Hip fracture care in London hospitals

A broken hip (hip fracture) is serious and needs treatment in hospital straight away. It usually happens after a fall and is more common in older people and people with osteoporosis. Almost everyone needs surgery, either to fix the broken bone with screws, nails, rods or plates, or to replace part or all of the hip joint.

If you think someone has broken their hip, call 999. You do not choose the hospital: the ambulance takes you to the nearest suitable one. This page is for understanding the care at your local hospital. The figures come from the National Hip Fracture Database, which records almost every hip fracture treated in England, Wales and Northern Ireland.

London hospitals

21 London hospitals with published figures. Sorted by name. This is not a ranking: read how to read this first.

Hip fracture surgery: London hospitals, People treated for a hip fracture, 2025 (NHFD)
HospitalVolume bandPeople treated for a hip fracture, 2025 (NHFD)Key outcomeDeaths within 30 days (adjusted)Waiting timeWhole trustPatient experienceCQC rating
Barnet General HospitalNHS · Royal Free London NHS Foundation Trust300 to 399344 people treated for a hip fracture in 20254%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 64%National: 58.1%
  • Surgery in line with NICE guidance: 75%National: 73.2%
  • Out of bed by the day after surgery: 74%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.86 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 126 cases, 24.1 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 7 cases FY2025-26
Not applicable (emergency care)Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for Barnet General Hospital)
Chelsea and Westminster HospitalNHS · Chelsea and Westminster Hospital NHS Foundation TrustFewer than 300274 people treated for a hip fracture in 20253%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 55%National: 58.1%
  • Surgery in line with NICE guidance: 70%National: 73.2%
  • Out of bed by the day after surgery: 79%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.78 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 47 cases, 15.7 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 3 cases FY2025-26
Not applicable (emergency care)About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for Chelsea and Westminster Hospital)
Ealing HospitalNHS · London North West University Healthcare NHS TrustFewer than 300171 people treated for a hip fracture in 20251%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 54%National: 58.1%
  • Surgery in line with NICE guidance: 73%National: 73.2%
  • Out of bed by the day after surgery: 92%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.81 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 41 cases, 11.0 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 4 cases FY2025-26
Not applicable (emergency care)Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for Ealing Hospital)
The Hillingdon HospitalNHS · The Hillingdon Hospitals NHS Foundation TrustFewer than 300184 people treated for a hip fracture in 20254%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 80%National: 58.1%
  • Surgery in line with NICE guidance: 58%National: 73.2%
  • Out of bed by the day after surgery: 86%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.92 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 21 cases, 14.5 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 1 case FY2025-26
Not applicable (emergency care)About the same as other trustsInpatients rated their overall experience 8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for The Hillingdon Hospital)
Homerton University HospitalNHS · Homerton Healthcare NHS Foundation TrustFewer than 300114 people treated for a hip fracture in 20255%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 77%National: 58.1%
  • Surgery in line with NICE guidance: 73%National: 73.2%
  • Out of bed by the day after surgery: 78%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.75 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 8 cases FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 2 cases FY2025-26
Not applicable (emergency care)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)
King's College HospitalNHS · King's College Hospital NHS Foundation TrustFewer than 300118 people treated for a hip fracture in 20252%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 36%National: 58.1%
  • Surgery in line with NICE guidance: 64%National: 73.2%
  • Out of bed by the day after surgery: 66%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.98 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 85 cases, 18.1 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 6 cases FY2025-26
Not applicable (emergency care)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 King's College Hospital)
Kingston HospitalNHS · Kingston and Richmond NHS Foundation Trust300 to 399328 people treated for a hip fracture in 20253%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 60%National: 58.1%
  • Surgery in line with NICE guidance: 77%National: 73.2%
  • Out of bed by the day after surgery: 91%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.72 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 25 cases, 17.6 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 4 cases FY2025-26
Not applicable (emergency care)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)
North Middlesex University HospitalNHS · Royal Free London NHS Foundation TrustFewer than 300260 people treated for a hip fracture in 20259%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 46%National: 58.1%
  • Surgery in line with NICE guidance: 71%National: 73.2%
  • Out of bed by the day after surgery: 87%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.86 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 126 cases, 24.1 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 7 cases FY2025-26
Not applicable (emergency care)Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for North Middlesex University Hospital)
Northwick Park HospitalNHS · London North West University Healthcare NHS Trust300 to 399330 people treated for a hip fracture in 20256%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 51%National: 58.1%
  • Surgery in line with NICE guidance: 75%National: 73.2%
  • Out of bed by the day after surgery: 70%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.81 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 41 cases, 11.0 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 4 cases FY2025-26
Not applicable (emergency care)Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for Northwick Park Hospital)
Princess Royal University HospitalNHS · King's College Hospital NHS Foundation Trust300 to 399381 people treated for a hip fracture in 20254%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 59%National: 58.1%
  • Surgery in line with NICE guidance: 71%National: 73.2%
  • Out of bed by the day after surgery: 75%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.98 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 85 cases, 18.1 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 6 cases FY2025-26
Not applicable (emergency care)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 Princess Royal University Hospital)
Queen Elizabeth HospitalNHS · Lewisham and Greenwich NHS Trust300 to 399309 people treated for a hip fracture in 20254%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 65%National: 58.1%
  • Surgery in line with NICE guidance: 45%National: 73.2%
  • Out of bed by the day after surgery: 93%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.92 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 41 cases, 11.6 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 5 cases FY2025-26
Not applicable (emergency care)About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for Queen Elizabeth Hospital)
Queen's HospitalNHS · Barking, Havering and Redbridge University Hospitals NHS Trust500 or more587 people treated for a hip fracture in 20257%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 59%National: 58.1%
  • Surgery in line with NICE guidance: 72%National: 73.2%
  • Out of bed by the day after surgery: 95%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.56 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 52 cases, 15.5 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 4 cases FY2025-26
Not applicable (emergency care)Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for Queen's Hospital)
The Royal Free HospitalNHS · Royal Free London NHS Foundation TrustFewer than 300171 people treated for a hip fracture in 20255%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 47%National: 58.1%
  • Surgery in line with NICE guidance: 80%National: 73.2%
  • Out of bed by the day after surgery: 59%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.86 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 126 cases, 24.1 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 7 cases FY2025-26
Not applicable (emergency care)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 Royal Free Hospital)
St George's Hospital, TootingNHS · St George's University Hospitals NHS Foundation TrustFewer than 300232 people treated for a hip fracture in 20252%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 75%National: 58.1%
  • Surgery in line with NICE guidance: 56%National: 73.2%
  • Out of bed by the day after surgery: 76%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.96 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 41 cases, 13.4 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 1 case FY2025-26
Not applicable (emergency care)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)
St Helier Hospital and Queen Mary's Hospital for ChildrenNHS · Epsom and St Helier University Hospitals NHS Trust300 to 399379 people treated for a hip fracture in 20253%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 92%National: 58.1%
  • Surgery in line with NICE guidance: 76%National: 73.2%
  • Out of bed by the day after surgery: 72%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.18 (Higher than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 38 cases, 16.7 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 3 cases FY2025-26
Not applicable (emergency care)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)
St Mary's HospitalNHS · Imperial College Healthcare NHS TrustFewer than 300170 people treated for a hip fracture in 20255%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 54%National: 58.1%
  • Surgery in line with NICE guidance: 78%National: 73.2%
  • Out of bed by the day after surgery: 58%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.73 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 83 cases, 21.9 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 5 cases FY2025-26
Not applicable (emergency care)About the same as other trustsInpatients rated their overall experience 8.4 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for St Mary's Hospital)
University College Hospital & Elizabeth Garrett Anderson WingNHS · University College London Hospitals NHS Foundation TrustFewer than 300145 people treated for a hip fracture in 20256%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 72%National: 58.1%
  • Surgery in line with NICE guidance: 82%National: 73.2%
  • Out of bed by the day after surgery: 64%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.83 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 68 cases, 27.1 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 3 cases FY2025-26
Not applicable (emergency care)Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for University College Hospital & Elizabeth Garrett Anderson Wing)
University Hospital LewishamNHS · Lewisham and Greenwich NHS TrustFewer than 300197 people treated for a hip fracture in 20253%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 64%National: 58.1%
  • Surgery in line with NICE guidance: 75%National: 73.2%
  • Out of bed by the day after surgery: 81%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.92 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 41 cases, 11.6 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 5 cases FY2025-26
Not applicable (emergency care)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 University Hospital Lewisham)
West Middlesex University HospitalNHS · Chelsea and Westminster Hospital NHS Foundation TrustFewer than 300214 people treated for a hip fracture in 20253%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 76%National: 58.1%
  • Surgery in line with NICE guidance: 73%National: 73.2%
  • Out of bed by the day after surgery: 86%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.78 (Lower than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 47 cases, 15.7 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 3 cases FY2025-26
Not applicable (emergency care)About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for West Middlesex University Hospital)
Whipps Cross University HospitalNHS · Barts Health NHS Trust500 or more518 people treated for a hip fracture in 20257%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 51%National: 58.1%
  • Surgery in line with NICE guidance: 68%National: 73.2%
  • Out of bed by the day after surgery: 82%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.06 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 86 cases, 12.1 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 24 cases, 3.4 per 100,000 bed-days FY2025-26
Not applicable (emergency care)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 Whipps Cross University Hospital)
The Whittington HospitalNHS · Whittington Health NHS TrustFewer than 300169 people treated for a hip fracture in 20257%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 84%National: 58.1%
  • Surgery in line with NICE guidance: 72%National: 73.2%
  • Out of bed by the day after surgery: 78%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.89 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 17 cases, 18.0 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 0 cases FY2025-26
Not applicable (emergency care)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 160 hospitals in the NHFD 2026 report in the published table, rounded. So about a quarter of hospitals in the NHFD 2026 report 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.
  • National figures. National figures are the average of all hospitals in the NHFD file, weighted by number of cases (our calculation); the NHFD file has no national row.
  • 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

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.

Spotted something out of date? Tell us.