An amputation is the surgical removal of part of the body, such as a leg. It may be needed for a severe infection, gangrene (often caused by peripheral arterial disease), complications of diabetes or serious injury. Unless it is an emergency, you will be assessed before surgery to plan the type of amputation and your rehabilitation.
The National Vascular Registry records major leg amputations (above or below the knee) done by vascular surgeons. It publishes the number at each trust and deaths in hospital within 30 days, adjusted for differences between patients.
Hospitals in the West Midlands
7 trusts in the West Midlands with published figures. Sorted by name. This is not a ranking: read how to read this first.
| Trust | Volume bandMajor leg amputations in 2024 (NVR) | Key outcomeDeaths in hospital within 30 days (adjusted) | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| The Dudley Group NHS Foundation TrustWhole trust. Hospitals: Russells Hall HospitalCase ascertainment published as 70%-84%: not every operation was entered in the registry. | 50 to 9981 major leg amputations in 2024 | 6.8%National: 5.7%No banding publishedMore measures
| Not published for this specialty | 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) |
| Shrewsbury and Telford Hospital NHS TrustWhole trust. Hospitals: Royal Shrewsbury Hospital, The Princess Royal Hospital | 50 to 9950 major leg amputations in 2024 | 9.4%National: 5.7%No banding publishedMore measures
| Not published for this specialty | 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) |
| University Hospitals Birmingham NHS Foundation TrustWhole trust. Hospitals: Birmingham Heartlands Hospital, Good Hope Hospital, Queen Elizabeth Hospital Birmingham, Solihull Hospital | 100 or more173 major leg amputations in 2024 | 6.0%National: 5.7%No banding publishedMore measures
| Not published for this specialty | 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 HospitalCase ascertainment published as 0%-9%: not every operation was entered in the registry. | Fewer than 305 major leg amputations in 2024 | 0.0%National: 5.7%No banding publishedMore measures
| Not published for this specialty | 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 HospitalCase ascertainment published as 50%-59%: not every operation was entered in the registry. | 30 to 4932 major leg amputations in 2024 | 7.5%National: 5.7%No banding publishedMore measures
| Not published for this specialty | 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 | 100 or more118 major leg amputations in 2024 | 7.3%National: 5.7%No banding publishedMore measures
| Not published for this specialty | 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) |
| Worcestershire Acute Hospitals NHS TrustWhole trust. Hospitals: Alexandra Hospital, Kidderminster Hospital and Treatment Centre, Worcestershire Royal Hospital | 50 to 9951 major leg amputations in 2024 | 3.2%National: 5.7%No banding publishedMore measures
| Not published for this specialty | 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) |
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 62 trusts and health boards in the NVR table in the published table, rounded. So about a quarter of trusts and health boards in the NVR 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 figure: England row of the NVR appendix 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 Vascular Registry (NVR) 2025 State of the Nation report appendices, VSQIP (Royal College of Surgeons of England) for HQIP. Source: National Vascular Registry 2025 State of the Nation report appendices. 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.
- Amputation (NHS website)
- National Vascular Registry 2025 State of the Nation report (VSQIP)
- Adult inpatient survey (Care Quality Commission)
Spotted something out of date? Tell us.