Surgery is one of the main treatments for bowel cancer. The surgeon removes the cancer and part or all of the bowel around it. Some people need a colostomy or ileostomy, which may be temporary or permanent. You may also be offered chemotherapy, radiotherapy or targeted medicines, before or after surgery.
The National Bowel Cancer Audit publishes results for every NHS trust in England and Wales, adjusted for differences between patients. Cancer surgery is often concentrated in specialist centres, so the trust that diagnoses you may refer you to another trust for your operation.
London hospitals
18 London trusts with published figures. Sorted by name. This is not a ranking: read how to read this first.
| Trust | Volume bandMajor bowel cancer operations, 2024 (NBOCA) | Key outcomeDeaths within 90 days (adjusted) | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| Barking, Havering and Redbridge University Hospitals NHS TrustWhole trust. Hospitals: King George Hospital, Queen’s Hospital | 150 to 199175 major bowel cancer operations in 2024 | 2%National: 2.6%No banding publishedMore measures
| 69.6%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional0.4% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | King George Hospital: Requires improvement (CQC report for King George Hospital) Queen's Hospital: Requires improvement (CQC report for Queen's Hospital) |
| Barts Health NHS TrustWhole trust. Hospitals: Newham University Hospital, St Bartholomew’s Hospital, The Royal London Hospital, Whipps Cross University Hospital | 150 to 199155 major bowel cancer operations in 2024 | 1.7%National: 2.6%No banding publishedMore measures
| 74.6%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional53.5% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Newham University Hospital: Requires improvement (CQC report for Newham University Hospital) St Bartholomew's Hospital: Good (CQC report for St Bartholomew's Hospital) The Royal London Hospital: Requires improvement (CQC report for The Royal London Hospital) Whipps Cross University Hospital: Requires improvement (CQC report for Whipps Cross University Hospital) |
| Chelsea and Westminster Hospital NHS Foundation TrustWhole trust. Hospitals: Chelsea and Westminster Hospital, West Middlesex University Hospital | 100 to 149148 major bowel cancer operations in 2024 | 2%National: 2.6%No banding publishedMore measures
| 87%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional6.2% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Chelsea and Westminster Hospital: Good (CQC report for Chelsea and Westminster Hospital) West Middlesex University Hospital: Good (CQC report for West Middlesex University Hospital) |
| Croydon Health Services NHS TrustWhole trust. Hospitals: Croydon University Hospital | Fewer than 10081 major bowel cancer operations in 2024 | 5%National: 2.6%No banding publishedMore measures
| 54.7%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional30.5% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Croydon University Hospital) |
| Epsom and St Helier University Hospitals NHS TrustWhole trust. Hospitals: St Helier Hospital and Queen Mary’s Hospital for Children | 100 to 149127 major bowel cancer operations in 2024 | 3.4%National: 2.6%No banding publishedMore measures
| 90.1%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional36.3% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, 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 St Helier Hospital and Queen Mary's Hospital for Children) |
| Guy's and St Thomas' NHS Foundation TrustWhole trust. Hospitals: Guy’s Hospital, Harefield Hospital, Royal Brompton Hospital, St Thomas’ Hospital | 100 to 149116 major bowel cancer operations in 2024 | 1%National: 2.6%No banding publishedMore measures
| 74.4%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional14.3% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | Better than expectedInpatients rated their overall experience 8.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Guy's Hospital: Good (CQC report for Guy's Hospital) Harefield Hospital: Good (CQC report for Harefield Hospital) Royal Brompton Hospital: Good (CQC report for Royal Brompton Hospital) St Thomas' Hospital: Good (CQC report for St Thomas' Hospital) |
| The Hillingdon Hospitals NHS Foundation TrustWhole trust. Hospitals: Mount Vernon Hospital, The Hillingdon Hospital | Fewer than 10090 major bowel cancer operations in 2024 | 3.4%National: 2.6%No banding publishedMore measures
| 82%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional27.1% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Mount Vernon Hospital: Good (CQC report for Mount Vernon Hospital) The Hillingdon Hospital: Requires improvement (CQC report for The Hillingdon Hospital) |
| Homerton Healthcare NHS Foundation TrustWhole trust. Hospitals: Homerton University Hospital | Fewer than 10073 major bowel cancer operations in 2024 | 3.9%National: 2.6%No banding publishedMore measures
| 81.1%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional31.1% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Outstanding (CQC report for Homerton University Hospital) |
| Imperial College Healthcare NHS TrustWhole trust. Hospitals: Charing Cross Hospital, Hammersmith Hospital, Queen Charlottes and Chelsea Hospital, St Mary’s Hospital, Western Eye Hospital | 100 to 149130 major bowel cancer operations in 2024 | 3%National: 2.6%No banding publishedMore measures
| 56.9%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional1% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 8.4 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Charing Cross Hospital: Good (CQC report for Charing Cross Hospital) Hammersmith Hospitals: Requires improvement (CQC report for Hammersmith Hospitals) Queen Charlottes and Chelsea Hospital: Outstanding (CQC report for Queen Charlottes and Chelsea Hospital) St Mary's Hospital: Requires improvement (CQC report for St Mary's Hospital) |
| King's College Hospital NHS Foundation TrustWhole trust. Hospitals: King’s College Hospital, Princess Royal University Hospital | 150 to 199182 major bowel cancer operations in 2024 | 1.6%National: 2.6%No banding publishedMore measures
| 54%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional38.1% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | King's College Hospital: Requires improvement (CQC report for King's College Hospital) Princess Royal University Hospital: Requires improvement (CQC report for Princess Royal University Hospital) |
| Kingston and Richmond NHS Foundation TrustWhole trust. Hospitals: Kingston Hospital | Fewer than 10097 major bowel cancer operations in 2024 | 1%National: 2.6%No banding publishedMore measures
| 80.6%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional46.7% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for Kingston Hospital) |
| Lewisham and Greenwich NHS TrustWhole trust. Hospitals: Queen Elizabeth Hospital, University Hospital Lewisham | 100 to 149108 major bowel cancer operations in 2024 | 2.1%National: 2.6%No banding publishedMore measures
| 61.3%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional22% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Queen Elizabeth Hospital: Good (CQC report for Queen Elizabeth Hospital) University Hospital Lewisham: Requires improvement (CQC report for University Hospital Lewisham) |
| London North West University Healthcare NHS TrustWhole trust. Hospitals: Central Middlesex Hospital, Ealing Hospital, Northwick Park Hospital, St Mark’s Hospital | 150 to 199167 major bowel cancer operations in 2024 | 2.4%National: 2.6%No banding publishedMore measures
| 89.2%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional7.8% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Central Middlesex Hospital: Good (CQC report for Central Middlesex Hospital) Ealing Hospital: Requires improvement (CQC report for Ealing Hospital) Northwick Park Hospital: Requires improvement (CQC report for Northwick Park Hospital) |
| Royal Free London NHS Foundation TrustWhole trust. Hospitals: Barnet General Hospital, Chase Farm Hospital, North Middlesex University Hospital, The Royal Free Hospital | 200 or more249 major bowel cancer operations in 2024 | 2.2%National: 2.6%No banding publishedMore measures
| 88.7%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional46.1% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Barnet General Hospital: Requires improvement (CQC report for Barnet General Hospital) Chase Farm Hospital: Good (CQC report for Chase Farm Hospital) North Middlesex University Hospital: Requires improvement (CQC report for North Middlesex University Hospital) The Royal Free Hospital: Requires improvement (CQC report for The Royal Free Hospital) |
| The Royal Marsden NHS Foundation TrustWhole trust. Hospitals: The Royal Marsden, London, The Royal Marsden, Sutton | Fewer than 10057 major bowel cancer operations in 2024 | 0%National: 2.6%No banding publishedMore measures
| 58.6%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional12.2% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | Much better than expectedInpatients rated their overall experience 9.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | The Royal Marsden, London: Outstanding (CQC report for The Royal Marsden, London) The Royal Marsden, Sutton: Outstanding (CQC report for The Royal Marsden, Sutton) |
| St George's University Hospitals NHS Foundation TrustWhole trust. Hospitals: St George’s Hospital, Tooting | 100 to 149132 major bowel cancer operations in 2024 | 0%National: 2.6%No banding publishedMore measures
| 77.6%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional0.4% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | About the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for St George's Hospital, Tooting) |
| University College London Hospitals NHS Foundation TrustWhole trust. Hospitals: Hospital For Tropical Diseases, The National Hospital for Neurology and Neurosurgery, The Royal London Hospital for Integrated Medicine, University College Hospital & Elizabeth Garrett Anderson Wing, University College Hospital at Westmoreland Street | 150 to 199183 major bowel cancer operations in 2024 | 0.8%National: 2.6%No banding publishedMore measures
| 87.6%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional3.3% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, August 2026) | Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | The National Hospital for Neurology and Neurosurgery: Good (CQC report for The National Hospital for Neurology and Neurosurgery) University College Hospital & Elizabeth Garrett Anderson Wing: Good (CQC report for University College Hospital & Elizabeth Garrett Anderson Wing) |
| Whittington Health NHS TrustWhole trust. Hospitals: The Whittington Hospital | Fewer than 10010 major bowel cancer operations in 2024 | 0%National: 2.6%No banding publishedMore measures
| Too few patients to comparestarted cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 61.2%), June to August 2026, provisional1.5% of people waiting for a colonoscopy had waited 6 weeks or more (England 30.9%, 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 The Whittington Hospital) |
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 130 NHS trusts and health boards in the NBOCA data tables in the published table, rounded. So about a quarter of NHS trusts and health boards in the NBOCA data tables 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. This audit publishes figures for each NHS trust, which may run several hospitals. The operation may only be done at one of them.
- 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.
- National figures. National figures are the 'Overall' (England and Wales) row of the NBOCA data tables.
- 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 Bowel Cancer Audit (NBOCA) State of the Nation 2026 data tables, NATCAN (Royal College of Surgeons of England) for HQIP. Source: National Bowel Cancer Audit (NBOCA), NATCAN / HQIP, State of the Nation 2026. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- Cancer Waiting Times (provider extract), NHS England. Source: NHS England, Cancer Waiting Times. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- Diagnostic Waiting Times and Activity (DM01), NHS England. Source: NHS England, Diagnostic Waiting Times and Activity (DM01). 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 22 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 22 October 2026.
- Treatment for bowel cancer (NHS website)
- Bowel cancer (NHS website)
- National Bowel Cancer Audit State of the Nation report 2026 (NATCAN)
- Cancer Waiting Times (NHS England)
- Adult inpatient survey (Care Quality Commission)
Spotted something out of date? Tell us.