Health
Birmingham Hospital Trusts Rank Lowest in NHS Performance Tables

Recent NHS performance tables have highlighted significant challenges faced by Birmingham hospital trusts, with the Birmingham Community Healthcare NHS Foundation Trust ranked last among 61 non-acute trusts. The Department of Health and Social Care released these “landmark” tables in March 2024, aiming to improve standards across the healthcare system.
In the latest evaluations, Birmingham Community Healthcare received a rating of 3.34. The Birmingham and Solihull Mental Health NHS Foundation Trust did not fare much better, placing 55th with a score of 2.90. Additionally, the University Hospitals Birmingham NHS Foundation Trust ranked 128th out of 134 acute trusts, earning a rating of 2.97. All three trusts were categorized in Segment 4, the lowest tier on the performance scale.
The top-performing acute trust was the Moorfields Eye Hospital NHS Foundation Trust in London, which achieved a commendable rating of 1.39. In contrast, the best-performing trust in the Black Country, The Dudley Group NHS Foundation Trust, secured the 33rd position with a score of 1.90. Notably, the worst overall acute trust was identified as The Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust, which received a score of 3.35.
The newly published league tables aim to provide transparency regarding hospital performance across various metrics, including financial health, patient access to services, waiting times for surgeries, and ambulance response rates. Trusts that perform well will benefit from increased investment and operational flexibility, while those at the bottom will receive focused support.
In response to its poor ranking, the Birmingham Community Healthcare NHS Foundation Trust expressed disappointment. A spokesperson stated, “We are firmly committed to improvement in the areas identified.” The trust highlighted specific challenges, such as long wait times in neuro-developmental pathways and high sickness absence rates among staff. To address these issues, they plan to invest an additional £1 million in support for children awaiting autism assessments.
The University Hospitals Birmingham NHS Foundation Trust also acknowledged the need for improvement, emphasizing the importance of timely access to care. A representative remarked, “We are confident we have the right focus and plans in place to provide the best possible care for our patients.”
Similarly, the Birmingham and Solihull Mental Health NHS Foundation Trust committed to collaborating with regulators to enhance its services. A spokeswoman stated, “We are committed to working with our regulators as we continue our journey of improvement.”
Health Secretary Wes Streeting highlighted the significance of these league tables, stating they would identify trusts in need of urgent support and help eliminate regional discrepancies in healthcare quality. He noted, “Patients and taxpayers have to know how their local NHS services are doing compared to the rest of the country.”
The league tables will be updated quarterly, providing ongoing insights into NHS performance across multiple areas. By summer 2026, the evaluations will expand to include Integrated Care Boards, which are responsible for planning health services for local populations.
Overall, the release of these performance tables marks a crucial step toward enhancing accountability and ensuring that every patient receives the high-quality care they expect and deserve. The government aims to drive improvements through targeted investments and reforms while fostering an environment where successful practices can be shared across the NHS.
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