Hip replacement in the North East: hospitals compared

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 North East

20 hospitals in the North East 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.

Hip replacement: hospitals in the North East, Joint replacements, all joints, 2025 (NJR)
HospitalVolume bandJoint replacements, all joints, 2025 (NJR)Key outcomeNJR outlier statusWaiting timeWhole trustPatient experienceCQC rating
Bishop Auckland HospitalNHS · County Durham and Darlington NHS Foundation Trust750 to 999885 joint replacements of all kinds recorded in 2025Earlier years: 2023: 564, 2024: 745Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.26 (Higher than expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.7 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 69 cases, 20.6 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
7.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 74.6% 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 Approved Rating (CQC report for Bishop Auckland Hospital)
Darlington Memorial HospitalNHS · County Durham and Darlington NHS Foundation Trust400 to 749509 joint replacements of all kinds recorded in 2025Earlier years: 2023: 322, 2024: 467Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.26 (Higher than expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.7 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 69 cases, 20.6 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
7.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 74.6% 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)Good (CQC report for Darlington Memorial Hospital)
Freeman HospitalNHS · The Newcastle upon Tyne Hospitals NHS Foundation Trust1,000 or more1,463 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,103, 2024: 1,523Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.93 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 130 cases, 28.0 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
12.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 62.7% waiting under 18 weeks (August 2026)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 Freeman Hospital)
Hexham General HospitalNHS · Northumbria Healthcare NHS Foundation TrustFewer than 4001 joint replacements of all kinds recorded in 2025Earlier years: 2023: 938, 2024: 1,001Identified as an outlier: hip 10-year revision
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.03 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 24.3 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 46 cases, 15.7 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: identified as an outlier
12.1 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 70.5% waiting under 18 weeks (August 2026)Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Outstanding (CQC report for Hexham General Hospital)
The James Cook University HospitalNHS · South Tees Hospitals NHS Foundation Trust750 to 999807 joint replacements of all kinds recorded in 2025Earlier years: 2023: 646, 2024: 809Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.02 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.7 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 92 cases, 29.3 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
12.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 67.5% waiting under 18 weeks (August 2026)About the same as other trustsInpatients rated their overall experience 8.4 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for The James Cook University Hospital)
North Tyneside General HospitalNHS · Northumbria Healthcare NHS Foundation Trust1,000 or more1,395 joint replacements of all kinds recorded in 2025Earlier years: 2023: 673, 2024: 950Identified as an outlier: hip 10-year revision
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.03 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 24.3 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 46 cases, 15.7 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: identified as an outlier
12.1 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 70.5% waiting under 18 weeks (August 2026)Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for North Tyneside General Hospital)
Northumbria Specialist Emergency Care HospitalNHS · Northumbria Healthcare NHS Foundation Trust400 to 749573 joint replacements of all kinds recorded in 2025Earlier years: 2023: 434, 2024: 580Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.03 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 24.3 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 46 cases, 15.7 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
12.1 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 70.5% waiting under 18 weeks (August 2026)Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for Northumbria Specialist Emergency Care Hospital)
Nuffield Health Newcastle-upon-Tyne HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,230 joint replacements of all kinds recorded in 2025Earlier years: 2023: 945, 2024: 1,012Not identified as an outlier
Each NJR measure
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
Not published for private hospitalsNot covered by NHS patient surveysGood (CQC report for Nuffield Health Newcastle-upon-Tyne Hospital)
Nuffield Health Tees HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,338 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,197, 2024: 1,240Not identified as an outlier
Each NJR measure
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
Not published for private hospitalsNot covered by NHS patient surveysGood (CQC report for Nuffield Health Tees Hospital)
Queen Elizabeth HospitalNHS · Gateshead Health NHS Foundation Trust1,000 or more1,013 joint replacements of all kinds recorded in 2025Earlier years: 2023: 783, 2024: 1,017Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.07 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.0 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 30 cases, 18.1 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 58.5% waiting under 18 weeks (August 2026)Better than expectedInpatients rated their overall experience 8.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for Queen Elizabeth Hospital)
Royal Victoria InfirmaryNHS · The Newcastle upon Tyne Hospitals NHS Foundation TrustFewer than 40089 joint replacements of all kinds recorded in 2025Earlier years: 2023: 15, 2024: 239Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.93 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 130 cases, 28.0 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
12.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 62.7% waiting under 18 weeks (August 2026)About the same as other trustsInpatients rated their overall experience 8.4 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Not Rated (CQC report for Royal Victoria Infirmary)
South Tyneside District HospitalNHS · South Tyneside and Sunderland NHS FTFewer than 400330 joint replacements of all kinds recorded in 2025Earlier years: 2023: 247, 2024: 349Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.19 (Higher than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 58 cases, 16.5 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.4% waiting under 18 weeks (August 2026)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 South Tyneside District Hospital)
Spire Washington HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,623 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,384, 2024: 1,498Not identified as an outlier
Each NJR measure
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
Not published for private hospitalsNot covered by NHS patient surveysGood (CQC report for Spire Washington Hospital)
Sunderland Royal HospitalNHS · South Tyneside and Sunderland NHS FT1,000 or more1,105 joint replacements of all kinds recorded in 2025Earlier years: 2023: 955, 2024: 1,136Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.19 (Higher than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 58 cases, 16.5 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.4% waiting under 18 weeks (August 2026)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 Sunderland Royal Hospital)
Tees Valley HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.750 to 999939 joint replacements of all kinds recorded in 2025Earlier years: 2023: 856, 2024: 944Not identified as an outlier
Each NJR measure
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
Not published for private hospitalsNot covered by NHS patient surveysGood (CQC report for Tees Valley Hospital)
University Hospital North DurhamNHS · County Durham and Darlington NHS Foundation Trust400 to 749532 joint replacements of all kinds recorded in 2025Earlier years: 2023: 381, 2024: 473Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.26 (Higher than expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.7 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 69 cases, 20.6 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
7.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 74.6% 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)Good (CQC report for University Hospital North Durham)
University Hospital of HartlepoolNHS · North Tees and Hartlepool NHS Foundation Trust400 to 749669 joint replacements of all kinds recorded in 2025Earlier years: 2023: 617, 2024: 732Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.01 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.8 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 40 cases, 22.3 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 85.1% 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)Requires improvement (CQC report for University Hospital of Hartlepool)
University Hospital of North TeesNHS · North Tees and Hartlepool NHS Foundation Trust400 to 749431 joint replacements of all kinds recorded in 2025Earlier years: 2023: 194, 2024: 224Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.01 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.8 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 40 cases, 22.3 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 85.1% 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)Requires improvement (CQC report for University Hospital of North Tees)
Wansbeck General HospitalNHS · Northumbria Healthcare NHS Foundation Trust1,000 or more2,341 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,553, 2024: 1,837Identified as an outlier: hip 10-year revision
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.03 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 24.3 (Within the expected range) 2024-25
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 46 cases, 15.7 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: identified as an outlier
12.1 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 70.5% waiting under 18 weeks (August 2026)Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Outstanding (CQC report for Wansbeck General Hospital)
Woodlands HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,239 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,288, 2024: 1,211Not identified as an outlier
Each NJR measure
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
Not published for private hospitalsNot covered by NHS patient surveysGood (CQC report for Woodlands 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

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.

Spotted something out of date? Tell us.