An emergency laparotomy is urgent surgery on the abdomen, usually on the bowel, for problems such as a blocked or torn bowel, bleeding or serious infection such as peritonitis. Many patients are older or very unwell, and it is one of the highest-risk operations hospitals carry out.
You do not choose the hospital for emergency surgery. The National Emergency Laparotomy Audit (NELA) publishes each hospital's death rate within 30 days, adjusted for how ill patients were, together with the range that would be expected for a hospital of that size (funnel limits).
Hospitals in the West Midlands
16 hospitals in the West Midlands with published figures. Sorted by name. This is not a ranking: read how to read this first.
| Hospital | Volume bandEmergency laparotomies, NELA year 11 | Key outcome30-day deaths (risk-adjusted) and NELA funnel limits | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| Alexandra HospitalNHS · Worcestershire Acute Hospitals NHS TrustOnly 8% of the hospital's eligible emergency laparotomies were entered in the audit (case ascertainment), so these figures may not represent all patients. | Not published (small numbers) | Not published (small numbers)More measures
| 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 Alexandra Hospital) |
| Birmingham Heartlands HospitalNHS · University Hospitals Birmingham NHS Foundation Trust | 150 or more185 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 12.3%Within the 95% funnel limits95% limits for a hospital of this size: 4.1% to 12.5%More measures
| 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) | No Approved Rating (CQC report for Birmingham Heartlands Hospital) |
| The County HospitalNHS · Wye Valley NHS Trust | 100 to 149118 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 7.78%Within the 95% funnel limits95% limits for a hospital of this size: 3.1% to 13.8%More measures
| Not applicable (emergency care) | 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) |
| George Eliot NHS HospitalNHS · George Eliot Hospital NHS TrustOnly 61% of the hospital's eligible emergency laparotomies were entered in the audit (case ascertainment), so these figures may not represent all patients. | 75 to 9975 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 8.54%Within the 95% funnel limits95% limits for a hospital of this size: 1.7% to 15.5%More measures
| Not applicable (emergency care) | 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) |
| Good Hope HospitalNHS · University Hospitals Birmingham NHS Foundation Trust | 75 to 9991 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 8.19%Within the 95% funnel limits95% limits for a hospital of this size: 2.4% to 14.7%More measures
| 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) | No Approved Rating (CQC report for Good Hope Hospital) |
| Manor Hospital, Moat RoadNHS · Walsall Healthcare NHS Trust | 100 to 149110 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 5.72%Within the 95% funnel limits95% limits for a hospital of this size: 2.9% to 14%More measures
| 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 Manor Hospital, Moat Road) |
| Midland Metropolitan University HospitalNHS · Sandwell and West Birmingham Hospitals NHS Trust | 75 to 9978 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 5.67%Within the 95% funnel limits95% limits for a hospital of this size: 1.9% to 15.3%More measures
| 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) | No Approved Rating (CQC report for Midland Metropolitan University Hospital) |
| New Cross HospitalNHS · The Royal Wolverhampton NHS Trust | 150 or more219 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 10.1%Within the 95% funnel limits95% limits for a hospital of this size: 4.4% to 12.1%More measures
| 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 New Cross Hospital) |
| Queen Elizabeth Hospital BirminghamNHS · University Hospitals Birmingham NHS Foundation Trust | 150 or more192 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 9.77%Within the 95% funnel limits95% limits for a hospital of this size: 4.2% to 12.4%More measures
| 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) | Requires improvement (CQC report for Queen Elizabeth Hospital Birmingham) |
| Queens HospitalNHS · University Hospitals of Derby and Burton NHS Foundation TrustOnly 46% of the hospital's eligible emergency laparotomies were entered in the audit (case ascertainment), so these figures may not represent all patients. | Fewer than 7570 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 15.18%Within the 95% funnel limits95% limits for a hospital of this size: 1.6% to 15.7%More measures
| 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 Queens Hospital) |
| Royal Shrewsbury HospitalNHS · Shrewsbury and Telford Hospital NHS TrustOnly 47% of the hospital's eligible emergency laparotomies were entered in the audit (case ascertainment), so these figures may not represent all patients. | 100 to 149131 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 8.35%Within the 95% funnel limits95% limits for a hospital of this size: 3.3% to 13.5%More measures
| 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 Shrewsbury Hospital) |
| Royal Stoke University HospitalNHS · University Hospitals of North Midlands NHS TrustOnly 0% of the hospital's eligible emergency laparotomies were entered in the audit (case ascertainment), so these figures may not represent all patients. | Not published (small numbers) | Not published (small numbers)More measures
| 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 Royal Stoke University Hospital) |
| Russells Hall HospitalNHS · The Dudley Group NHS Foundation TrustOnly 65% of the hospital's eligible emergency laparotomies were entered in the audit (case ascertainment), so these figures may not represent all patients. | 100 to 149133 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 8.9%Within the 95% funnel limits95% limits for a hospital of this size: 3.4% to 13.4%More measures
| 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 Russells Hall Hospital) |
| Sandwell Health CampusNHS · Sandwell and West Birmingham Hospitals NHS Trust | 75 to 9978 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 11.43%Within the 95% funnel limits95% limits for a hospital of this size: 1.9% to 15.3%More measures
| 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 Sandwell Health Campus) |
| Warwick HospitalNHS · South Warwickshire University NHS Foundation Trust | 100 to 149145 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 4.59%Within the 95% funnel limits95% limits for a hospital of this size: 3.6% to 13.1%More measures
| Not applicable (emergency care) | 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) |
| Worcestershire Royal HospitalNHS · Worcestershire Acute Hospitals NHS TrustOnly 50% of the hospital's eligible emergency laparotomies were entered in the audit (case ascertainment), so these figures may not represent all patients. | 100 to 149116 emergency laparotomies in NELA year 11 (December 2023 to November 2024) | 4.69%Within the 95% funnel limits95% limits for a hospital of this size: 3% to 13.8%More measures
| 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 Worcestershire 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 172 hospitals in the NELA year 11 table in the published table, rounded. So about a quarter of hospitals in the NELA year 11 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. 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.
- 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 Emergency Laparotomy Audit (NELA) Year 11 hospital table and outlier table, NELA (Royal College of Anaesthetists) for HQIP. Source: National Emergency Laparotomy Audit (NELA) Year 11 report, RCoA / HQIP, licensed under CC BY 4.0. Creative Commons Attribution 4.0
- 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.
- NELA: information for patients and the public (National Emergency Laparotomy Audit)
- Peritonitis (NHS website)
- National Emergency Laparotomy Audit: eleventh annual report (NELA)
- Adult inpatient survey (Care Quality Commission)
Spotted something out of date? Tell us.