Stroke care in West Midlands hospitals

A stroke is a medical emergency: call 999 if you notice signs such as a face drooping on one side, weakness in one arm or slurred speech. Treatment in the first hours may include medicine to dissolve a blood clot (thrombolysis) or a procedure to remove it (thrombectomy).

Ambulances take people with a suspected stroke to a hospital with a specialist stroke unit. In some areas this is a hyperacute stroke unit (HASU) for the first days, followed by a stroke unit closer to home. The Sentinel Stroke National Audit Programme (SSNAP) gives every team a level from A to E each quarter, based on how well it meets national standards.

Hospitals in the West Midlands

9 stroke teams in the West Midlands with published figures. Sorted by name. This is not a ranking: read how to read this first.

Stroke care: stroke teams in the West Midlands, Stroke patients, January to March 2026 (SSNAP)
Stroke teamVolume bandStroke patients, January to March 2026 (SSNAP)Key outcomeSSNAP level (A to E)Waiting timeWhole trustPatient experienceCQC rating
Birmingham Heartlands HospitalStroke team · NHS · University Hospitals Birmingham NHS Foundation Trust150 to 249194 stroke patients in January to March 2026 (one quarter)Level EScore 20 out of 100
Levels by area of care
  • Hyperacute assessment: E
  • Specialist pathway: E
  • Reperfusion: E
  • MDT assessment: E
  • Therapy intensity: E
  • Therapy frequency: E
  • Standards by discharge: E
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.92 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 291 cases, 28.6 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 7 cases FY2025-26
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 HospitalStroke team · NHS · Wye Valley NHS Trust75 to 149148 stroke patients in January to March 2026 (one quarter)Level EScore 36.2 out of 100
Levels by area of care
  • Hyperacute assessment: E
  • Specialist pathway: E
  • Reperfusion: C
  • MDT assessment: B
  • Therapy intensity: D
  • Therapy frequency: E
  • Standards by discharge: D
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.11 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 26 cases, 23.9 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 1 case FY2025-26
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)
Good Hope HospitalStroke team · NHS · University Hospitals Birmingham NHS Foundation Trust75 to 149107 stroke patients in January to March 2026 (one quarter)Level EScore 24.9 out of 100
Levels by area of care
  • Hyperacute assessment: E
  • Specialist pathway: E
  • Reperfusion: E
  • MDT assessment: E
  • Therapy intensity: D
  • Therapy frequency: D
  • Standards by discharge: E
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.92 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 291 cases, 28.6 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 7 cases FY2025-26
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)
New Cross HospitalStroke team · NHS · The Royal Wolverhampton NHS Trust250 or more266 stroke patients in January to March 2026 (one quarter)Level DScore 45 out of 100
Levels by area of care
  • Hyperacute assessment: D
  • Specialist pathway: D
  • Reperfusion: E
  • MDT assessment: B
  • Therapy intensity: C
  • Therapy frequency: E
  • Standards by discharge: B
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.93 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 57 cases, 19.4 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 6 cases FY2025-26
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)
The Princess Royal HospitalStroke team · NHS · Shrewsbury and Telford Hospital NHS Trust150 to 249188 stroke patients in January to March 2026 (one quarter)Level EScore 29.3 out of 100
Levels by area of care
  • Hyperacute assessment: E
  • Specialist pathway: D
  • Reperfusion: E
  • MDT assessment: E
  • Therapy intensity: D
  • Therapy frequency: D
  • Standards by discharge: D
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.95 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 74 cases, 26.7 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 4 cases FY2025-26
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 The Princess Royal Hospital)
Queens HospitalStroke team · NHS · University Hospitals of Derby and Burton NHS Foundation TrustFewer than 7545 stroke patients in January to March 2026 (one quarter)Level DScore 41.6 out of 100
Levels by area of care
  • Hyperacute assessment: D
  • Specialist pathway: E
  • Reperfusion: E
  • MDT assessment: E
  • Therapy intensity: E
  • Therapy frequency: E
  • Standards by discharge: C
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 0.95 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 144 cases, 27.9 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 4 cases FY2025-26
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 Stoke University HospitalStroke team · NHS · University Hospitals of North Midlands NHS Trust250 or more295 stroke patients in January to March 2026 (one quarter)Level DScore 46.2 out of 100
Levels by area of care
  • Hyperacute assessment: D
  • Specialist pathway: D
  • Reperfusion: D
  • MDT assessment: C
  • Therapy intensity: B
  • Therapy frequency: C
  • Standards by discharge: E
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.14 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 109 cases, 23.4 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 8 cases FY2025-26
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 HospitalStroke team · NHS · The Dudley Group NHS Foundation Trust150 to 249155 stroke patients in January to March 2026 (one quarter)Level EScore 37.5 out of 100
Levels by area of care
  • Hyperacute assessment: D
  • Specialist pathway: E
  • Reperfusion: E
  • MDT assessment: B
  • Therapy intensity: C
  • Therapy frequency: E
  • Standards by discharge: C
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.01 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 34 cases, 14.6 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 1 case FY2025-26
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)
Worcestershire Royal HospitalStroke team · NHS · Worcestershire Acute Hospitals NHS Trust150 to 249215 stroke patients in January to March 2026 (one quarter)Level EScore 37.5 out of 100
Levels by area of care
  • Hyperacute assessment: C
  • Specialist pathway: E
  • Reperfusion: D
  • MDT assessment: B
  • Therapy intensity: E
  • Therapy frequency: D
  • Standards by discharge: E
More measures
  • Summary Hospital-level Mortality Indicator (SHMI), whole trust: 1.09 (As expected) 2025-06 to 2026-05
  • C. difficile infections that started in hospital (whole trust, not adjusted for case mix): 75 cases, 24.0 per 100,000 bed-days FY2025-26
  • MRSA bloodstream infections that started in hospital (whole trust, not adjusted for case mix): 4 cases FY2025-26
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 stroke teams across England, Wales and Northern Ireland were placed in this quarter: A - 0 teams (0.0%); B - 17 teams (7.9%); C - 20 teams (9.3%); D - 117 teams (54.7%); E - 60 teams (28.0%).

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 stroke teams in the SSNAP January to March 2026 results in the published table, rounded. So about a quarter of stroke teams in the SSNAP January to March 2026 results 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

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.

Spotted something out of date? Tell us.