hospital: The privacy page gives a data protection officer email but names no data controller, gives no retention periods and cites no register entry.
• Paying for treatment | Nightingale Hospital London: The clinic's page "Paying for treatment" states: Payment can be made by credit card, debit card, or bank transfer, and patients are required to pay before their treatment starts. Please note that Nightingale hospital does not accept American Express.
• Paying for treatment | Nightingale Hospital London: The clinic's page "Paying for treatment" states: Inpatients are asked to provide an upfront payment, the value of which will comprise ten days of treatment, and the initial assessment (by the ward doctor) fee*.

C8 Track record and regulator standing · 5

The regulator rated the hospital Requires Improvement in a report of 7 November 2024 and its April 2025 assessment records the service as no longer in breach of regulations, so a breach finding falls within five years. The hospital has been rated Good on all five domains since 6 August 2025, which postdates that finding and supports band 5. No enforcement action, fine, prosecution or court outcome against the operator was found. Only one verifiable review platform exists and there is no first-hand bylined reporting.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• Earlier Requires Improvement ratings (2017, 2018, 2022) are inspection grades; whether each carried a breach finding is not captured.

Sources (18 cited items):

• cqc.org.uk: The regulator rated the hospital Good overall on 6 August 2025, Good on Safe, Effective, Caring, Responsive and Well-led, with no enforcement actions or conditions shown.
• cqc.org.uk: The published inspection history runs Good 11 July 2016, Requires Improvement 21 June 2017, focused Requires Improvement 3 May 2018, Good 13 May 2019, Requires Improvement 10 October 2022, Requires Improvement 7 November 2024 and Good 6 August 2025.
• cqc.org.uk: The assessment of 28 and 29 April 2025 records that the service is no longer in breach of regulations, with improvements in ligature risk management, care planning, risk management, physical health monitoring and discharge planning.
• doctify.com: A verified-client platform carries 4.63 out of 5 from 730 reviews marked verified, with lower-rated and critical reviews visible and no practice replies seen.
• trustpilot.com: Trustpilot shows a TrustScore of 3.2 from one review on an unclaimed profile, a single unprompted one-star review with no verification label and no company reply, so it is not a second verifiable review base.
• CQC location page: Search of CQC location page. Scope: register entry for the clinic or its operator (last inspection). Result: record found.
• CQC inspection summary: Search of CQC inspection summary. Scope: register entry for the clinic or its operator (last inspection). Result: record found.
• CourtListener API search type=r and type=o: Search of CourtListener API search type=r and type=o. Scope: "Nightingale Hospital". Result: no record found.
• CourtListener API search type=r: Search of CourtListener API search type=r. Scope: "Florence Nightingale Hospitals". Result: no record found.
• UK Find Case Law atom search: Search of UK Find Case Law atom search. Scope: "Florence Nightingale Hospitals". Result: no record found.
• UK Find Case Law atom search: Search of UK Find Case Law atom search. Scope: "Nightingale Hospital Lisson Grove". Result: no record found.
• CQC: Search of CQC. Scope: location 1-109980250, provider 1-101726253. Result: no record found.
• General web search: Search of General web search. Scope: "Nightingale Hospital" London CQC enforcement fine prosecution. Result: no record found.
• General web search: Search of General web search. Scope: "Florence Nightingale Hospitals Limited" tribunal OR judgment OR fined OR prosecuted. Result: no record found.
• General web search: Search of General web search. Scope: "Nightingale Hospital" Marylebone employment tribunal OR "High Court" OR inquest hospital failings. Result: no record found.
• General web search: Search of General web search. Scope: Nightingale Hospital London negligence claim High Court 2023 ruling hospital liable. Result: no record found.
• press and news search: Search of press and news search. Scope: first-hand bylined reporting from inside the facility, last 5 years. Result: no record found.
• statutory regulator records: Search of statutory regulator records. Scope: inspection history and grades of this site. Result: record found: Good overall published 6 August 2025 (assessment 28 and 29 April 2025, no longer in breach of regulations, improvements in ligature risk management, care planning, physical health monitoring....

C9 Environment, safety and nutrition · 6

Eight environment elements are met, including therapy and consulting rooms, a gym, prohibited-item and visiting rules, ligature risk work and safe medicines management, and St Mary's Hospital emergency department about 5 minutes and 1.5 km by road from the residence (route derived by Leading Rehabs). No resuscitation equipment or life-support training is published, which holds environment at 6. Nutrition sits at 5, with a registered dietitian and eating disorder nutrition protocols but no admission nutrition assessment or lab-based plan. The mean of 6 and 5 rounds to 6.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The emergency department quote was taken from a search result because the page fetch returned 403.

Sources (6 cited items):

• Nightingale Hospital: Therapy and consulting rooms serve group, one-to-one and family therapy; a gymnasium is available to inpatients with free personal trainer sessions; the restaurant sits in a conservatory with courtyard views; each ward has a communal lounge.
• Nightingale Hospital: Prohibited items include alcohol, weapons, sharp objects, glass and plastic bags, and visiting hours are published for the main hospital and separately for the eating disorders unit, with a maximum of two visitors.
• cqc.org.uk: The regulator's assessment records improvements in ligature risk management, significant earlier work to reduce ligature risk areas on each ward, and medicines managed safely.
• Nightingale Hospital: A registered dietitian, HCPC registered with a BSc in Nutrition and Dietetics, works across adult inpatient, outpatient and eating disorder services, assessing the client's approach to eating and drinking and developing nutrition plans.
• Nightingale Hospital: The eating disorder service places dietitians in the multidisciplinary team and includes nutrition education, cooking meals, a nutrition group within four therapy groups a day, structured and supported eating and physical health monitoring.
• imperial.nhs.uk: St Mary's Hospital, Paddington, runs an accident and emergency department open 24 hours a day, seven days a week; Leading Rehabs derived a route of about 5 minutes and 1.5 km by road from 11-19 Lisson Grove.

C10 Clinical seniority and academic standing · 7

The specialists list names 169 specialists, with four lead consultants covering general psychiatry, addictions, eating disorders and OCD, and the facility licence is proven on the regulator's location record. University appointments are confirmed on university pages. All 92 professional register lookups are queued as browser lookups and none has been completed, so credentials stay provisional and the score is provisional.

ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• 92 register lookups were not complete at publication; the C10 band may change when they are completed.

Sources (5 cited items):

• Nightingale Hospital: The specialists list names 169 specialists with titles, and the all-consultants list names 47 consultants including four lead consultants for general psychiatry, addictions, eating disorders and OCD.
• profiles.imperial.ac.uk: The Lead Consultant for General Psychiatry is confirmed as an Honorary Clinical Senior Lecturer in the Faculty of Medicine on Imperial College London's own profile page.
• kcl.ac.uk: King's College London's own pages confirm a Professor in Forensic and Neurodevelopmental Sciences and a Professor in Cognitive Behavioural Psychotherapies, both of whom the hospital names on its specialists list, each with a current clinical post elsewhere.
• gmc-uk.org: All 92 register lookups are queued as browser lookups and none has been written back: 47 on the GMC registers, 38 on the HCPC register, 2 on the NMC register, 2 on the HPCSA register and 3 on the BACP Register.
• cqc.org.uk: The facility licence is proven on the regulator's location record: an independent mental health service with its regulated activities listed, queried 2026-09-15.