The downgrade followed an inspection in February 2025 that was prompted by concerns about the trust's culture and leadership identified during previous inspections of three of its mental health services.

Stuart Dunn, CQC deputy director of operations in the East of England, said: ‘During our inspection, we saw a workforce and board committed to working more collaboratively, from a place of mutual respect under new leadership. While the trust had begun to take steps to improve culture and inclusion, leadership arrangements weren't fully embedded or consistently effective which is important to deliver meaningful impact for staff and people using services.'

Dunn noted staff did not feel confident raising concerns adding there were reports of poor communication and a lack of visible leadership. He added frontline teams often lacked the clarity or support needed to improve care.  

However, the deputy director noted ‘encouraging signs of progress', adding: ‘The new chief executive was well received by staff and stakeholders, who described him as open and approachable. He had taken swift action where needed and under the chair's leadership had the board and executive team working together in a respectful and collaborative way, creating a stronger foundation for the improvements that CQC needs to see happen.'

Steve Grange, chief executive at Cambridgeshire and Peterborough NHS Foundation Trust, who was appointed in October 2024, said: ‘This report marks a point in time and, while we are pleased that the CQC has noted encouraging signs of progress being made, we know there is much work to be done. 

 ‘Since joining the trust I have seen an organisation that is committed to improving and I would like to thank our dedicated staff for delivering the best possible care for our patients, service users and their families.

‘There is a collective focus across our organisation and coupled with the support of our partners, we will continue to grow and improve for the communities we serve.'