Hip fracture care in North West 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.

Hospitals in the North West

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

Hip fracture surgery: hospitals in the North West, 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
Arrowe Park HospitalNHS · Wirral University Teaching Hospital NHS Foundation Trust400 to 499491 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: 70%National: 58.1%
  • Surgery in line with NICE guidance: 76%National: 73.2%
  • Out of bed by the day after surgery: 86%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): 97 cases, 37.3 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
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 Arrowe Park Hospital)
Blackpool Victoria HospitalNHS · Blackpool Teaching Hospitals NHS Foundation Trust500 or more514 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: 62%National: 58.1%
  • Surgery in line with NICE guidance: 77%National: 73.2%
  • Out of bed by the day after surgery: 90%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.30 (Higher than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 78 cases, 29.0 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 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 Blackpool Victoria Hospital)
The Countess of Chester HospitalNHS · Countess of Chester Hospital NHS Foundation Trust300 to 399394 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: 89%National: 58.1%
  • Surgery in line with NICE guidance: 69%National: 73.2%
  • Out of bed by the day after surgery: 94%National: 82.1%
  • 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 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 The Countess of Chester Hospital)
Cumberland InfirmaryNHS · North Cumbria Integrated Care NHS Foundation Trust500 or more524 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: 47%National: 58.1%
  • Surgery in line with NICE guidance: 75%National: 73.2%
  • Out of bed by the day after surgery: 94%National: 82.1%
  • 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 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 Cumberland Infirmary)
Furness General HospitalNHS · University Hospitals of Morecambe Bay NHS Foundation TrustFewer than 300164 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: 63%National: 58.1%
  • Surgery in line with NICE guidance: 60%National: 73.2%
  • Out of bed by the day after surgery: 78%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.02 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 35 cases, 17.2 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 Furness General Hospital)
Leighton HospitalNHS · Mid Cheshire Hospitals NHS Foundation Trust400 to 499442 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: 60%National: 58.1%
  • Surgery in line with NICE guidance: 83%National: 73.2%
  • Out of bed by the day after surgery: 69%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.05 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 24 cases, 13.9 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 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for Leighton Hospital)
Macclesfield District General HospitalNHS · East Cheshire NHS TrustFewer than 300276 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: 49%National: 58.1%
  • Surgery in line with NICE guidance: 74%National: 73.2%
  • Out of bed by the day after surgery: 68%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.26 (Higher than expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 11 cases, 10.5 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)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 Macclesfield District General Hospital)
Manchester Royal InfirmaryNHS · Manchester University NHS Foundation TrustFewer than 30027 people treated for a hip fracture in 202512%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: 54%National: 82.1%
  • 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 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 Manchester Royal Infirmary)
North Manchester General HospitalNHS · Manchester University NHS Foundation Trust300 to 399341 people treated for a hip fracture in 20258%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 39%National: 58.1%
  • Surgery in line with NICE guidance: 73%National: 73.2%
  • Out of bed by the day after surgery: 89%National: 82.1%
  • 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 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 North Manchester General Hospital)
Royal Albert Edward InfirmaryNHS · Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust400 to 499419 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: 75%National: 73.2%
  • Out of bed by the day after surgery: 87%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.03 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 56 cases, 33.4 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 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for Royal Albert Edward Infirmary)
Royal Blackburn HospitalNHS · East Lancashire Hospitals NHS Trust500 or more548 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: 35%National: 58.1%
  • Surgery in line with NICE guidance: 80%National: 73.2%
  • Out of bed by the day after surgery: 95%National: 82.1%
  • 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 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 Royal Blackburn Hospital)
Royal Bolton HospitalNHS · Bolton NHS Foundation Trust400 to 499423 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: 42%National: 58.1%
  • Surgery in line with NICE guidance: 88%National: 73.2%
  • Out of bed by the day after surgery: 87%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.12 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 60 cases, 29.3 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
Not applicable (emergency care)Somewhat worse than expectedInpatients rated their overall experience 7.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for Royal Bolton Hospital)
Royal Lancaster InfirmaryNHS · University Hospitals of Morecambe Bay NHS Foundation Trust300 to 399319 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: 47%National: 58.1%
  • Surgery in line with NICE guidance: 64%National: 73.2%
  • Out of bed by the day after surgery: 84%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.02 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 35 cases, 17.2 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)Good (CQC report for Royal Lancaster Infirmary)
Royal Oldham HospitalNHS · Northern Care Alliance NHS Foundation Trust400 to 499422 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: 66%National: 58.1%
  • Surgery in line with NICE guidance: 40%National: 73.2%
  • Out of bed by the day after surgery: 72%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): 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 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)No Approved Rating (CQC report for Royal Oldham Hospital)
Royal Preston HospitalNHS · Lancashire Teaching Hospitals NHS Foundation 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: 41%National: 58.1%
  • Surgery in line with NICE guidance: 84%National: 73.2%
  • Out of bed by the day after surgery: 77%National: 82.1%
  • 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 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 Royal Preston Hospital)
Salford Royal HospitalNHS · Northern Care Alliance NHS Foundation TrustFewer than 300283 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: 70%National: 73.2%
  • Out of bed by the day after surgery: 63%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): 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 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 Salford Royal Hospital)
Stepping Hill HospitalNHS · Stockport NHS Foundation Trust400 to 499431 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: 42%National: 58.1%
  • Surgery in line with NICE guidance: 74%National: 73.2%
  • Out of bed by the day after surgery: 82%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): 35 cases, 16.1 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 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 Stepping Hill Hospital)
Tameside General HospitalNHS · Tameside and Glossop Integrated Care NHS Foundation TrustFewer than 300279 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: 52%National: 58.1%
  • Surgery in line with NICE guidance: 63%National: 73.2%
  • Out of bed by the day after surgery: 94%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.13 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 48 cases, 30.0 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)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 Tameside General Hospital)
Warrington HospitalNHS · Warrington and Halton Teaching Hospitals NHS Foundation Trust300 to 399381 people treated for a hip fracture in 202510%National: 5.1%No banding published
More measures
  • Surgery on the day of or day after admission: 30%National: 58.1%
  • Surgery in line with NICE guidance: 76%National: 73.2%
  • Out of bed by the day after surgery: 69%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): 60 cases, 29.8 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 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Good (CQC report for Warrington Hospital)
Whiston HospitalNHS · Mersey and West Lancashire Teaching Hospitals NHS Trust400 to 499445 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: 60%National: 58.1%
  • Surgery in line with NICE guidance: 79%National: 73.2%
  • Out of bed by the day after surgery: 93%National: 82.1%
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.03 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 70 cases, 15.9 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 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Not Rated (CQC report for Whiston Hospital)
Wythenshawe HospitalNHS · Manchester University NHS Foundation Trust500 or more564 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: 75%National: 58.1%
  • Surgery in line with NICE guidance: 70%National: 73.2%
  • Out of bed by the day after surgery: 81%National: 82.1%
  • 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 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 Wythenshawe 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 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.