Peripheral arterial disease (PAD) is a narrowing of the arteries to the legs that can cause leg pain when walking. It is first treated with exercise, stopping smoking and medicines. If the pain is severe or other treatment has not helped, a procedure to restore blood flow (revascularisation) may be recommended.
The two main procedures are angioplasty, where a small balloon widens the artery, and bypass surgery, where a blood vessel from elsewhere in the body is used to get round the blockage. The National Vascular Registry publishes the number of bypass operations and angioplasties at each trust and deaths in hospital after bypass.
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 bandLeg artery bypass operations in 2024 (NVR) | Key outcomeDeaths in hospital after bypass (adjusted) | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| The Dudley Group NHS Foundation TrustWhole trust. Hospitals: Russells Hall HospitalAlso 156 angioplasty procedures recorded in 2024. | 150 or more160 leg artery bypass operations in 2024 | 2.5%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 HospitalAlso 203 angioplasty procedures recorded in 2024. | 50 to 9987 leg artery bypass operations in 2024 | 2.4%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 HospitalAlso 243 angioplasty procedures recorded in 2024. | 100 to 149122 leg artery bypass operations in 2024 | 2.3%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 HospitalAlso 53 angioplasty procedures recorded in 2024.Case ascertainment published as 70%-84%: not every operation was entered in the registry. | 50 to 9973 leg artery bypass operations in 2024 | 3.0%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 HospitalAlso 139 angioplasty procedures recorded in 2024.Case ascertainment published as 60%-69%: not every operation was entered in the registry. | 50 to 9982 leg artery bypass operations in 2024 | 4.2%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 HospitalAlso 342 angioplasty procedures recorded in 2024. | 100 to 149140 leg artery bypass operations in 2024 | 2.8%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 HospitalAlso 168 angioplasty procedures recorded in 2024. | 100 to 149112 leg artery bypass operations in 2024 | 1.6%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 65 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.
- Peripheral arterial disease (PAD): treatment (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.