Hip replacement in the North West: 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 West

50 hospitals in the North West 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 West, Joint replacements, all joints, 2025 (NJR)
HospitalVolume bandJoint replacements, all joints, 2025 (NJR)Key outcomeNJR outlier statusWaiting timeWhole trustPatient experienceCQC rating
Alder Hey Children's HospitalNHS · Alder Hey Children's NHS Foundation TrustFewer than 4009 joint replacements of all kinds recorded in 2025Earlier years: 2023: 2, 2024: 10Not identified as an outlier
More measures
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 13 cases, 23.7 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
Not published for this specialtyNot publishedGood (CQC report for Alder Hey Children's Hospital)
The Alexandra HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,599 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,442, 2024: 1,439Not 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 The Alexandra Hospital)
Arrowe Park HospitalNHS · Wirral University Teaching Hospital NHS Foundation Trust400 to 749711 joint replacements of all kinds recorded in 2025Earlier years: 2023: 668, 2024: 764Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.96 (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): 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 58.3% 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 Arrowe Park Hospital)
The Beardwood HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.750 to 999975 joint replacements of all kinds recorded in 2025Earlier years: 2023: 833, 2024: 912Not 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 The Beardwood Hospital)
The Beaumont HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.400 to 749501 joint replacements of all kinds recorded in 2025Earlier years: 2023: 391, 2024: 454Not 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 The Beaumont Hospital)
Blackpool Victoria HospitalNHS · Blackpool Teaching Hospitals NHS Foundation Trust1,000 or more1,071 joint replacements of all kinds recorded in 2025Earlier years: 2023: 577, 2024: 997Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.30 (Higher than expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 16.4 (Lower health gain than expected, outside the 99.8% limit) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.5 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.5% 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 Blackpool Victoria Hospital)
Broadgreen HospitalNHS · Liverpool University Hospitals NHS Foundation Trust1,000 or more1,081 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,014, 2024: 1,084Identified as an outlier: hip 10-year revision
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.97 (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): 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: identified as an outlier
16.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 54.7% waiting under 18 weeks (August 2026)About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)No Approved Rating (CQC report for Broadgreen Hospital)
Burnley General HospitalNHS · East Lancashire Hospitals NHS Trust400 to 749667 joint replacements of all kinds recorded in 2025Earlier years: 2023: 654, 2024: 697Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.27 (Higher than expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 20.9 (Within the expected range) 2024-25
  • 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
  • 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. 78.1% 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 Burnley General Hospital)
Chorley and South Ribble HospitalNHS · Lancashire Teaching Hospitals NHS Foundation Trust400 to 749542 joint replacements of all kinds recorded in 2025Earlier years: 2023: 377, 2024: 512Identified as an outlier: hip 10-year revision
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): 22.7 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: identified as an outlier
16.2 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.5% waiting under 18 weeks (August 2026)Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust)Requires improvement (CQC report for Chorley and South Ribble Hospital)
Clatterbridge HospitalNHS · Wirral University Teaching Hospital NHS Foundation Trust400 to 749621 joint replacements of all kinds recorded in 2025Earlier years: 2023: 817, 2024: 833Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.96 (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): 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 58.3% 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 Clatterbridge Hospital)
The Countess of Chester HospitalNHS · Countess of Chester Hospital NHS Foundation Trust400 to 749570 joint replacements of all kinds recorded in 2025Earlier years: 2023: 398, 2024: 410Not identified as an outlier
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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
11.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 67.2% 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 The Countess of Chester Hospital)
Cumberland InfirmaryNHS · North Cumbria Integrated Care NHS Foundation Trust750 to 999767 joint replacements of all kinds recorded in 2025Earlier years: 2023: 561, 2024: 786Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.09 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.9 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.5 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 60.2% 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 Cumberland Infirmary)
Euxton Hall HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.400 to 749622 joint replacements of all kinds recorded in 2025Earlier years: 2023: 621, 2024: 650Not 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 Euxton Hall Hospital)
Fairfield General HospitalNHS · Northern Care Alliance NHS Foundation Trust1,000 or more1,313 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,311, 2024: 1,328Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.96 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 22.7 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 54.3% 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)No Approved Rating (CQC report for Fairfield General Hospital)
Fulwood Hall HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.750 to 999944 joint replacements of all kinds recorded in 2025Earlier years: 2023: 952, 2024: 1,069Identified as an outlier: hip 10-year revision
Each NJR measure
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: identified as an outlier
Not published for private hospitalsNot covered by NHS patient surveysGood (CQC report for Fulwood Hall Hospital)
Furness General HospitalNHS · University Hospitals of Morecambe Bay NHS Foundation TrustFewer than 400339 joint replacements of all kinds recorded in 2025Earlier years: 2023: 296, 2024: 387Not 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): 22.8 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
12.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 61.7% 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 Furness General Hospital)
The Highfield HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,256 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,149, 2024: 1,271Not 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 surveysOutstanding (CQC report for The Highfield Hospital)
Lancaster Private HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.400 to 749415 joint replacements of all kinds recorded in 2025Earlier years: 2023: 461, 2024: 384Not 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 surveysRequires improvement (CQC report for Lancaster Private Hospital)
Leighton HospitalNHS · Mid Cheshire Hospitals NHS Foundation Trust1,000 or more1,037 joint replacements of all kinds recorded in 2025Earlier years: 2023: 818, 2024: 1,017Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.05 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.2 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 59% waiting under 18 weeks (August 2026)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 Trust400 to 749546 joint replacements of all kinds recorded in 2025Earlier years: 2023: 455, 2024: 379Not 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): 24.0 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
13.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 60.9% waiting under 18 weeks (August 2026)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 400104 joint replacements of all kinds recorded in 2025Earlier years: 2023: 34, 2024: 77Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.00 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.1 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 59% 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 Manchester Royal Infirmary)
North Manchester General HospitalNHS · Manchester University NHS Foundation TrustFewer than 40089 joint replacements of all kinds recorded in 2025Earlier years: 2023: 68, 2024: 60Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.00 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.1 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 59% 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 North Manchester General Hospital)
Nuffield Health The Grosvenor Hospital ChesterPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.400 to 749723 joint replacements of all kinds recorded in 2025Earlier years: 2023: 719, 2024: 746Not 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 The Grosvenor Hospital Chester)
Oaklands HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.750 to 999956 joint replacements of all kinds recorded in 2025Earlier years: 2023: 852, 2024: 919Not 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 Oaklands Hospital)
Ormskirk District General HospitalNHS · Mersey and West Lancashire Teaching Hospitals NHS Trust400 to 749404 joint replacements of all kinds recorded in 2025Earlier years: 2023: 307, 2024: 396Not 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): 19.3 (Lower health gain than expected, outside the 99.8% limit) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
9.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 67.4% 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 Ormskirk District General Hospital)
Royal Albert Edward InfirmaryNHS · Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation TrustFewer than 400346 joint replacements of all kinds recorded in 2025Earlier years: 2023: 200, 2024: 296Not 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): 23.2 (Higher health gain than expected, outside the 95% limit) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
13.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 62.5% 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 Royal Albert Edward Infirmary)
Royal Blackburn HospitalNHS · East Lancashire Hospitals NHS Trust400 to 749448 joint replacements of all kinds recorded in 2025Earlier years: 2023: 122, 2024: 299Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.27 (Higher than expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 20.9 (Within the expected range) 2024-25
  • 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
  • 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. 78.1% 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 Royal Blackburn Hospital)
Royal Bolton HospitalNHS · Bolton NHS Foundation Trust750 to 999812 joint replacements of all kinds recorded in 2025Earlier years: 2023: 530, 2024: 739Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.12 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.5 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.2% waiting under 18 weeks (August 2026)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 Trust400 to 749452 joint replacements of all kinds recorded in 2025Earlier years: 2023: 380, 2024: 462Not 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): 22.8 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
12.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 61.7% 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)Good (CQC report for Royal Lancaster Infirmary)
Royal Manchester Children's HospitalNHS · Manchester University NHS Foundation TrustNot published (small numbers)Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.00 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.1 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 59% 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)Good (CQC report for Royal Manchester Children's Hospital)
Royal Oldham HospitalNHS · Northern Care Alliance NHS Foundation TrustFewer than 40086 joint replacements of all kinds recorded in 2025Earlier years: 2023: 53, 2024: 66Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.96 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 22.7 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 54.3% 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)No Approved Rating (CQC report for Royal Oldham Hospital)
Royal Preston HospitalNHS · Lancashire Teaching Hospitals NHS Foundation TrustFewer than 400268 joint replacements of all kinds recorded in 2025Earlier years: 2023: 84, 2024: 206Not 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): 22.7 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
16.2 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 55.5% waiting under 18 weeks (August 2026)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 400184 joint replacements of all kinds recorded in 2025Earlier years: 2023: 57, 2024: 88Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.96 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 22.7 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
15.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 54.3% 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 Salford Royal Hospital)
Southport and Formby District General HospitalNHS · Mersey and West Lancashire Teaching Hospitals NHS TrustFewer than 400223 joint replacements of all kinds recorded in 2025Earlier years: 2023: 67, 2024: 222Not 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): 19.3 (Lower health gain than expected, outside the 99.8% limit) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
9.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 67.4% 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 Southport and Formby District General Hospital)
Spire Cheshire HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,045 joint replacements of all kinds recorded in 2025Earlier years: 2023: 895, 2024: 900Not 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 surveysOutstanding (CQC report for Spire Cheshire Hospital)
Spire Fylde Coast HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,131 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,124, 2024: 1,166Not 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 Fylde Coast Hospital)
Spire Liverpool HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.750 to 999902 joint replacements of all kinds recorded in 2025Earlier years: 2023: 950, 2024: 921Identified as an outlier: hip 5-year revision; hip 10-year revision
Each NJR measure
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: identified as an outlier
  • Hip 10-year revision: identified as an outlier
Not published for private hospitalsNot covered by NHS patient surveysGood (CQC report for Spire Liverpool Hospital)
Spire Manchester HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.1,000 or more1,381 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,079, 2024: 1,162Not 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 surveysOutstanding (CQC report for Spire Manchester Hospital)
Spire Murrayfield HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.750 to 999885 joint replacements of all kinds recorded in 2025Earlier years: 2023: 966, 2024: 838Not 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 Murrayfield Hospital)
Spire Regency HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations.750 to 999798 joint replacements of all kinds recorded in 2025Earlier years: 2023: 740, 2024: 867Not 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 Regency Hospital)
Stepping Hill HospitalNHS · Stockport NHS Foundation Trust750 to 999949 joint replacements of all kinds recorded in 2025Earlier years: 2023: 467, 2024: 681Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.89 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 22.8 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 59% waiting under 18 weeks (August 2026)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 Trust400 to 749606 joint replacements of all kinds recorded in 2025Earlier years: 2023: 656, 2024: 679Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.13 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 20.7 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
11.5 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 67% 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 Tameside General Hospital)
Trafford General HospitalNHS · Manchester University NHS Foundation Trust750 to 999821 joint replacements of all kinds recorded in 2025Earlier years: 2023: 464, 2024: 699Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.00 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.1 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 59% 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)Good (CQC report for Trafford General Hospital)
University Hospital AintreeNHS · Liverpool University Hospitals NHS Foundation Trust400 to 749610 joint replacements of all kinds recorded in 2025Earlier years: 2023: 360, 2024: 625Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.97 (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): 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
16.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 54.7% waiting under 18 weeks (August 2026)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 University Hospital Aintree)
Warrington HospitalNHS · Warrington and Halton Teaching Hospitals NHS Foundation TrustFewer than 400250 joint replacements of all kinds recorded in 2025Earlier years: 2023: 158, 2024: 234Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.06 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 20.6 (Lower health gain than expected, outside the 95% limit) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
17.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 52.1% 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 Warrington Hospital)
West Cumberland HospitalNHS · North Cumbria Integrated Care NHS Foundation Trust400 to 749465 joint replacements of all kinds recorded in 2025Earlier years: 2023: 341, 2024: 383Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.09 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 21.9 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.5 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 60.2% 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 West Cumberland Hospital)
Westmorland General HospitalNHS · University Hospitals of Morecambe Bay NHS Foundation Trust400 to 749691 joint replacements of all kinds recorded in 2025Earlier years: 2023: 617, 2024: 563Not 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): 22.8 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
12.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 61.7% 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)Good (CQC report for Westmorland General Hospital)
Whiston HospitalNHS · Mersey and West Lancashire Teaching Hospitals NHS Trust1,000 or more1,294 joint replacements of all kinds recorded in 2025Earlier years: 2023: 563, 2024: 753Not 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): 19.3 (Lower health gain than expected, outside the 99.8% limit) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
9.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 67.4% 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)Not Rated (CQC report for Whiston Hospital)
Wrightington HospitalNHS · Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust1,000 or more4,119 joint replacements of all kinds recorded in 2025Earlier years: 2023: 3,322, 2024: 4,081Not 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): 23.2 (Higher health gain than expected, outside the 95% limit) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
13.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 62.5% 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)Good (CQC report for Wrightington Hospital)
Wythenshawe HospitalNHS · Manchester University NHS Foundation Trust400 to 749650 joint replacements of all kinds recorded in 2025Earlier years: 2023: 245, 2024: 566Not identified as an outlier
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.00 (As expected) 2025-06 to 2026-05
  • Oxford Hip Score health gain (PROMs, adjusted): 23.1 (Within the expected range) 2024-25
  • 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
  • Hip 90-day mortality: not an outlier
  • Hip 5-year revision: not an outlier
  • Hip 10-year revision: not an outlier
14.4 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 59% 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 Wythenshawe 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.