Surgery is usually the main treatment for breast cancer. Depending on the size of the cancer and whether it has spread, you may have only the cancer removed (breast-conserving surgery) or the whole breast removed (mastectomy). Other treatments include chemotherapy, radiotherapy, hormone therapy and targeted medicines.
The National Audit of Primary Breast Cancer publishes results for each NHS trust. One measure is how often women need a further operation after breast-conserving surgery, for example because some cancer cells were found at the edge of the tissue removed.
Hospitals in the West Midlands
13 trusts in the West Midlands with published figures. Sorted by name. This is not a ranking: read how to read this first.
| Trust | Volume bandWomen having breast cancer surgery, 2021 to 2023 (NAoPri) | Key outcomeFurther operation after breast-conserving surgery (adjusted) | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| The Dudley Group NHS Foundation TrustWhole trust. Hospitals: Russells Hall Hospital | 600 to 999767 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 15.6%National: 16.2% (unadjusted)No banding publishedMore measures
| 65.4%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | 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 Russells Hall Hospital) |
| George Eliot Hospital NHS TrustWhole trust. Hospitals: George Eliot NHS Hospital | Fewer than 600322 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 21.2%National: 16.2% (unadjusted)No banding publishedMore measures
| 71.1%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | About the same as other trustsInpatients rated their overall experience 8.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for George Eliot NHS Hospital) |
| The Royal Wolverhampton NHS TrustWhole trust. Hospitals: New Cross Hospital | 1,000 to 1,4991,007 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 12.0%National: 16.2% (unadjusted)No banding publishedMore measures
| 78.5%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | 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 New Cross Hospital) |
| Sandwell and West Birmingham Hospitals NHS TrustWhole trust. Hospitals: City Health Campus, Midland Metropolitan University Hospital, Sandwell Health Campus | 600 to 999861 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 18.9%National: 16.2% (unadjusted)No banding publishedMore measures
| 77.1%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | City Health Campus: Requires improvement (CQC report for City Health Campus) Midland Metropolitan University Hospital: No Approved Rating (CQC report for Midland Metropolitan University Hospital) Sandwell Health Campus: Requires improvement (CQC report for Sandwell Health Campus) |
| Shrewsbury and Telford Hospital NHS TrustWhole trust. Hospitals: Royal Shrewsbury Hospital, The Princess Royal Hospital | 1,000 to 1,4991,092 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 16.3%National: 16.2% (unadjusted)No banding publishedMore measures
| 84.8%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | About the same as other trustsInpatients rated their overall experience 8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Royal Shrewsbury Hospital: Requires improvement (CQC report for Royal Shrewsbury Hospital) The Princess Royal Hospital: Requires improvement (CQC report for The Princess Royal Hospital) |
| South Warwickshire University NHS Foundation TrustWhole trust. Hospitals: Warwick Hospital | 600 to 999684 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 21.6%National: 16.2% (unadjusted)No banding publishedMore measures
| 79.7%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | About the same as other trustsInpatients rated their overall experience 8.5 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for Warwick Hospital) |
| University Hospitals Birmingham NHS Foundation TrustWhole trust. Hospitals: Birmingham Heartlands Hospital, Good Hope Hospital, Queen Elizabeth Hospital Birmingham, Solihull Hospital | 1,500 or more1,885 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 17.6%National: 16.2% (unadjusted)No banding publishedMore measures
| 68.4%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Birmingham Heartlands Hospital: No Approved Rating (CQC report for Birmingham Heartlands Hospital) Good Hope Hospital: No Approved Rating (CQC report for Good Hope Hospital) Queen Elizabeth Hospital Birmingham: Requires improvement (CQC report for Queen Elizabeth Hospital Birmingham) Solihull Hospital: No Approved Rating (CQC report for Solihull Hospital) |
| University Hospitals Coventry and Warwickshire NHS TrustWhole trust. Hospitals: University Hospital | 600 to 999951 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 15.6%National: 16.2% (unadjusted)No banding publishedMore measures
| 74.2%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | 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 University Hospital) |
| University Hospitals of Derby and Burton NHS Foundation TrustWhole trust. Hospitals: Queens Hospital | 1,500 or more1,829 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 21.4%National: 16.2% (unadjusted)No banding publishedMore measures
| 37.2%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | 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 Queens Hospital) |
| University Hospitals of North Midlands NHS TrustWhole trust. Hospitals: County Hospital, Royal Stoke University Hospital | 1,000 to 1,4991,349 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 10.1%National: 16.2% (unadjusted)No banding publishedMore measures
| 63.9%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | About the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | County Hospital: Good (CQC report for County Hospital) Royal Stoke University Hospital: Requires improvement (CQC report for Royal Stoke University Hospital) |
| Walsall Healthcare NHS TrustWhole trust. Hospitals: Manor Hospital, Moat Road | Fewer than 600539 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 19.3%National: 16.2% (unadjusted)No banding publishedMore measures
| 96.2%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | 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 Manor Hospital, Moat Road) |
| Worcestershire Acute Hospitals NHS TrustWhole trust. Hospitals: Alexandra Hospital, Kidderminster Hospital and Treatment Centre, Worcestershire Royal Hospital | 1,500 or more1,536 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 18.7%National: 16.2% (unadjusted)No banding publishedMore measures
| 68%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Alexandra Hospital: Requires improvement (CQC report for Alexandra Hospital) Kidderminster Hospital and Treatment Centre: Good (CQC report for Kidderminster Hospital and Treatment Centre) Worcestershire Royal Hospital: Requires improvement (CQC report for Worcestershire Royal Hospital) |
| Wye Valley NHS TrustWhole trust. Hospitals: The County Hospital | Fewer than 600420 women who had surgery for early breast cancer, 2021 to 2023 (3 years) | 18.1%National: 16.2% (unadjusted)No banding publishedMore measures
| 82.8%started cancer treatment within 62 days of an urgent referral or screening (standard 85%; England 69.6%), June to August 2026, provisional | 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 The County 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 115 NHS trusts in the NAoPri table in the published table, rounded. So about a quarter of NHS trusts in the NAoPri 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 figures are England (unadjusted), from the NAoPri data 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
- National Audit of Primary Breast Cancer (NAoPri) State of the Nation 2026 data tables, NATCAN for HQIP. Source: National Audit of Primary Breast Cancer (NAoPri), NATCAN / HQIP, 2026, licensed under CC BY 4.0. Creative Commons Attribution 4.0
- Cancer Waiting Times (provider extract), NHS England. Source: NHS England, Cancer Waiting Times. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- CQC Adult Inpatient Survey 2025 (trust benchmark results), Care Quality Commission. Source: Care Quality Commission, NHS Patient Survey Programme, Adult Inpatient Survey 2025. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- CQC ratings, Care Quality Commission. CQC ratings: Care Quality Commission. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- Healthcare-associated infections: annual counts and rates by trust (financial year 2025 to 2026), UK Health Security Agency. Source: UK Health Security Agency, healthcare-associated infection annual data. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
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.
- Treatment for breast cancer in women (NHS website)
- National Audit of Primary Breast Cancer (NATCAN)
- Cancer Waiting Times (NHS England)
- Adult inpatient survey (Care Quality Commission)
Spotted something out of date? Tell us.