Best hospitals for hip-fracture care in England

Every hospital in England ranked by the National Hip Fracture Database's (NHFD) own "met best-practice criteria" score — a composite measureof how quickly and completely a hospital delivers the recommended hip-fracture care pathway: prompt surgery, orthogeriatric assessment, falls and bone-health checks, and early mobilisation. It is not a guarantee of any individual patient's outcome. Ranked best first.

140 hospitals with a matched NHFD site · 2023 audit year · Source: NHFD (Royal College of Physicians).

#	Hospital	Best-practice	Prompt surgery	Cases
1	West Suffolk Hospital	92.9%	93.2%	448
2	St Helier Hospital and Queen Mary's Hospital for Children	92.4%	92.6%	452
3	Horton General Hospital	84.8%	86.1%	297
4	Queen Elizabeth Hospital	84.7%	86.7%	320
5	The Countess of Chester Hospital	82.6%	88.1%	385
6	Sunderland Royal Hospital	82.3%	83.7%	454
7	Wexham Park Hospital	80.6%	83.6%	426
8	Harrogate District Hospital	79.6%	85.0%	285
9	Salisbury District Hospital	79.5%	80.4%	335
10	Watford General Hospital	78.0%	82.4%	456
11	Queen Alexandra Hospital	78.0%	78.7%	729
12	Wythenshawe Hospital	77.9%	78.4%	546
13	Luton and Dunstable Hospital	76.8%	83.3%	337
14	The Princess Alexandra Hospital	74.3%	78.5%	360
15	William Harvey Hospital	73.4%	77.0%	513
16	Royal Victoria Infirmary	71.0%	85.0%	481
17	James Paget Hospital	69.7%	71.8%	441
18	The Whittington Hospital	69.7%	83.1%	145
19	Northern General Hospital	69.6%	73.1%	573
20	Northumbria Specialist Emergency Care Hospital	69.5%	78.4%	676
21	University Hospital Lewisham	69.4%	75.7%	183
22	Queen Elizabeth Hospital	69.1%	71.4%	305
23	Royal Sussex County Hospital	68.6%	76.9%	666
24	Lister Hospital	68.1%	78.3%	459
25	Warwick Hospital	67.4%	76.2%	413
26	West Middlesex University Hospital	67.2%	69.3%	248
27	Pinderfields Hospital	66.7%	69.3%	580
28	Arrowe Park Hospital	66.5%	73.8%	505
29	Birmingham Heartlands Hospital	65.9%	66.2%	1,212
30	Darlington Memorial Hospital	65.6%	71.8%	393
31	North Middlesex University Hospital	64.9%	68.4%	232
32	Darent Valley Hospital	64.4%	69.1%	298
33	Rotherham General Hospital	64.3%	72.9%	291
34	Barnsley Hospital	63.3%	73.4%	354
35	The County Hospital	62.6%	63.1%	419
36	Conquest Hospital	62.6%	79.1%	663
37	Southmead Hospital	62.3%	66.9%	609
38	The James Cook University Hospital	61.9%	71.4%	508
39	New Cross Hospital	61.1%	62.4%	472
40	Great Western Hospital	60.9%	65.9%	430
41	St Peter's Hospital	60.7%	67.6%	396
42	South Tyneside District Hospital	59.7%	75.3%	232
43	Royal Albert Edward Infirmary	59.7%	63.3%	368
44	Royal Oldham Hospital	59.3%	65.5%	421
45	Homerton University Hospital	59.0%	74.0%	102
46	St Richard's Hospital	58.1%	70.7%	429
47	St George's Hospital (Tooting)	57.7%	74.6%	209
48	Diana Princess of Wales Hospital	56.8%	71.1%	288
49	Scunthorpe General Hospital	56.3%	57.6%	245
50	The Hillingdon Hospital	55.7%	74.4%	203
51	Kettering General Hospital	55.7%	68.8%	346
52	The York Hospital	55.2%	61.0%	450
53	Royal Berkshire Hospital	55.1%	57.4%	459
54	Colchester General Hospital	55.1%	57.5%	642
55	Barnet General Hospital	54.9%	67.3%	339
56	Croydon University Hospital	54.9%	58.5%	291
57	Whipps Cross University Hospital	54.8%	65.2%	556
58	Chesterfield Royal Hospital	53.5%	62.8%	480
59	Russells Hall Hospital	52.9%	53.7%	546
60	Royal Surrey County Hospital	50.9%	69.0%	373
61	Airedale General Hospital	49.6%	83.2%	284
62	Medway Maritime Hospital	49.4%	54.7%	403
63	Queen's Medical Centre	48.8%	53.4%	782
64	Macclesfield District General Hospital	48.8%	54.6%	302
65	Torbay Hospital	48.7%	53.4%	525
66	Yeovil District Hospital	48.7%	72.0%	328
67	Princess Royal University Hospital	48.6%	60.9%	371
68	Royal Shrewsbury Hospital	48.3%	53.9%	398
69	Frimley Park Hospital	48.0%	56.3%	468
70	Queen Elizabeth The Queen Mother Hospital	47.6%	72.1%	533
71	Leicester Royal Infirmary	47.5%	51.2%	858
72	University Hospital	47.4%	58.7%	560
73	Worthing Hospital	47.4%	53.6%	491
74	Norfolk and Norwich University Hospital	47.1%	62.6%	880
75	Queen's Hospital	47.0%	67.3%	542
76	Royal Derby Hospital	46.9%	63.0%	662
77	Royal United Hospital Bath	46.8%	52.7%	578
78	Whiston Hospital	46.7%	51.1%	465
79	Musgrove Park Hospital	46.5%	73.0%	504
80	Kingston Hospital	45.8%	53.0%	352
81	The Queen Elizabeth Hospital	44.5%	55.9%	469
82	Addenbrooke's and the Rosie Hospitals	44.4%	47.1%	506
83	Bradford Royal Infirmary	44.3%	76.9%	317
84	Northampton General Hospital	44.3%	63.7%	406
85	Northwick Park Hospital	44.2%	51.2%	315
86	The Princess Royal Hospital	44.1%	50.6%	262
87	Royal Lancaster Infirmary	43.9%	58.3%	320
88	Tameside General Hospital	43.5%	46.6%	277
89	George Eliot NHS Hospital	43.3%	48.8%	336
90	Stoke Mandeville Hospital	43.2%	52.1%	409
91	The Ipswich Hospital	43.0%	50.9%	500
92	University Hospital of North Tees	42.8%	54.4%	408
93	Hull Royal Infirmary	42.6%	47.8%	686
94	Pilgrim Hospital	42.4%	54.1%	437
95	Basildon University Hospital	42.3%	46.8%	397
96	University Hospital North Durham	41.9%	54.0%	428
97	Sandwell Health Campus	41.7%	57.0%	395
98	Chelsea and Westminster Hospital	41.3%	51.7%	239
99	Lincoln County Hospital	41.2%	52.8%	444
100	Dorset County Hospital	41.0%	68.1%	333
101	Basingstoke and North Hampshire Hospital	40.3%	64.0%	474
102	Poole Hospital	39.3%	42.7%	924
103	Queens Hospital	39.1%	52.1%	354
104	The Tunbridge Wells Hospital at Pembury	38.7%	59.8%	600
105	King's Mill Hospital	38.3%	48.4%	627
106	Peterborough City Hospital	38.2%	40.7%	693
107	St Thomas' Hospital	38.0%	47.6%	254
108	Milton Keynes Hospital	37.6%	51.7%	301
109	Leighton Hospital	37.2%	66.3%	406
110	Broomfield Hospital	36.5%	54.9%	540
111	Royal Cornwall Hospital	36.3%	48.2%	738
112	East Surrey Hospital	36.2%	37.7%	499
113	Gloucestershire Royal Hospital	35.4%	35.6%	829
114	Stepping Hill Hospital	35.2%	54.4%	432
115	University Hospital Aintree	35.2%	44.1%	848
116	Royal Stoke University Hospital	35.1%	49.4%	689
117	Manor Hospital	34.2%	49.9%	445
118	John Radcliffe Hospital	33.5%	40.4%	526
119	Huddersfield Royal Infirmary	32.6%	62.3%	544
120	St Mary's Hospital	31.7%	56.7%	209
121	Bedford Hospital	30.6%	42.1%	311
122	Derriford Hospital	30.1%	32.3%	607
123	Leeds General Infirmary	29.9%	32.1%	738
124	Southport and Formby District General Hospital	29.7%	65.4%	325
125	Royal Blackburn Hospital	29.3%	30.8%	532
126	Royal Bolton Hospital	28.1%	57.4%	442
127	Queen Elizabeth Hospital Birmingham	27.8%	33.3%	62
128	North Manchester General Hospital	27.6%	27.6%	375
129	Royal Preston Hospital	27.3%	34.8%	469
130	Manchester Royal Infirmary	25.0%	33.3%	38
131	Scarborough Hospital	23.8%	50.5%	325
132	King's College Hospital	23.3%	36.9%	105
133	Southend University Hospital	23.0%	44.3%	479
134	Weston General Hospital	19.3%	71.1%	309
135	Warrington Hospital	16.0%	27.1%	424
136	Southampton General Hospital	12.3%	17.3%	836
137	The Royal Free Hospital	9.4%	21.5%	198
138	Worcestershire Royal Hospital	7.9%	50.5%	794
139	Cumberland Infirmary	6.6%	49.2%	553
140	North Devon District Hospital	0.0%	65.7%	304

About this ranking

"Met best-practice criteria" is the audit's own composite measure, combining the key elements of the recommended hip-fracture care pathway into a single published percentage. Case counts are shown for context — a hospital treating few cases can vary more year to year. The 30-day mortality figure shown on each hospital's page is case-mix adjusted and framed separately; it is not part of this ranking. Only hospitals NHFD publishes with a confidently matched hospital in England are listed here — a small number of NHFD sites don't appear because their published name couldn't be matched to exactly one hospital with confidence. Reused under the Open Government Licence v3.0. Full methodology.