A knee replacement replaces damaged parts of the knee joint with metal or plastic parts. It can replace the whole joint (total knee replacement) or part of it (partial knee replacement). It is most often done for pain and stiffness caused by osteoarthritis, when other treatments have not helped.
Full recovery can take several months or more, and a knee replacement can last for 25 years. All knee replacements in England, NHS and private, are recorded in the National Joint Registry, which publishes outlier status for revision (repeat surgery) rates for total, partial (unicondylar) and kneecap (patellofemoral) replacements.
Hospitals in the West Midlands
38 hospitals in the West Midlands 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.
| Hospital | Volume bandJoint replacements, all joints, 2025 (NJR) | Key outcomeNJR outlier status | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| Alexandra HospitalNHS · Worcestershire Acute Hospitals NHS Trust | 1,000 or more1,139 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,028, 2024: 1,167 | Not identified as an outlierMore measures
| 19.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 46.6% 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 Alexandra Hospital) |
| Birmingham Heartlands HospitalNHS · University Hospitals Birmingham NHS Foundation Trust | 400 to 749653 joint replacements of all kinds recorded in 2025Earlier years: 2023: 97, 2024: 250 | Not identified as an outlierMore measures
| 8.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 77.2% 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) | No Approved Rating (CQC report for Birmingham Heartlands Hospital) |
| Cannock Chase HospitalNHS · The Royal Wolverhampton NHS Trust | 1,000 or more1,631 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,351, 2024: 1,500 | Not identified as an outlierMore measures
| 10.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 71.6% 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 Cannock Chase Hospital) |
| County HospitalNHS · University Hospitals of North Midlands NHS Trust | 400 to 749639 joint replacements of all kinds recorded in 2025Earlier years: 2023: 749, 2024: 516 | Not identified as an outlierMore measures
| 17.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 51.5% 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) | Good (CQC report for County Hospital) |
| The County HospitalNHS · Wye Valley NHS Trust | 750 to 999948 joint replacements of all kinds recorded in 2025Earlier years: 2023: 615, 2024: 716 | Not identified as an outlierMore measures
| 16.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 53% waiting under 18 weeks (August 2026) | 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) |
| The Droitwich Spa HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999904 joint replacements of all kinds recorded in 2025Earlier years: 2023: 973, 2024: 954 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for The Droitwich Spa Hospital) |
| George Eliot NHS HospitalNHS · George Eliot Hospital NHS Trust | 750 to 999830 joint replacements of all kinds recorded in 2025Earlier years: 2023: 500, 2024: 657 | Not identified as an outlierMore measures
| 9.1 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 78.8% waiting under 18 weeks (August 2026) | 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 | 400 to 749443 joint replacements of all kinds recorded in 2025Earlier years: 2023: 797, 2024: 482 | Not identified as an outlierMore measures
| 8.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 77.2% 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) | No Approved Rating (CQC report for Good Hope Hospital) |
| The Harborne HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | Fewer than 40010 joint replacements of all kinds recorded in 2025Earlier years: 2024: 1 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | No Approved Rating (CQC report for The Harborne Hospital) |
| Hospital of St CrossNHS · University Hospitals Coventry and Warwickshire NHS Trust | 1,000 or more1,209 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,140, 2024: 1,217 | Not identified as an outlierMore measures
| 13.1 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 61.6% 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 Hospital of St Cross) |
| Kidderminster Hospital and Treatment CentreNHS · Worcestershire Acute Hospitals NHS Trust | Fewer than 4006 joint replacements of all kinds recorded in 2025Earlier years: 2023: 2, 2024: 7 | Not identified as an outlierMore measures
| 19.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 46.6% 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) | Good (CQC report for Kidderminster Hospital and Treatment Centre) |
| Manor Hospital, Moat RoadNHS · Walsall Healthcare NHS Trust | 750 to 999776 joint replacements of all kinds recorded in 2025 | Not identified as an outlierMore measures
| 11.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 64.5% 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 Manor Hospital, Moat Road) |
| The Meriden HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,064 joint replacements of all kinds recorded in 2025Earlier years: 2023: 697, 2024: 916 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for The Meriden Hospital) |
| Midland Metropolitan University HospitalNHS · Sandwell and West Birmingham Hospitals NHS Trust | 1,000 or more1,342 joint replacements of all kinds recorded in 2025 | Not identified as an outlierMore measures
| 15.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 58.7% 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 Midland Metropolitan University Hospital) |
| New Cross HospitalNHS · The Royal Wolverhampton NHS Trust | 400 to 749479 joint replacements of all kinds recorded in 2025Earlier years: 2023: 371, 2024: 530 | Not identified as an outlierMore measures
| 10.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 71.6% 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 New Cross Hospital) |
| Nuffield Health Hereford HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749528 joint replacements of all kinds recorded in 2025Earlier years: 2023: 577, 2024: 656 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Nuffield Health Hereford Hospital) |
| Nuffield Health North Staffordshire HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,345 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,158, 2024: 1,268 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Nuffield Health North Staffordshire Hospital) |
| Nuffield Health Shrewsbury HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749641 joint replacements of all kinds recorded in 2025Earlier years: 2023: 496, 2024: 579 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Nuffield Health Shrewsbury Hospital) |
| Nuffield Health Warwickshire HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749635 joint replacements of all kinds recorded in 2025Earlier years: 2023: 691, 2024: 701 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Nuffield Health Warwickshire Hospital) |
| Nuffield Health Wolverhampton HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 400 to 749634 joint replacements of all kinds recorded in 2025Earlier years: 2023: 588, 2024: 630 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Nuffield Health Wolverhampton Hospital) |
| The Princess Royal HospitalNHS · Shrewsbury and Telford Hospital NHS Trust | 400 to 749493 joint replacements of all kinds recorded in 2025Earlier years: 2023: 311, 2024: 247 | Not identified as an outlierMore measures
| 19.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 46.2% 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 The Princess Royal Hospital) |
| The Priory HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999797 joint replacements of all kinds recorded in 2025Earlier years: 2023: 821, 2024: 828 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for The Priory Hospital) |
| Queen Elizabeth Hospital BirminghamNHS · University Hospitals Birmingham NHS Foundation Trust | Fewer than 400115 joint replacements of all kinds recorded in 2025Earlier years: 2023: 48, 2024: 86 | Not identified as an outlierMore measures
| 8.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 77.2% 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) | Requires improvement (CQC report for Queen Elizabeth Hospital Birmingham) |
| Queens HospitalNHS · University Hospitals of Derby and Burton NHS Foundation Trust | 1,000 or more1,185 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,036, 2024: 1,276 | Not identified as an outlierMore measures
| 18.5 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 49% 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 Queens Hospital) |
| The Robert Jones & Agnes Hunt HospitalNHS · The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | 1,000 or more4,005 joint replacements of all kinds recorded in 2025Earlier years: 2023: 3,273, 2024: 3,941 | Not identified as an outlierMore measures
| 16.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 52.5% waiting under 18 weeks (August 2026) | Much better than expectedInpatients rated their overall experience 9.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for The Robert Jones & Agnes Hunt Hospital) |
| Rowley Hall HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,080 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,042, 2024: 1,141 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Rowley Hall Hospital) |
| The Royal Orthopaedic HospitalNHS · The Royal Orthopaedic Hospital NHS Foundation Trust | 1,000 or more3,391 joint replacements of all kinds recorded in 2025Earlier years: 2023: 3,244, 2024: 3,562 | Not identified as an outlierMore measures
| 12.8 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 64.4% waiting under 18 weeks (August 2026) | Much better than expectedInpatients rated their overall experience 9.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for The Royal Orthopaedic Hospital) |
| Royal Shrewsbury HospitalNHS · Shrewsbury and Telford Hospital NHS Trust | Fewer than 400325 joint replacements of all kinds recorded in 2025Earlier years: 2023: 208, 2024: 364 | Not identified as an outlierMore measures
| 19.9 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 46.2% 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 Shrewsbury Hospital) |
| Royal Stoke University HospitalNHS · University Hospitals of North Midlands NHS Trust | 750 to 999834 joint replacements of all kinds recorded in 2025Earlier years: 2023: 578, 2024: 799 | Not identified as an outlierMore measures
| 17.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 51.5% 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 Royal Stoke University Hospital) |
| Russells Hall HospitalNHS · The Dudley Group NHS Foundation Trust | 1,000 or more1,065 joint replacements of all kinds recorded in 2025Earlier years: 2023: 842, 2024: 915 | Not identified as an outlierMore measures
| 13.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 63.6% 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 Russells Hall Hospital) |
| Sandwell Health CampusNHS · Sandwell and West Birmingham Hospitals NHS Trust | Fewer than 4004 joint replacements of all kinds recorded in 2025Earlier years: 2023: 765, 2024: 542 | Not identified as an outlierMore measures
| 15.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 58.7% 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 Sandwell Health Campus) |
| Solihull HospitalNHS · University Hospitals Birmingham NHS Foundation Trust | 1,000 or more1,052 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1, 2024: 151 | Not identified as an outlierMore measures
| 8.6 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 77.2% 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) | No Approved Rating (CQC report for Solihull Hospital) |
| Spire Little Aston HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 1,000 or more1,353 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,158, 2024: 1,341 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Little Aston Hospital) |
| Spire Parkway HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999847 joint replacements of all kinds recorded in 2025Earlier years: 2023: 883, 2024: 790 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Good (CQC report for Spire Parkway Hospital) |
| Spire South Bank HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999949 joint replacements of all kinds recorded in 2025Earlier years: 2023: 708, 2024: 859 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Requires improvement (CQC report for Spire South Bank Hospital) |
| Warwick HospitalNHS · South Warwickshire University NHS Foundation Trust | 1,000 or more2,173 joint replacements of all kinds recorded in 2025Earlier years: 2023: 1,670, 2024: 2,269 | Not identified as an outlierMore measures
| 8.7 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 85.6% waiting under 18 weeks (August 2026) | 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) |
| West Midlands HospitalPrivate hospitalPrivate hospital: NJR figures include privately funded and NHS-funded operations. | 750 to 999997 joint replacements of all kinds recorded in 2025Earlier years: 2023: 891, 2024: 926 | Not identified as an outlierEach NJR measure
| Not published for private hospitals | Not covered by NHS patient surveys | Requires improvement (CQC report for West Midlands Hospital) |
| Worcestershire Royal HospitalNHS · Worcestershire Acute Hospitals NHS Trust | 400 to 749603 joint replacements of all kinds recorded in 2025Earlier years: 2023: 341, 2024: 510 | Not identified as an outlierMore measures
| 19.3 weeksHalf of people waiting for trauma and orthopaedics had waited less than this. 46.6% 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 Worcestershire Royal 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 103,876 episodes where the main procedure was total knee replacement (OPCS-4 W40 to W42). 2% were day cases. Half of the people admitted from a waiting list had waited less than about 134 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): Total Knee 5-year revision: 8; Total Knee 10-year revision: 25; Unicondylar Knee 5-year revision: 2; Unicondylar Knee 10-year revision: 5; Patellofemoral Knee 5-year revision: 1; Patellofemoral Knee 10-year revision: 1.
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
- National Joint Registry (NJR) transparency data, National Joint Registry / HQIP. Source: National Joint Registry (NJR) transparency data, via data.gov.uk. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- Consultant-led Referral to Treatment Waiting Times, NHS England. Source: NHS England, Referral to Treatment 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.
- Knee replacement: what is a knee replacement? (NHS website)
- Knee replacement: recovery (NHS website)
- National Joint Registry transparency data (data.gov.uk) (National Joint Registry)
- Hospital Admitted Patient Care Activity 2025-26 (NHS England)
- Consultant-led Referral to Treatment Waiting Times 2026-27 (NHS England)
- Adult inpatient survey (Care Quality Commission)
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