Abdominal aortic aneurysm repair in the North West: hospitals compared

An abdominal aortic aneurysm (AAA) is a swelling in the aorta, the main artery that carries blood from the heart through the tummy. Most do not cause problems, but a large aneurysm can burst, which is a life-threatening emergency. Men are offered an ultrasound screening test when they turn 65.

A large aneurysm may be repaired with a planned operation, either open surgery or a stent inserted through the arteries in the groin (endovascular repair). The National Vascular Registry publishes the number of planned repairs at each trust and deaths in hospital afterwards, adjusted for differences between patients. Call 999 for sudden, severe pain in the tummy or back.

Hospitals in the North West

7 trusts in the North West with published figures. Sorted by name. This is not a ranking: read how to read this first.

Abdominal aortic aneurysm (AAA) repair: trusts in the North West, Planned (elective) AAA repairs in 2024 (NVR)
TrustVolume bandPlanned (elective) AAA repairs in 2024 (NVR)Key outcomeDeaths in hospital after planned repair (adjusted)Waiting timeWhole trustPatient experienceCQC rating
Countess of Chester Hospital NHS Foundation TrustWhole trust. Hospitals: The Countess of Chester Hospital50 or more64 planned (elective) AAA repairs in 20240.0%National: 1.3%No banding published
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.90 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 50 cases, 28.7 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 2 cases FY2025-26
Not published for this specialtyAbout 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 The Countess of Chester Hospital)
East Lancashire Hospitals NHS TrustWhole trust. Hospitals: Burnley General Hospital, Royal Blackburn HospitalFewer than 2519 planned (elective) AAA repairs in 20244.4%National: 1.3%No banding published
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.27 (Higher than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 80 cases, 23.7 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 2 cases FY2025-26
Not published for this specialtyAbout the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Burnley General Hospital: Good (CQC report for Burnley General Hospital)
Royal Blackburn Hospital: Good (CQC report for Royal Blackburn Hospital)
Lancashire Teaching Hospitals NHS Foundation TrustWhole trust. Hospitals: Chorley and South Ribble Hospital, Royal Preston HospitalCase ascertainment published as 10%-19%: not every operation was entered in the registry.Fewer than 2511 planned (elective) AAA repairs in 20241.3%National: 1.3%No banding published
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.01 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 84 cases, 28.0 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 2 cases FY2025-26
Not published for this specialtyWorse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Chorley and South Ribble Hospital: Requires improvement (CQC report for Chorley and South Ribble Hospital)
Royal Preston Hospital: Requires improvement (CQC report for Royal Preston Hospital)
Liverpool University Hospitals NHS Foundation TrustWhole trust. Hospitals: Broadgreen Hospital, Royal Liverpool University Hospital, University Hospital Aintree50 or more70 planned (elective) AAA repairs in 20241.4%National: 1.3%No banding published
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.97 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 128 cases, 23.8 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 published for this specialtyAbout the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Broadgreen Hospital: No Approved Rating (CQC report for Broadgreen Hospital)
New Royal Liverpool University: No Approved Rating (CQC report for New Royal Liverpool University)
University Hospital Aintree: Requires improvement (CQC report for University Hospital Aintree)
Manchester University NHS Foundation TrustWhole trust. Hospitals: Manchester Royal Infirmary, North Manchester General Hospital, Royal Manchester Children’s Hospital, Royal Manchester Eye Hospital, Saint Mary’s Hospital, Trafford General Hospital, Wythenshawe HospitalCase ascertainment published as 60%-69%: not every operation was entered in the registry.40 to 4944 planned (elective) AAA repairs in 20241.9%National: 1.3%No banding published
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.00 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 177 cases, 24.0 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 13 cases, 1.8 per 100,000 bed-days FY2025-26
Not published for this specialtyAbout the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Manchester Royal Infirmary: Requires improvement (CQC report for Manchester Royal Infirmary)
North Manchester General Hospital: Requires improvement (CQC report for North Manchester General Hospital)
Royal Manchester Children's Hospital: Good (CQC report for Royal Manchester Children's Hospital)
Royal Manchester Eye Hospital: Outstanding (CQC report for Royal Manchester Eye Hospital)
Saint Mary's Hospital: Requires improvement (CQC report for Saint Mary's Hospital)
Trafford General Hospital: Good (CQC report for Trafford General Hospital)
Wythenshawe Hospital: Requires improvement (CQC report for Wythenshawe Hospital)
North Cumbria Integrated Care NHS Foundation TrustWhole trust. Hospitals: Cockermouth Hospital, Cumberland Infirmary, West Cumberland Hospital25 to 3933 planned (elective) AAA repairs in 20241.2%National: 1.3%No banding published
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.09 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 38 cases, 19.0 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 published for this specialtyAbout the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Cumberland Infirmary: Requires improvement (CQC report for Cumberland Infirmary)
West Cumberland Hospital: Requires improvement (CQC report for West Cumberland Hospital)
Northern Care Alliance NHS Foundation TrustWhole trust. Hospitals: Fairfield General Hospital, Rochdale Infirmary, Royal Oldham Hospital, Salford Royal Hospital25 to 3937 planned (elective) AAA repairs in 20240.8%National: 1.3%No banding published
More measures
  • 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): 117 cases, 21.9 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 published for this specialtyAbout the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Fairfield General Hospital: No Approved Rating (CQC report for Fairfield General Hospital)
Rochdale Infirmary: No Approved Rating (CQC report for Rochdale Infirmary)
Royal Oldham Hospital: No Approved Rating (CQC report for Royal Oldham Hospital)
Salford Royal Hospital: Requires improvement (CQC report for Salford Royal 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 64 trusts and health boards in the NVR table in the published table, rounded. So about a quarter of trusts and health boards in the NVR table 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 figure: England row of the NVR appendix 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

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.