A hip replacement replaces damaged parts of the hip joint with metal, plastic or ceramic parts. It is most often done for pain and stiffness caused by osteoarthritis, when other treatments have not helped and the hip is affecting daily life. Recovery takes several months, and a new hip can last at least 15 years.
Every hip and knee replacement in England, NHS or private, is recorded in the National Joint Registry (NJR). The NJR checks each hospital's results against what would be expected for its patients, and publishes whether a hospital is an outlier. That lets this page include private hospitals as well as NHS ones.
Hospitals in the East of England
36 hospitals in the East of England with published figures. Sorted by name. This is not a ranking: read how to read this first.
The NJR open data gives one total per hospital for all joint replacements (hips, knees, ankles, elbows and shoulders) together. It does not split hips from knees.
| Hospital | Volume bandJoint replacements, all joints, 2025 (NJR) | Key outcomeNJR outlier status | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| Addenbrooke's and the Rosie HospitalsNHS · Cambridge University Hospitals NHS Foundation Trust | 400 to 749584 joint replacements of all kinds recorded in 2025Earlier years: 2023: 671, 2024: 589 | Not identified as an outlierMore measures
| 15.1 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 58% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for Addenbrooke's and the Rosie Hospitals) |
| Basildon University HospitalNHS · Mid and South Essex NHS Foundation Trust | Fewer than 400287 joint replacements of all kinds recorded in 2025Earlier years: 2023: 132, 2024: 218 | Not identified as an outlierMore measures
| 30.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 28.7% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Inadequate (CQC report for Basildon University Hospital) |
| Bedford HospitalNHS · Bedfordshire Hospitals NHS Foundation Trust | 400 to 749590 joint replacements of all kinds recorded in 2025Earlier years: 2023: 265, 2024: 494 | Not identified as an outlierMore measures
| 20.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 45.5% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | No Approved Rating (CQC report for Bedford Hospital) |
| Braintree Community HospitalNHS · Mid and South Essex NHS Foundation Trust | 400 to 749474 joint replacements of all kinds recorded in 2025Earlier years: 2023: 339, 2024: 467 | Not identified as an outlierMore measures
| 30.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 28.7% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | No rating |
| Broomfield HospitalNHS · Mid and South Essex NHS Foundation Trust | 400 to 749466 joint replacements of all kinds recorded in 2025Earlier years: 2023: 309, 2024: 575 | Not identified as an outlierMore measures
| 30.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 28.7% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Broomfield Hospital) |
| Colchester General HospitalNHS · East Suffolk and North Essex NHS Foundation Trust | 400 to 749495 joint replacements of all kinds recorded in 2025Earlier years: 2023: 983, 2024: 1,398 | Identified as an outlier: hip 10-year revisionMore measures
| 17.2 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 52.2% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Colchester General Hospital) |
| Fitzwilliam HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,972 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,590, 2024: 1,825 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Fitzwilliam Hospital) |
| Hinchingbrooke HospitalNHS · North West Anglia NHS Foundation Trust | 750 to 999978 joint replacements of all kinds recorded in 2025Earlier years: 2023: 936, 2024: 1,338 | Not identified as an outlierMore measures
| 15.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.2% waiting under 18 weeks (August 2026) | Somewhat worse than expectedInpatients rated their overall experience 7.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Hinchingbrooke Hospital) |
| The Holly Private HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749552 joint replacements of all kinds recorded in 2025Earlier years: 2023: 450, 2024: 462 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for The Holly Private Hospital) |
| The Ipswich HospitalNHS · East Suffolk and North Essex NHS Foundation Trust | 400 to 749415 joint replacements of all kinds recorded in 2025Earlier years: 2023: 808, 2024: 1,086 | Not identified as an outlierMore measures
| 17.2 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 52.2% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for The Ipswich Hospital) |
| James Paget HospitalNHS · James Paget University Hospitals NHS Foundation Trust | 1,000 or more1,314 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,049, 2024: 1,495 | Not identified as an outlierMore measures
| 10.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 73% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for James Paget Hospital) |
| Lister HospitalNHS · East and North Hertfordshire Teaching NHS Trust | 1,000 or more1,056 joint replacements of all kinds recorded in 2025Earlier years: 2023: 601, 2024: 1,062 | Not identified as an outlierMore measures
| 19.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 47.7% waiting under 18 weeks (August 2026) | Somewhat worse than expectedInpatients rated their overall experience 7.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Lister Hospital) |
| Luton and Dunstable HospitalNHS · Bedfordshire Hospitals NHS Foundation Trust | 750 to 999901 joint replacements of all kinds recorded in 2025Earlier years: 2023: 595, 2024: 793 | Not identified as an outlierMore measures
| 20.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 45.5% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Luton and Dunstable Hospital) |
| The Manor HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | Fewer than 400358 joint replacements of all kinds recorded in 2025 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for The Manor Hospital) |
| Norfolk and Norwich University HospitalNHS · Norfolk and Norwich University Hospitals NHS Foundation Trust | 400 to 749725 joint replacements of all kinds recorded in 2025Earlier years: 2023: 547, 2024: 488 | Not identified as an outlierMore measures
| 18.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 48.2% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Norfolk and Norwich University Hospital) |
| Nuffield Health Brentwood HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999751 joint replacements of all kinds recorded in 2025Earlier years: 2023: 777, 2024: 648 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Nuffield Health Brentwood Hospital) |
| Nuffield Health Cambridge HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999795 joint replacements of all kinds recorded in 2025Earlier years: 2023: 698, 2024: 783 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Outstanding (CQC report for Nuffield Health Cambridge Hospital) |
| Nuffield Health Ipswich HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749433 joint replacements of all kinds recorded in 2025Earlier years: 2023: 578, 2024: 552 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Nuffield Health Ipswich Hospital) |
| Oaks HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,303 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,097, 2024: 1,060 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Oaks Hospital) |
| Peterborough City HospitalNHS · North West Anglia NHS Foundation Trust | 400 to 749548 joint replacements of all kinds recorded in 2025Earlier years: 2023: 336, 2024: 482 | Not identified as an outlierMore measures
| 15.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.2% waiting under 18 weeks (August 2026) | Somewhat worse than expectedInpatients rated their overall experience 7.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Peterborough City Hospital) |
| Pinehill HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749707 joint replacements of all kinds recorded in 2025Earlier years: 2023: 628, 2024: 681 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Pinehill Hospital) |
| The Princess Alexandra HospitalNHS · The Princess Alexandra Hospital NHS Trust | 750 to 999974 joint replacements of all kinds recorded in 2025Earlier years: 2023: 555, 2024: 911 | Not identified as an outlierMore measures
| 16.5 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 54% waiting under 18 weeks (August 2026) | Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for The Princess Alexandra Hospital) |
| The Queen Elizabeth HospitalNHS · The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust | 750 to 999919 joint replacements of all kinds recorded in 2025Earlier years: 2023: 863, 2024: 1,024 | Not identified as an outlierMore measures
| 15.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.2% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 7.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for The Queen Elizabeth Hospital) |
| Rivers HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999973 joint replacements of all kinds recorded in 2025Earlier years: 2023: 830, 2024: 998 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Rivers Hospital) |
| Southend University HospitalNHS · Mid and South Essex NHS Foundation Trust | 400 to 749664 joint replacements of all kinds recorded in 2025Earlier years: 2023: 60, 2024: 525 | Not identified as an outlierMore measures
| 30.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 28.7% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Southend University Hospital) |
| Spire Bushey HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999754 joint replacements of all kinds recorded in 2025Earlier years: 2023: 704, 2024: 614 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Bushey Hospital) |
| Spire Cambridge Lea HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,296 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,258, 2024: 1,225 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Cambridge Lea Hospital) |
| Spire Harpenden HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749741 joint replacements of all kinds recorded in 2025Earlier years: 2023: 560, 2024: 682 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Harpenden Hospital) |
| Spire Hartswood HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,285 joint replacements of all kinds recorded in 2025Earlier years: 2023: 906, 2024: 954 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Hartswood Hospital) |
| Spire Norwich HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,546 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,626, 2024: 1,533 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Norwich Hospital) |
| Spire Wellesley HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999791 joint replacements of all kinds recorded in 2025Earlier years: 2023: 719, 2024: 761 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Wellesley Hospital) |
| Springfield HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,583 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,749, 2024: 1,661 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Springfield Hospital) |
| St Albans City HospitalNHS · West Hertfordshire Teaching Hospitals NHS Trust | 400 to 749609 joint replacements of all kinds recorded in 2025Earlier years: 2023: 791, 2024: 640 | Not identified as an outlierMore measures
| 16.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 53.2% waiting under 18 weeks (August 2026) | Somewhat worse than expectedInpatients rated their overall experience 7.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for St Albans City Hospital) |
| St Edmunds HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,019 joint replacements of all kinds recorded in 2025Earlier years: 2023: 766, 2024: 926 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for St Edmunds Hospital) |
| Watford General HospitalNHS · West Hertfordshire Teaching Hospitals NHS Trust | Fewer than 40078 joint replacements of all kinds recorded in 2025Earlier years: 2023: 45, 2024: 46 | Not identified as an outlierMore measures
| 16.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 53.2% waiting under 18 weeks (August 2026) | Somewhat worse than expectedInpatients rated their overall experience 7.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Watford General Hospital) |
| West Suffolk HospitalNHS · West Suffolk NHS Foundation Trust | 750 to 999889 joint replacements of all kinds recorded in 2025Earlier years: 2023: 911, 2024: 1,151 | Not identified as an outlierMore measures
| 17.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 51.2% waiting under 18 weeks (August 2026) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for West Suffolk Hospital) |
Across England
In 2025-26, NHS-funded care in England (NHS hospitals and NHS patients treated by independent providers; private patients are not included) recorded 63,535 episodes where the main procedure was total hip replacement (OPCS-4 W37 to W39). 2% were day cases. Half of the people admitted from a waiting list had waited less than about 118 days from the decision to admit them. These are national figures from Hospital Episode Statistics (NHS England, 2025-26, Open Government Licence v3.0); the same detail is not published for each hospital.
Hospitals identified as outliers across the UK in the NJR 2025 file (out of 403): Hip 90-day mortality: 0; Hip 5-year revision: 11; Hip 10-year revision: 26.
How to read this
- Not a ranking. The table is in alphabetical order. A higher volume does not on its own mean better care, and we do not combine the columns into a score.
- Volume bands. Cut points are the lower quartile, median and upper quartile of all 398 hospitals that reported to the NJR in 2025 in the published table, rounded. So about a quarter of hospitals that reported to the NJR in 2025 fall in each band. The exact number is shown under the band.
- Risk adjustment. Where a figure says “adjusted”, the audit has allowed for differences in the patients each hospital treats, such as age and other illnesses. Hospitals that take on more complex cases can still look different for reasons the adjustment does not capture.
- Bands and limits. We only say a result is higher or lower than expected when the source itself says so (for example NJR outlier status, NELA funnel limits, SSNAP levels, CQC survey bands). Where the source publishes a rate without limits we show the rate and the national figure, and say “No banding published”.
- Small numbers. A small hospital can have 0% or a high percentage by chance. Figures the source suppresses are shown as “Not published (small numbers)”.
- Trust or hospital. Volumes and outcomes here are for each hospital or team, but waiting times and the CQC inpatient survey are for the whole trust.
- Different periods. Each figure has its own period, shown next to it. Audit results describe operations done one to three years ago; waiting times are updated monthly.
- Private hospitals. NHS waiting times and NHS patient surveys do not cover private hospitals. Private hospital data published by PHIN cannot be republished here without a licence.
- Talk to your GP or consultant about what the figures mean for you. If you are referred for planned care in England, you can usually choose your hospital.
Full definitions: methodology and data dictionary.
Data sources and licences
- National Joint Registry (NJR) transparency data, National Joint Registry / HQIP. Source: National Joint Registry (NJR) transparency data, via data.gov.uk. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- Consultant-led Referral to Treatment Waiting Times, NHS England. Source: NHS England, Referral to Treatment waiting times. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- CQC Adult Inpatient Survey 2025 (trust benchmark results), Care Quality Commission. Source: Care Quality Commission, NHS Patient Survey Programme, Adult Inpatient Survey 2025. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- CQC ratings, Care Quality Commission. CQC ratings: Care Quality Commission. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- Healthcare-associated infections: annual counts and rates by trust (financial year 2025 to 2026), UK Health Security Agency. Source: UK Health Security Agency, healthcare-associated infection annual data. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
Data last updated 26 October 2026. We do not change the published figures; we only group volumes into bands. Spotted a mistake? Tell us.
Sources
We checked this guide against these official pages on 26 October 2026.
- Hip replacement: what is a hip replacement? (NHS website)
- Hip replacement (NHS website)
- National Joint Registry transparency data (data.gov.uk) (National Joint Registry)
- Hospital Admitted Patient Care Activity 2025-26 (NHS England)
- Consultant-led Referral to Treatment Waiting Times 2026-27 (NHS England)
- Adult inpatient survey (Care Quality Commission)
Spotted something out of date? Tell us.